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Theoretical discussion on treating cardiac neurosis from liver depression and lung deficiency
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DOI   10.11656/j.issn.1672-1519.2023.05.12
Key Words   cardiac neurosis;liver depression;lung qi deficiency
Author NameAffiliationE-mail
TIAN Xiaoxin Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China  
DING Ning Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China  
WANG Yongtao Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China  
XU Shijie Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China xushijie6666@sohu.com 
Abstract
    At present, most Chinese medicine practitioners treat cardiac neurosis (CN) from the heart, liver, spleen and kidney, rarely discuss the lung. And this article uses the hexagrams and the theory of the five elements as tools, from the perspective of the heart, liver and lung's movement of qi and blood and discusses the functions and physiological and pathological characteristics of the liver and lungs, namely, "lung holds the soul" "lung is crying" and "lung is determined to be sad" "liver governs dispersal" "liver is the thief of the five internal organs". Physiologically, the heart and the liver are born as mother and child, the blood circulation and storage are mutually used; the heart and lungs interact with each other in shangjiao and the qi and blood are mutually used. Liver and lungs interact with each other system, the dragon and tiger loop to adjust the air machine. Pathologically, the liver belongs to the wood in the five elements and the wood is easy to be stagnant and the heart is blocked by fire, which leads to lung qi deficiency by taking advantage of the lung gold. Furthermore, it is proposed that CN originates from stagnation of the liver and liver stagnation and lung deficiency is one of the outcome of the pathogenesis of CN. It is also proposed that the treatment of CN should be based on syndrome differentiation. For patients with liver stagnation and lung deficiency, lung qi can be supplemented and liver can be soothed and gloomy. At the same time, it discusses its specific treatment methods based on the theory of luck and depression, the experience of ancient physicians and modern classic cases, in order to provide a new perspective and reference for the clinical treatment of CN.

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