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基于"心-脾-肠"轴论治心衰病的应用与思考OA

Application and Reflections on the Treatment of Heart Failure Based on the"Heart-Spleen-Intestine"Axis Theory

中文摘要英文摘要

心力衰竭是各种心血管疾病进展的最后阶段,其病位主要在心,在病理变化过程中与脾的关系较为密切,基于心脾相关理论在心衰治疗过程中备受关注.心与小肠相表里,现代医学通过肠道菌群研究其代谢产物对于治疗心衰的影响.同时,基于藏象等相关角度,脾肠并非两个独立的脏腑,有直接或间接的联系.文章通过对"心脾相关""脾肠相关""心肠相关"的理论认识及与心衰病的联系,阐述并总结"心-脾-肠"轴在心衰病中应用与思考,以对临床的治疗提供帮助和思路.

Heart failure is the final stage of various cardiovascular diseases,primarily affecting the heart.Its patho-logical changes are closely related to the spleen,and the theory of heart-spleen correlation has garnered significant at-tention in heart failure treatment.The heart and small intestine are internally and externally related,and modern medi-cine studies the impact of gut microbiota metabolites on heart failure treatment.Furthermore,based on the principles of Zang-Xiang(organ manifestation),the spleen and intestines are not two independent organs but have direct or indirect connections.This article elucidates and summarizes the application and considerations of the"heart-spleen-intestine"axis in heart failure by exploring the theoretical understanding of"heart-spleen correlation,""spleen-intestine cor-relation,"and"heart-intestine correlation"and their connection to heart failure,aiming to provide assistance and in-sights for clinical treatment.

杨顺心;宋婷婷;刘婕宇;张艳

辽宁中医药大学 辽宁 沈阳 110847辽宁中医药大学附属第二医院 辽宁 沈阳 110034辽宁中医药大学附属第二医院 辽宁 沈阳 110034辽宁中医药大学附属医院 辽宁 沈阳 110032

医药卫生

心力衰竭心脾肠轴心脾相关心肠相关脾肠相关

Heart failureHeart-Spleen-Intestine axisHeart-Spleen correlationHeart-Intestine correlationSpleen-Intestine correlation

《中医药临床杂志》 2026 (4)

625-629,5

国家自然科学基金项目(82174241)国家中医药管理局第五批全国临床优秀人才研修项目(国中医药人教函[2022]1号)辽宁省"兴辽英才计划"医学名家项目(辽宁省卫生健康委员会[YXMJ-QNMZY-12])

10.16448/j.cjtcm.2026.0401

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