从“心气虚则悲”探讨冠心病合并焦虑抑郁

Study on coronary heart disease combined with anxiety and depression based on “deficiency of heart qi causes sadness”

关键词:  冠心病  焦虑抑郁  心气虚  悲志

Key words:  coronary heart disease  anxiety and depression  deficiency of heart qi  sadness

摘要:

冠心病合并焦虑抑郁从属于“双心医学”范畴，为心脏本体与精神心理共同罹患疾病，其发生发展符合“生理-心理-社会”模式。基于《素问》“心气虚则悲”的论断，分析悲志在冠心病发生发展中的作用，认为心气虚是冠心病合并焦虑抑郁的根本原因，悲志是导致冠心病合并焦虑抑郁的关键因素，脉络瘀滞是其病机发生发展的必要环节，提出补心气，调心神，通血脉的综合防治理念，三位一体，以多方向、多角度探析冠心病合并焦虑抑郁的病因病机及进展因素，为进一步提高其临床疗效、改善预后提供指导意义。

Abstract:

Coronary heart disease combined with anxiety and depression belongs to the category of “double heart medicine”, which is caused by the heart itself and mental psychology, and its occurrence and development conform to the physiological-psychological-social model. Based on the conclusion that “deficiency of heart qi leads to sadness” in Su Wen, this paper analyzes the role of sadness and aspiration in the occurrence and development of coronary heart disease and concludes that deficiency of heart qi is the root cause of coronary heart disease complicated with anxiety and depression. Sadness is the key factor leading to coronary heart disease complicated with anxiety and depression, and blood stasis is the necessary link for the pathogenesis of coronary heart disease. The integrated prevention and treatment concept of Tongxian blood vessel is trinity, and the etiology, pathogenesis and progression factors of coronary heart disease with anxiety and depression are analyzed in multiple directions and angles. In order to further improve the clinical efficacy and improve the prognosis of the guiding significance.