心脏神经症中医诊疗专家共识  

Expert Consensus on Traditional Chinese Medicine Diagnosis and Treatment of Cardiac Neurosis

作　　者：吴珩金 郑瑀[2] 翟靓帆 徐华诏 徐晓彤 许凤全[2] 《心脏神经症中医诊疗专家共识》项目组 WU Hengjin;ZHENG Yu;ZHAI liangfan;XU Huazhao;XU Xiaotong;XU Fengquan;the group of experts of the《Expert consensus on traditional Chinese medicine diagnosis and treatment of cardiac neurosis》(Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China;Guang′anmen Hospital,China Academy of Traditional Chinese Medicine,Beijing 100053,China;China Academy of Chinese Medical Sciences(CACMS)Graduate School,Beijing 100070,China;不详)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]中国中医科学院广安门医院,北京100053 [3]中国中医科学院研究生院,北京100700 [4]不详

出　　处：《世界中医药》2024年第6期759-762,共4页World Chinese Medicine

基　　金：国家重点研发计划项目(2018YFC1705801)——经皮颅-耳电刺激抗抑郁临床有效性和安全性研究;中国中医科学院科技创新工程(CI2021A03101)——润肝养心方治疗心脏神经症临床疗效评估与心率变异相关性研究。

摘　　要：心脏神经症是一种心血管症状与自主神经兴奋表现共同出现的神经症,中医药治疗心脏神经症效果明确,临床应用广泛,但临床诊疗并未达成一致的共识,对临床诊疗的有效性和规范性造成了一定的限制。因此中国中医药研究促进会心身医学专业委员会组织全国范围内30余位心血管或心身医学领域专家制定心脏神经症中医诊疗专家共识,推荐心脏神经症对应中医病名为卑惵,其核心症状为心悸、心前区疼痛、胸闷、气短、失眠、心烦、抑郁、焦虑、恐惧、情绪难以控制等,其证候主要包括肝郁脾虚证、肝火扰心证、气滞血瘀证、痰火扰心证、心胆气虚证、心肝阴虚证。中医药治疗心脏神经症效果确切、不良反应少,明确辨证论治纲要后对临床诊疗有较高的指导作用。Cardiac neurosis is a neurosis characterized by cardiovascular symptoms and manifestations of excitability in the autonomic nervous system.Traditional Chinese medicine(TCM)has demonstrated a distinct efficacy in the treatment of cardiac neurosis and is extensively employed in clinical practice.Nevertheless,the lack of consensus regarding clinical diagnosis and treatment has hindered the effectiveness and standardization of clinical practice.The the Psychosomatic Medicine Committee of the China Association for Research and Promotion of Traditional Chinese Medicine convened over 30 cardiovascular and psychosomatic medicine experts from across China to establish a consensus on the diagnosis and treatment of cardiac neurosis in traditional Chinese medicine.It proposes that the appropriate Chinese medical term for cardiac neurosis is“Beidie”,with its primary symptoms encompassing palpitations,precordial pain,chest tightness,shortness of breath,insomnia,irritability,depression,anxiety,fear,and difficulty regulating emotions.The syndrome differentiation primarily involves liver depression and spleen deficiency syndrome,liver fire disturbing the heart syndrome,qi stagnation and blood stasis syndrome,phlegm and fire disturbing the heart syndrome,heart and gallbladder qi deficiency syndrome,and heart and liver yin deficiency syndrome.Chinese medicine treatment for cardiac neurosis has definite effects and minimal adverse reactions,and a clear differentiation of syndromes provides high guidance for clinical diagnosis and treatment.

关 键 词：心脏神经症 卑惵 专家共识 核心症状 辨证论治 推荐意见 德尔菲法 

分 类 号：R259[医药卫生—中西医结合]