赵海滨教授基于经方从少阴“本经自病”论治双心疾病后期经验撷菁  

Summary of Professor Zhao Haibin’s experience of treating double heart disease in the later stage based on classical prescriptions from Shaoyin’s“original meridian self-disease”

作　　者：刘芸霖 赵海滨[2] 王超[2] 侯季秋 李睿一 燕莎莎 LIU Yunlin;ZHAO Haibin;WANG Chao;HOU Jiqiu;LI Ruiyi;YAN Shasha(The Second Clinical Medical College,Beijing University of Chinese Medicine,Beijing 100078,China;Department of Cardiology,Dongfang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学第二临床医学院,北京100078 [2]北京中医药大学东方医院心内科,北京100078

出　　处：《中国医药导报》2023年第16期122-125,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(82174332)。

摘　　要：现代医学将心血管疾病合并有精神心理问题的疾病称为双心疾病。中医“双心学说”创立者赵海滨教授结合临床发现双心疾病后期往往殊途同归累及心肾二脏,特别是老年人,在心脏病后期常常伴有抑郁、心肾阳气俱虚的共同点。因此,本文归纳提出双心疾病后期的病机属“瘀热虚滞”的“虚滞”阶段,即心肾阳损、心神失养、阳微阴弦、心气郁滞。其治疗应基于经方,采用六经八纲辨证的少阴经辨证、脏腑辨证的心肾二脏辨证,病证结合,以证统病,辨证施治。法当温补心肾、养心安神、活血行气。方用四逆汤合自拟“双心方”加减,经临床证明效果显著。Modern medicine regards cardiovascular disease combined with mental and psychological problems as double heart disease.Professor Zhao Haibin,the founder of the“double heart theory”of traditional Chinese medicine,finds that the late stage of double heart disease often leads to the same result and involves the two viscera of the heart and kidney,especially in the elderly,who are often accompanied by depression,deficiency of both heart and kidney yang qi in the later stage of heart disease.Therefore,this paper concludes that the pathogenesis of the late stage of double-heart disease belongs to the“stagnation”stage of“stasis and heat deficiency and stagnation”,that is,the damage of the heart and kidney Yang,the loss of the mind,the yang qi of upper jiao is insufficient,yin qi lower jiao is sufficient and the stagnation of the heart and qi.The treatment should be based on the prescription of the meridian,using syndrome differentiation of six channels theory and eight principles of Shaoyin meridian,the syndrome differentiation of zang-fu viscera and the two viscera of the heart and kidney,the combination of disease and syndrome,considering a syndrome by several diseases,diagnosis and treatment based on syndrome differentiation.The method should warm the heart and kidney,nourishing the heart and calming the mind,promoting blood and activating qi.Sini Decoction combined with self-designed“Shuangxin Decoction”addition and subtraction,the clinical effect proved remarkable.

关 键 词：双心疾病 本经自病 四逆汤 双心方 

分 类 号：R256.2[医药卫生—中医内科学]