基于"气-血-脉-神"一体观论治心力衰竭合并焦虑抑郁OA
Treatment of heart failure combined with anxiety and depression based on the concept of qi-blood-pulse-spirit
心力衰竭(以下简称"心衰")作为多种心血管疾病发展终末阶段,常伴不同程度的焦虑抑郁等负性情绪,表现为心脑共病.气、血、脉、神是一个紧密联系的整体,以心气充沛与血脉和利为前提,"血脉之心"与"神明之心"可生理相依、形神统一."气-血-脉-神"一体观指导下心衰合并焦虑抑郁的病机,主要包括:气虚阳亏,血气不和;瘀血阻滞,脉道不利;双心受损,心脑共病.治法主要有:益气温阳,以养心神;养血通脉,以安心神;五藏同治,以调神机.并结合临床验案阐述基于"气-血-脉-神"一体观对心衰合并焦虑抑郁的论治.
Heart failure(HF),as the terminal stage of various cardiovascular diseases,often presents with varying degrees of negative emotions such as anxiety and depression,manifesting as a comorbidity of the heart and brain.Qi,blood,pulse,and spirit form a closely interconnected whole.With the prerequisites of abundant heart qi and harmonious blood and pulse,the heart of qi and blood and the heart of spirit can be physiologically dependent and unified in form and spirit.Under the guidance of the holistic view of qi-blood-pulse-spirit,the pathogenesis of HF combined with anxiety and depression mainly includes:deficiency of qi and yang,disharmony between qi and blood;stagnation of blood stasis,unfavorable pulse channels;dual heart damage,comorbidity of the heart and brain.The main treatment method include:nourishing qi and warming yang to nourish the heart spirit;nourishing blood and dredging the pulse to calm the heart spirit;treating all five zang-organs simultaneously to regulate the vital activity.Furthermore,clinical case studies are presented to elaborate on the treatment of heart failure combined with anxiety and depression based on the holistic view of qi-blood-pulse-spirit.
赵菁;严士海
南京中医药大学附属医院 南京 210029南京中医药大学附属医院 南京 210029
医药卫生
心力衰竭焦虑抑郁气-血-脉-神病机辨治思路
heart failureanxiety and depressionqi-blood-pulse-spiritpathogenesisthinking of pattern differentiation and treatment
《现代中医临床》 2026 (4)
42-46,5
国家自然科学基金面上项目(No.82074320)江苏省科技项目(No.BE2020727)南京中医药大学附属医院科研计划(No.Y19035)中华中医药学会雏鹰计划中医临床青年人才研修项目(No.CYJH2024055)
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