首页|期刊导航|中医药临床杂志|基于血瘀探讨冠心病合并睡眠障碍的差异化治疗策略

基于血瘀探讨冠心病合并睡眠障碍的差异化治疗策略OA

Differential Treatment Strategies for Coronary Heart Disease Complicated with Sleep Disorders Based on Blood Stasis Theory

中文摘要英文摘要

冠心病合并睡眠障碍,中医学可认为"胸痹"与"不寐"合病.该病以"本虚标实"为基本病机,瘀血阻滞作为核心致病因素,在活血化瘀基础上根据病邪性质的不同,配合行气、散寒、清热、祛痰、补气、益肾等治法,辨证选药,使虚实兼顾、标本同治,气血阴阳调和则精神内守、心神得安.作者结合中医经典理论与临床个案分析,系统阐述 6 类血瘀证候的病理特征及其对胸痹合并不寐的影响,提出差异化治疗策略,以期为临床提供新思路、新方法.

In traditional Chinese medicine,coronary heart disease combined with sleep disorders can be regarded as a combination of"chest impediment"and"insomnia".This disease is based on the fundamental pathogenesis of"de-ficiency in the root and excess in the branch",with blood stasis obstruction as the core pathogenic factor.On the basis of promoting blood circulation and removing blood stasis,according to the different natures of the pathogenic factors,treatment methods such as regulating qi,dispelling cold,clearing heat,eliminating phlegm,tonifying qi and benefit-ing the kidney are combined.Drugs are selected through syndrome differentiation to achieve a balance between defi-ciency and excess,and treat both symptoms and root causes.When qi,blood,Yin and Yang are in harmony,the spirit is internally controlled and the mind is at peace.This article,by integrating traditional Chinese medical classics and case analysis,systematically expounds the pathological characteristics of six types of blood stasis syndromes and their influence on chest impediment-combined with insomnia,and proposes differentiated treatment strategies,with the aim of providing new ideas and methods for clinical practice.

王宇翔;王玉龙;蒋友琴;杨帆;戴小华

亳州市中医院 安徽亳州 236800亳州市中医院 安徽亳州 236800亳州市中医院 安徽亳州 236800安徽中医药大学第一附属医院 安徽 合肥 230000安徽中医药大学第一附属医院 安徽 合肥 230000

医药卫生

冠心病睡眠障碍血瘀中医治疗辨证论治戴小华

Coronary heart diseaseSleep disordersBlood stasisTraditional Chinese medicine treatmentSyndrome differentiationDAI Xiaohua

《中医药临床杂志》 2026 (3)

455-459,5

国家重点研发计划,面向社会大众的名老中医药专家经验服务示范推广应用(2017YFC1700306)安徽省中医药管理局中医药高水平传承人才支持项目(皖中医药发展秘[2024]1号)亳州市重点研发计划项目(bzzc2024074)

10.16448/j.cjtcm.2026.0308

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