心脏神经官能症中医理论阐微

Explanation of the traditional Chinese medicine theory of cardiac neurosis

关键词:  心脏神经官能症  脏腑  营卫

Key words:  cardiac neurosis  zangfu  yingwei

摘要:

心脏神经官能症是以心脏不适为主要表现的神经官能症，以患者主观感受心血管系统功能异常的症状为主要临床表现，如心悸、气短、胸闷心慌、心前区疼痛等，又常伴有心理障碍的一种特殊类型的神经官能症，也被称为“心脏神经症”或“功能性心脏病”等。心脏神经官能症发病受神经系统和内分泌系统的影响，其中自主神经起主导作用，常因精神上受到外界刺激，进而引起交感神经与迷走神经亢奋，诱发相关症状而发病，故患者又常伴有轻度或重度的失眠、焦虑、抑郁、烦躁等精神症状。心脏神经官能症属于中医“心悸”“怔忡”的范畴，患者以中青年为主，其中女性患者较多。心脏神经官能症临床症状与证型多样，辨证论治方面理论诸多。文章将通过中医理论从脏腑、营卫角度对本病繁多的证型进行较系统的分类与总结。

Abstract:

Cardiac neurosis is a special type of neurosis with cardiac discomfort as the main manifestation,and the main clinical manifestations are the subjective symptoms of abnormal cardiovascular system function,such as palpitation,shortness of breath,chest tightness,palpitation,precordial pain,etc.,often accompanied by psychological disorders. It is also called "cardiac neurosis" or "functional heart disease". The onset of this disease is affected by the nervous system and endocrine system,in which the autonomic nerve plays a leading role,and often due to the mental stimulation of the outside world,resulting in sympathetic nerve and vagus nerve hyperactivity,inducing related symptoms and onset. Therefore,patients are often accompanied by mild or severe insomnia,anxiety,depression,irritability and other mental symptoms. The disease belongs to the category of "palpitation" and "exoppitation" in traditional Chinese medicine(TCM). The patients are mainly young and middle-aged,and most of them are female. The clinical symptoms and syndrome types of this disease are diverse,and there are many theories on syndrome differentiation and treatment. This article will systematically classify and summarize the various syndrome types of this disease from the perspective of zangfu and yingwei through the theory of TCM.