“上守神”思想在早发冠心病中的释义及应用思考  

Reflections on the Interpretation and Application of the Thought of“Shang Shou Shen”in Premature Coronary Artery Disease

作　　者：王青 漆仲文 石玉姣 刘艳飞[1,2,3] 刘玥[2] 徐凤芹[1,2,3] WANG Qing;QI Zhongwen;SHI Yujiao;LIU Yanfei;LIU Yue;XU Fengqin(Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China;National Clinical Research Center for Cardiovascular Diseases of Traditional Chinese Medicine,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China;Key Laboratory of Disease and Syndrome Integration Prevention and Treatment of Vascular Aging,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]中国中医科学院西苑医院国家中医心血管病临床医学研究中心,北京100091 [3]中国中医科学院西苑医院病证结合防治血管衰老重点研究室,北京100091

出　　处：《中国中医药信息杂志》2024年第5期167-171,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：中国中医科学院科技创新工程重大攻关项目(CI2021A01406);中医药传承与创新“百千万”人才工程岐黄学者(02045006)。

摘　　要：早发冠心病起病隐匿、发病急骤、预后欠佳。结合早发冠心病患者中医病机特点,气血失和是发病之基,神不安位是加重因素,迁延心之功用失职。“上守神”思想强调“守脉之神”与“守心之神”两者间的正常维系,其与早发冠心病患者中医病机高度契合。本文以中医经典为基,立足临床,通过对“上守神”思想进行经典释义,结合早发冠心病的病机进行理论阐发,提出从“守脉之神,以调气血之失和”和“守心之神,以安神明之正位”的角度辨治早发冠心病。建立“气血同调发伊始,畅心宁神贯始终”的防治理念,形成畅脉宁神经验方,以期在“上守神”思想指导下为早发冠心病的临床诊疗应用提供思路。Premature coronary artery disease(PCAD)has an insidious onset,a rapid onset,and a poor prognosis.Combined with the TCM pathogenesis characteristics of patients with PCAD,the disharmony of qi and blood is the basis of the disease,restlessness is the aggravating factor,and the function of prolonging the heart is dereliction of duty.The thought of“Shang Shou Shen”emphasizes the normal maintenance between“keeping the pulse”and“keeping the heart”.Therefore,the thought of“Shang Shou Shen”is highly consistent with the TCM pathogenesis of patients with PCAD.Based on the TCM classics and based on the clinic,this article gave a classical interpretation of the thought of“Shang Shou Shen”and theoretically elucidated the pathogenesis of PCAD.It was suggested that PCAD should be treated from the point of view of“keeping the pulse,regulating the loss of qi and blood”and“keeping the heart and tranquilizing the mind”.Establishing the prevention and treatment concept of regulating qi and blood at the same time at the beginning of the disease and keeping the heart and the mind calm throughout the disease,forming the empirical Changmai Ningshen Prescription,in order to provide ideas for the clinical diagnosis and treatment of PCAD under the guidance of the thought of“Shang Shou Shen”.

关 键 词：早发冠心病 冠状动脉粥样硬化性心脏病 胸痹 上守神 

分 类 号：R259.4[医药卫生—中西医结合]