基于气血升降理论探讨心肌梗死后抑郁的中医治法  

Discussion on the TCM syndrome and treatment of depression after myocardial infarction based on the theory of ascending and descending of Qi and blood

作　　者：王璐绮 谢连娣[2] 吴正波 Wang Luqi;Xie Liandi;Wu Zhengbo(The Second Clinical Medical College,Beijing University of Chinese Medicine,Beijing 100029,China;Cardiology Department,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]北京中医药大学东方医院心内科,北京100078

出　　处：《国际中医中药杂志》2024年第2期142-146,共5页International Journal of Traditional Chinese Medicine

摘　　要：心肌梗死后抑郁的病机与气血升降理论密切相关,其核心病机为气血失常,心神受损,升降失司,枢轴不运。治当气血升降同调,治以益气活血、调达升降,其中益气活血以益气为先,根据血瘀程度适当选用活血药,使血脉通利,神有所依;调达升降以调节肝升肺降与脾胃为关键,重视药物升降浮沉之性,顺应脏腑的生理功能,恢复脏腑气机升降运动。Depression after myocardial infarction is closely related to the theory of ascending and descending of qi and blood.The core pathogenesis is analyzed as disorder of qi and blood,mental damage,uncontrolled upward and downward movement,and pivot movement failure.The treatment method is to regulate qi and blood,invigorate qi and activate blood circulation and restore the rise and fall of visceral qi.Nourishing qi and promoting blood circulation should invigorate qi in the first.Appropriate blood activating drugs should be selected according to the degree of blood stasis,so that the blood circulation is smooth and the spirit has dependence.The key to restoring the normal balance of qi movement of visceral organs is to regulate not only liver ascending and lung descending but also spleen.Clinicians need pay attention to the nature of drug lifting and falling,conforming the physiological functions of the organs,to restore the rising and falling of the qi movement of internal organs.

关 键 词：心肌梗塞 抑郁症 气血升降 肝升肺降 

分 类 号：R259[医药卫生—中西医结合]