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基于心主神明理论探析慢性心力衰竭伴失眠的诊疗思路OA

Analysis on the Diagnosis and Treatment Ideas of Chronic Heart Failure Complicated with Insomnia Based on the Theory of Heart Governing Spirit

中文摘要英文摘要

慢性心力衰竭伴失眠是临床常见病症,属于现代医学的"双心疾病"范畴,严重影响患者生活质量及预后.中医对"双心疾病"的认识有着悠久的历史,中医的"心主神明"理论认为,心不仅主血脉,更主宰精神意识与睡眠活动.文章基于"心主神明"理论,系统解析慢性心力衰竭患者"心-神-眠"失衡的病理机制,为中医治疗慢性心力衰竭伴失眠提供诊疗思路及理论依据.

Chronic heart failure accompanied with insomnia is a common clinical condition,which falls within the category of"psycho-cardiological disease"in modern medicine and significantly affects the quality of life and prognosis of patients.The Traditional Chinese medicine(TCM)theory of"heart governing spirit"holds that the heart not only governs blood and vessels,but also dominates mental consciousness and sleep activities.Based on the TCM theory of"heart governing spirit",this paper systematically analyzed the pathological mechanism underlying the imbalance of"heart-spirit-sleep"in patients with chronic heart failure,aiming to provide diagnostic and therapeutic strategies as well as theoretical evidence for the TCM in the treatment of chronic heart failure complicated with insomnia.

李康梅;马兆振;王岗

自贡市第一人民医院中西医结合全科,四川 自贡 643000自贡市第一人民医院中西医结合全科,四川 自贡 643000自贡市第一人民医院中西医结合全科,四川 自贡 643000

医药卫生

失眠慢性心力衰竭心主神明

insomniachronic heart failureheart governing spirit

《光明中医》 2026 (7)

57-61,5

四川省医学科技创新研究会项目(No.YCH-KY-YCZD2024-214)四川省自贡市卫生健康系统高层次人才科技孵化项目(No.WJW-GCCRC013)

10.70976/j.issn.1003-8914.2026.07.012

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