从“少阳为枢”论治双心疾病探析  

Exploration of Treating Pshycardiological Disease Based on the Concept of"Shaoyang as Pivot"

作　　者：孔辉[1] 张庆祥[1] Kong Hui;Zhang Qingxiang(Shandong University of Traditional Chinese Medicine,Shandong,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《中国中医急症》2025年第4期625-627,632,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81774169)。

摘　　要：双心疾病是临床多发疾病之一,主要有胸闷、心悸、焦虑、抑郁等临床表现,其症状繁多,病机复杂,加之当前社会生活节奏过快,压力过大,人们长期处于超负荷状态,形神共病,加重了双心疾病发病率和死亡率。少阳枢机不利为双心疾病的核心病机,治疗应以和解少阳、安神定志为主要治法,重视肝脾、形神同调,运用柴胡加龙骨牡蛎汤为基本方加减化裁,使枢机得利,心神安宁,最终双心协调。Pshycardiological disease is one of the common diseases in clinical practice,mainly presenting symptoms such as chest tightness,palpitations,anxiety,and depression.The symptoms are numerous,and the pathogenesis is complex.Coupled with the fast pace and high pressure of modern social life,people are often in an overloaded state for a long time,leading to both physical and mental health issues,which exacerbate the incidence and mortality of pshycardiological disease.The core pathogenesis of pshycardiological disease is considered to be the dysfunction of Shaoyang pivot mechanism.Treatment should primarily focus on harmonizing Shaoyang and calming the mind,emphasizing the regulation of liver and spleen,as well as simultaneous adjustment of body and spirit.Using Chaihu and Longgu Muli Decoction as the basic formula with modifications can help restore the function of the pivot mechanism,soothe the heart and spirit,ultimately achieving coordination between the two hearts.

关 键 词：双心疾病 少阳为枢 柴胡加龙骨牡蛎汤 和解少阳 

分 类 号：R541[医药卫生—心血管疾病] R749[医药卫生—内科学]