赵海滨教授基于“阳气者,精则养神,柔则养筋”理论治疗慢性心力衰竭合并抑郁经验撷粹  

Professor Zhao Haibin’s experience in treating chronic heart failure combined with depression based on“yang qi,essence nourishes the spirit,and gentleness nourishes the tendons”theory

作　　者：李东方 王超[1] 赵海滨[1] 侯季秋 丁婉丽 史金玉 郜亚茹 LI Dongfang;WANG Chao;ZHAO Haibin;HOU Jiqiu;DING Wanli;SHI Jinyu;GAO Yaru(Dongfang Hospital,Beijing University of Chinese Medicine,Beijing100078,China;Beijing University of Chinese Medicine,Beijing100029,China)

机构地区：[1]北京中医药大学东方医院,北京100078 [2]北京中医药大学,北京100029

出　　处：《中国医药导报》2023年第25期129-133,共5页China Medical Herald

基　　金：国家自然科学基金面上项目(82174332)。

摘　　要：慢性心力衰竭合并抑郁是常见的双心疾病,中医药治疗效果显著。《素问·生气通天论》云:“阳气者,精则养神,柔则养筋。”赵海滨教授基于此理论,认为慢性心力衰竭合并抑郁的核心病机为本虚标实,“心阳不足”为致病之本和始动因素,“瘀血”“水饮”“郁”为发病之标和关键病理因素。治疗上赵海滨教授主张“温阳益心”以治其本,“祛瘀利水、养心安神”以愈其标,运用苓桂术甘双心方化裁,疗效颇佳。Chronic heart failure combined with depression is a common dual heart disease in clinical practice,and the treatment effect of traditional Chinese medicine is significant.“Yang qi,essence nourishes the spirit,and gentleness nourishes the tendons”is from Suwen·Shengqi Tongtian Lun.Based on the theory,Professor Zhao Haibin thinks that the core pathogenesis of chronic heart failure combined with depression is root deficiency empty and manifestation excess.“Insufficient heart yang”is the root and initial factor of the disease.“Blood stasis”,“retained fluid”,and“depression”are the symptoms and key pathological factors.In terms of treatment,Professor Zhao Haibin advocates“warming yang and benefiting the heart”to treat its root cause,“removing blood stasis and promoting water circulation,nourishing the heart and calming the mind”to heal its manifestation,and the clinical application of Linggui Zhugan Shuangxin Fang has a good therapeutic effect.

关 键 词：阳气 精则养神 柔则养筋 慢性心力衰竭 抑郁 经验传承 

分 类 号：R256.2[医药卫生—中医内科学]