慢性心力衰竭合并抑郁病机探微  

Exploration of the pathogenesis of chronic heart failure combined with depression

作　　者：唐卓然 邵正斌[1,2] 梁国庆 王银燕[1,2] 杨帆 戴小华[1,2] TANG Zhuoran;SHAO Zhengbin;LIANG Guoqing;WANG Yinyan;YANG Fan;DAI Xiaohua(The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China;Branch Center of National Clinical Research Center for Cardiovascular Diseases in Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学第一附属医院,合肥230031 [2]国家中医心血管病临床医学研究中心分中心,合肥230031

出　　处：《长春中医药大学学报》2025年第3期247-250,共4页Journal of Changchun University of Chinese Medicine

基　　金：安徽省中医药传承创新科研项目(2022CCZD02)。

摘　　要：慢性心力衰竭合并抑郁属于“双心疾病”范畴。基于“虚气留滞”阐释慢性心力衰竭合并抑郁的病机,“虚气”为慢性心力衰竭合并抑郁的始动因素及病之本,以心阳虚为主;“留滞”之气滞、瘀血、痰饮,为病之标。虚滞相伴,互为因果,相互影响,并存往复,促使慢性心力衰竭合并抑郁螺旋式发展,损及“血脉之心”和“神明之心”,致“双心”共病。临证施治以“补虚通滞”为治则,主张以益气活血,温阳安神为主要治法,从而达到“双心同治”效果,为中医药治疗慢性心力衰竭合并抑郁提供诊疗思路。Chronic heart failure(CHF)combined with depression belongs to the category of"Psycho-cardiological disease".Explaining the pathogenesis of CHF combined with depression based on the concept of"Xu and Qi retention and stagnation","Xu and Qi"is the initiating factor and the root cause of CHF combined with depression,with the focus on heart yang deficiency;"Stagnation"of qi,blood stasis,and phlegm retention are the symptoms of the disease.The coexistence of deficiency and stagnation,mutual causality,mutual influence,and mutual repetition promotes the spiral development of CHF combined with depression,damages the"blood heart"and"divine heart",and leads to the comorbidity of"Psycho-cardiological disease".The principle of clinical treatment is"tonifying deficiency and removing the stagnation",advocating the main treatment methods of nourishing qi and promoting blood circulation,warming yang and calming the spirit,in order to achieve the effect of"treating both the heart and the mind",which can provide diagnostic and therapeutic ideas for the treatment of CHF combined with depression in traditional Chinese medicine.

关 键 词：慢性心力衰竭 抑郁 虚气留滞 双心 

分 类 号：R256.2[医药卫生—中医内科学]