从中医气化理论探讨冠心病合并焦虑抑郁  

Discussion on Coronary Heart Disease Complicated with Anxiety and Depression from the Perspective of Qi Movement Theory

作　　者：于露 钱舒乐 王润英 郭海珍 赵玉珂 李晓凤[2] 杜武勋[2] YU Lu;QIAN Shule;WANG Runying;GUO Haizhen;ZHAO Yuke;LI Xiaofeng;DU Wuxun(Tianjin University of Traditional Chinese Medicine,Tianjin 300383,China;The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China)

机构地区：[1]天津中医药大学,天津300383 [2]天津中医药大学第二附属医院,天津300150

出　　处：《辽宁中医药大学学报》2024年第12期117-120,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金(82004329);天津市教委科研计划项目(2019SK025)。

摘　　要：冠状动脉粥样硬化性心脏病(以下简称为“冠心病”)与焦虑抑郁在临床上高度共病,焦虑抑郁症状的升高与冠心病发病率的增加密切相关,预示着冠心病患者心脏复发和死亡风险的增加。该研究从中医气化理论出发,深入探讨冠心病合并焦虑抑郁的病因病机及治疗思路。气化是指天地阴阳二气交感运动而化生自然万物生长化收藏等一切现象,也是人体生命活动正常维系的基本运动形式。冠心病合并焦虑抑郁属于“双心医学”范畴,其基本病机为“以心阳亏虚为本,寒痰瘀互结为标”,因心阳不振,脏腑气化失司,寒、痰、瘀等病邪产物痹阻心脉,导致形神失和而为病,故治疗上当以温阳化气为总体原则,温复心阳以行气血,疏利脉道以养形神,标本兼治,调达气机。Coronary heart disease(CHD)is highly comorbid with anxiety and depressionin clinical practice.The elevated symptoms of anxiety and depression are demonstrated closely related to the increased incidence rate of CHD,which indicates the increased risk of cardiac recurrence and death in patients with CHD.Based on Qi movement theory,this study deeply explores the etiology,pathogenesis and treatment ideas of CHD combined with anxiety and depression.Qi movement refers to all changes and phenomena such as the growth,transformation,and collection of natural things that arise from the interaction movement of Yin and Yang in heaven and earth,and is also the basic form of movement for the normal maintenance of human life activities.CHD combined with anxiety and depression belongs to the category of“psycho-cardiology”.Its basic pathogenesis is based on he deficiency of heart Yang,and marked by the combination of cold,phlegm,and blood stasis.This disease is attributed to a lack of heart Yang,abnormal Qi movement in the organs,and obstruction of the heart pulse caused by pathogenic products such as cold,phlegm,and blood stasis,resulting in disharmony of form and spirit.Thus,the general principle for the treatment of CHD combined with anxiety and depression should be“warming Yang and transforming Qi”.Rewarming Yang to promote Qi and blood circulation,while unblocking heart pulse to nurturing the form and spirit,which treating both symptoms and root causes,and regulating the Qi mechanism.

关 键 词：冠心病合并焦虑抑郁 双心医学 气化理论 温阳化气 

分 类 号：R256.22[医药卫生—中医内科学]