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从"脾-线粒体"角度探析心力衰竭的发病与辨证治疗OA

Analysis of Pathogenesis and Syndrome Differentiation and Treatment of Heart Failure from the Perspective of"Spleen-Mitochondria"Axis

中文摘要英文摘要

心力衰竭是多种心血管疾病的终末阶段.近年来研究发现,线粒体功能障碍是心力衰竭发生发展的关键环节,而中医学"脾"是心力衰竭的重要病变脏腑.脾旺则心安,脾虚则发为心力衰竭."脾"与线粒体在功能定位、核心特性和动态平衡方面具有相似性,恢复"脾-线粒体"轴的平衡在心力衰竭防治中至关重要.采用化湿祛浊、化痰祛瘀、益气健脾治法,能有效改善线粒体功能,心脾同调,缓解心力衰竭患者症状.因此,文中基于现代医学研究,探讨脾和线粒体在心衰中的作用机制,为今后从脾及线粒体功能论治心血管疾病提供新的思路.

Heart failure is the terminal stage of various cardiovascular diseases.In recent years,studies have found that mitochondrial dysfunction is the key mechanism in the occurrence and development of heart failure,while the spleen is regarded as an important organ implicated in the pathogenesis of heart failure in traditional Chinese medicine(TCM).According to the TCM theory,a robust spleen contributes to a stable heart,whereas spleen deficiency may lead to heart failure.Notably,the spleen and mitochondria share similarities in their functional roles,core characteristics and dynamic homeostasis.Restoring the balance of the"spleen-mitochondria"axis is therefore crucial for the prevention and treatment of heart failure.Therapeutic strategies aimed at resolving dampness and turbidity,eliminating phlegm and blood stasis,as well as tonifying qi and fortifying the spleen can effectively improve mitochondrial function,harmonize heart and spleen,and alleviate symptoms of patients with heart failure.Therefore,based on modern medical research,this study explored the mechanisms of spleen and mitochondria in heart failure,aiming to provide novel insights for future cardiovascular disease management from the perspectives of spleen function and mitochondrial activity.

谭玉培;徐淑乐;王继东

北京中医医院顺义医院,北京 101300北京中医医院顺义医院,北京 101300北京中医医院顺义医院,北京 101300

医药卫生

线粒体"脾-线粒体"轴心力衰竭

spleenmitochondria"spleen-mitochondria"axisheart failure

《世界中西医结合杂志》 2026 (1)

20-24,5

北京市自然科学基金资助项目(7254533)北京中医医院顺义医院院级课题(SYYJ-202504)北京中医药薪火传承"3+3"工程许心如名家研究室顺义分站

10.13935/j.cnki.sjzx.260104

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