| 基于“气脉常通”理论探讨冠心病合并抑郁焦虑的辨治 |
| To explore the differentiation and treatment of coronary heart disease combined with depression and anxiety based on the theory of "Qimai Changtong" |
| DOI： |
| 中文关键词: 气脉常通 气脉和治 冠心病 抑郁 双心疾病 |
| 英文关键词: Qimai Changtong Qimai Hezhi Coronary heart disease Qi Depressed Bicardiac disease |
| 基金项目:国家自然科学基金(项目编号:82460912)；贵州省高等学校中西医结合防治疾病转化医学重点实验室(项目编号:黔教技[2023]017号)；贵州中医药大学2024年“青年扬帆计划”(项目编号:贵中医科合-QNYFZK[2024]19号)。 |
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| 中文摘要: |
| 冠状动脉粥样硬化性心脏病与抑郁焦虑在临床上高度共病,互为影响,构成心之血脉与心之神志共病的双心疾病,已经成为现代社会影响人类健康的主流问题之一。本研究从中医“气脉常通”理论出发,深入探讨冠心病合并抑郁焦虑的病因病机及治疗思路。冠心病合并抑郁焦虑属中医“胸痹”“郁证”范畴,其病位在心之脉络,气脉失和、心神不安是导致冠心病合并抑郁焦虑发病的关键病机。笔者团队基于“气脉”的辨证论治,在疾病的不同阶段提出相应治法方药,早期以痰瘀为主,重视调畅气机、消痰瘀；急性期痰瘀毒互结,病情急剧骤发,治疗上以清热解毒、疏通气血为先,除痹聚,祛毒邪；康复期气血脉皆伤,正气耗伤,气血亏虚,心神涣散,故治疗上当以补虚顾神机为总体原则,补益气血以充养血脉,疏利脉道以养心神,标本兼治,使气脉畅通,血脉畅达,心神得安。本研究基于对“气脉常通”理论探讨冠心病合并抑郁焦虑的诊治思路,旨在为防治冠心病合并抑郁焦虑提供新的思路与方法。 |
| 英文摘要: |
| Coronary atherosclerotic heart disease and depression and anxiety are highly comorbidities in clinical practice, which influence each other and constitute biheart disease of blood and mind comorbidities, which has become one of the mainstream problems affecting human health in modern society. This study, based on the theory of "Qimai Changtong" in traditional Chinese medicine, deeply discusses the etiology, pathogenesis and treatment of coronary heart disease combined with depression and anxiety. Coronary heart disease combined with depression and anxiety belongs to the category of "Chest impediment" and "Depression syndrome" of traditional Chinese medicine. The key pathogenesis of coronary heart disease combined with depression and anxiety is the disharmony of Qi and nerves. Based on the syndrome differentiation and treatment of "Qi mai", the author"s team put forward the corresponding treatment methods and prescriptions in different stages of the disease. Acute phase of phlegm stasis toxin interjunction, the condition sudden onset, treatment to clear heat detoxification, dredging qi and blood first, remove arthralgia, remove toxic evil; During the rehabilitation period, Qi and blood are injured, positive Qi consumption, Qi and blood deficiency, and the mind is scattered, so the treatment should be based on the overall principle of supplementing the deficiency, supplementing Qi and blood to nourish the blood, thinning the vein to nourish the mind, treating both symptoms and root causes, so that the Qi and blood are smooth, the blood is flowing freely, and the mind is safe. This study is based on the theory of "Qimai Changtong" to explore the diagnosis and treatment of coronary heart disease complicated with depression and anxiety, aiming to provide new ideas and methods for the prevention and treatment of coronary heart disease complicated with depression and anxiety. |
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