从“瘀热虚滞”论心肌梗死合并抑郁焦虑

On Myocardial Infarction Complicated with Depression and Anxiety from “Heat due to Blood Stasis and Stagnation due to Deficiency”

心作为五臧之一,心主血脉为之体,为阴;心主神明为之用,为阳,因此双心理论体现的是心脏的一体两面。双心理论是指“心主血脉”与“心主神明”,并包括二者之间的生理相依,病理互损。赵海滨教授提出心肌梗死后抑郁焦虑的中医核心病机特点为“瘀热虚滞”,临床上针对“瘀热虚滞”,提出“活血清心”以清“瘀”“热”,治血脉不畅;“养血调神”以调“虚”“滞”,治神明异常,从而达到“形神合一”,双心同治。

As one of the five Zang-organs,the heart governs the blood vessels which belongs to Yin.The heart governs the spirit which belongs to Yang.Therefore,the dual heart theory embodies the integration of the heart and both sides.Dual heart theory refers to“heart governing blood vessels”and“heart governs the spirit”and includes the physiological dependence and pathological mutual damage between the two.Professor ZHAO Haibin has proposed that the core pathogenesis of depression and anxiety after myocardial infarction is“heat due to blood stasis and stagnation due to deficiency”.Clinically,aiming at“heat due to blood stasis and stagnation due to deficiency”,he has proposed the method of“activating blood and clearing heart”to clear heat and eliminate the blood stasis to treat the obstruction of blood vessels and the method of“nourishing blood and regulating spirit”to regulate the deficiency and stagnation to treat abnormal spirit,so as to achieve the“unity of body and spirit”and the treatment of dual heart diseases.