赵海滨教授从“虚瘀热滞”治疗心力衰竭后精神心理障碍的临证经验  

Professor Zhao Haibin’s clinical experience in treating psychosomatic disorders after heart failure from the perspective of“deficiency,stasis,heat,and stagnation”

作　　者：李睿一 丁婉丽 赵维哲 孙治琪 刘祥 赵海滨[2] LI Ruiyi;DING Wanli;ZHAO Weizhe;SUN Zhiqi;LIU Xiang;ZHAO Haibin(The Second Clinical Medical College,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Cardiovascular Medicine,Dongfang Hospital Affiliated to 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,北京100029 [2]北京中医药大学附属东方医院心血管内科,北京100078

出　　处：《中国医药导报》2023年第35期136-140,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(82174332)。

摘　　要：心力衰竭后所继发的精神心理障碍类型繁多,且因其基础疾病较重,前期病机复杂,与单纯发生或继发于他病的精神心理障碍区别较大,是双心疾病中较为棘手的一种。“以证统病”的辨治理念与该病病机特点相契合,赵海滨教授认为心力衰竭后精神心理障碍的基本病机不离乎“虚瘀热滞”四方,临证治疗时应以此为引,着眼于证,把握此病机共性,在培元固本的同时以“活血清心、调神通滞”为基本大法,同时兼顾不同精神心理障碍的特异性随证加减,以期精简用药的同时达到桴鼓之效。There are many types of psychiatric disorders secondary to heart failure,and due to the heaviness of the underlying disease and the complexity of the pre-morbid mechanism.There is a significant difference between mental and psychological disorders that occur solely or are secondary to other diseases,and it is a more challenging type of bicardiac disease.The differentiation and treatment concept of“syndrome based disease”is in line with the characteristics of the pathogenesis of this disease.Professor Zhao Haibin believes that the basic pathogenesis of mental and psychological disorders after heart failure is inseparable from the four aspects of“deficiency,stasis,heat,and stagnation”.In clinical treatment,this should be taken as a guide,focusing on the syndrome,grasping the commonalities of this pathogenesis,while cultivating the essence and strengthening the foundation,taking“promoting blood circulation,clearing the heart,regulating the mind,and promoting stagnation”as the basic method,while also taking into account the specificity of different mental and psychological disorders to increase or decrease according to the syndrome,in order to simplify medication and achieve the effect of beating drums.

关 键 词：虚瘀热滞 双心疾病 心力衰竭 焦虑状态 抑郁状态 以证统病 

分 类 号：R541.6[医药卫生—心血管疾病]