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基于"营卫-玄府-络脉"轴论治双心疾病OA

Treatment of Dual Heart Disease based on the Axis of"Yingwwei-Xuanfu-Luomai"

中文摘要英文摘要

双心医学强调心血管疾病与心理问题的相互作用,基于"营卫-玄府-络脉"轴理论提出形神互损的病机核心在于气血运行失常,进一步确立了玄府开阖异常、络脉瘀阻、营卫失和在双心疾病中的关键作用.通过深入分析邪壅玄府、气络失调、血络不通的病机演变规律,该研究总结出调和营卫、通玄畅络的治法,即在以桂枝汤类汤药为基础方药的同时,根据风药与虫类药在调气活血中的独特作用进行灵活选用,兼顾心理干预与心血管保护.

Dual-heart medicine emphasizes the interaction between cardiovascular diseases and psychologi-cal problems.Based on the"Yingwwei-Xuanfu-Luomai"axis theory,it proposes that the core pathogenesis of mutual damage between form and spirit lies in the abnormal circulation of Qi and blood.It further establishes the key roles of abnormal opening and closing of Xuanfu,obstruction of Luomai,and disharmony of Ying-Wei in dual-heart diseases.Through in-depth analysis of the pathogenesis evolution of pathogenic factors obstructing Xuanfu,Qi and blood circu-lation imbalance,and blood stasis,this study summarizes the treatment method of harmonizing Ying-Wei and unblock-ing Xuanfu and Luomai.This involves using Guizhi Tang decoction as the base formula,while flexibly selecting wind-dispelling and insect-based drugs based on their unique effects in regulating Qi and activating blood circulation,while also considering psychological intervention and cardiovascular protection.

李凯旋;史海波

南京中医药大学第一临床医学院 江苏 南京 210023南京中医药大学附属医院 江苏 南京 210029

医药卫生

双心疾病营卫玄府络脉

Dual-heart diseasesYing-WeiXuanfuLuomai

《中医药临床杂志》 2026 (4)

629-632,4

江苏省中医药局科技项目(ZD202409)

10.16448/j.cjtcm.2026.0402

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