王永炎教授基于“心主神明”理论论治心血管疾病  

Professor WANG Yongyan treats cardiovascular diseases based on the theory of"heart governing the spirit"

作　　者：白芳芳 李平 马洪皓 郝千莹 BAI Fangfang;LI Ping;MA Honghao;HAO Qianying(The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学第三附属医院,北京100029

出　　处：《北京中医药大学学报》2024年第10期1474-1480,共7页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.81960852)。

摘　　要：随着心血管疾病发病率的增加,王永炎教授守正创新,提出将“心主神明”理论应用于心血管疾病的防治。未病先防当守神,守神当食饮有节,起居有常,不妄劳作,恬淡虚无,内守心神;已病防变重调神,善调神者需先望神,通过望目神、舌神、面色及形身来辨神,调神需辨气血阴阳、寒热虚实,运用不同安神之法;病后调理宜养神,包括运动养神、食疗养神、情志疗法、外治法等。总之,将“心主神明”理论贯穿于心血管疾病防治始终,有效预防疾病的发生,控制疾病的进展,遏制疾病恶化,改善预后。With the increasing incidence of cardiovascular diseases,Professor WANG Yongyan has adhered to the traditional principles while embracing innovation,proposing to apply the theory of"the heart governing the spirit"to the prevention and treatment of cardiovascular diseases.He emphasized that it is crucial to preserve the spirit before the onset of disease,which includes maintaining a balanced diet,regular lifestyle,avoiding excessive labor,maintaining a serene and unfettered mind,and nurturing the spirit within.For those already suffering from disease,preventing progression and deterioration requires adjusting the spirit,and skilled practitioners should first inspect the patient′s spirit by examining the eyes,tongue,facial complexion,and overall physical condition.In treatment,adjusting the spirit involves distinguishing between different imbalances of qi,blood,yin,yang,cold,heat,deficiency,and excess,and employing appropriate method to calm and nourish the spirit accordingly.After the illness,nurturing the spirit is essential,including spiritual nourishment through exercise,dietary therapy,emotional therapy,and external treatments.By applying the theory of"the heart governing the spirit"throughout the prevention,treatment,and rehabilitation of cardiovascular diseases,Professor WANG Yongyan′s approach effectively prevents the occurrence of cardiovascular diseases,controls their progression,inhibits deterioration,and improves the prognosis of patients.

关 键 词：心主神明 心血管疾病 治未病 

分 类 号：R256.2[医药卫生—中医内科学]