首页|期刊导航|实用中医内科杂志|基于"心脑共主神明"探究冠心病对认知功能障碍的影响

基于"心脑共主神明"探究冠心病对认知功能障碍的影响OA

"Exploring the Impact of Coronary Heart Disease on Cognitive Dysfunction Based on the Theory of Heart-Brain Co-Governance in Mental Functions"

中文摘要英文摘要

冠状动脉粥样硬化性心脏病(冠心病)与认知功能障碍虽在临床表现上各异,却在病理基础上高度相关.文章基于"心脑共主神明"理论,从中医学和现代医学角度探讨了二者的生理联系及病理机制.中医学认为心脑同源共济,神明活动存在"体用"之分,生理基础在于脑,而功能外显于心.现代医学发现冠心病与认知功能障碍可通过循环、神经、内分泌等系统相互作用.随着磁共振成像技术的进步,发现冠心病患者脑部结构与功能存在明显变化,进而对认知功能产生损伤,强调了深入探讨心脑相互作用及结合现代医学手段的重要性,旨在为临床实践提供理论依据和指导.

Coronary heart disease(cardiovascular diseases,CHD)and cognitive dysfunction,while distinct in clinical mani-festations,are highly correlated in their pathological basis.Based on the theory of"Heart and Brain Co-governing Mental Activi-ties"in traditional Chinese medicine(TCM),this paper explores their physiological connections and pathological mechanisms from both TCM and modern medical perspectives.TCM posits that the heart and brain share a common origin and coordinated functioning,where the activities of the mind exhibit distinctions between"substance"and"function"-the physiological foun-dation resides in the brain,while the functional manifestations depend on the heart.Modern medical research has revealed that CHD and cognitive dysfunction can interact through circulatory,neural,and endocrine systems.With advancements in magnetic resonance imaging(MRI)technology,significant structural and functional changes have been identified in the brains of CHD pa-tients,which subsequently impair cognitive functions.This underscores the importance of in-depth investigation into heart-brain interactions and the integration of modern medical technologies,aiming to provide theoretical foundations and guidance for clinical practice.

徐晓萱;李正;梁健;于睿

辽宁中医药大学,辽宁沈阳 110847辽宁中医药大学,辽宁沈阳 110847辽宁中医药大学,辽宁沈阳 110847辽宁中医药大学,辽宁沈阳 110847

医药卫生

心脑共主神明冠状动脉粥样硬化性心脏病认知功能障碍磁共振成像技术

heart-brain co-governance of mental-spiritual functionscoronary heart diseasecognition impairmentmagnetic resonance imaging

《实用中医内科杂志》 2026 (1)

10-14,5

国家自然科学基金项目(82274494)

10.13729/j.issn.1671-7813.Z25060512

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