冠心病“双心”异常的诊疗进展及中医药防治探讨

Advance in diagnosis and treatment of psycho-cardiological abnormality of patients with coronary heart disease with traditional Chinese medicines

文章探讨冠心病"双心"异常的内涵、病因病机、治法方药,并结合现代医学诊疗进展,笔者认为冠心病"双心"异常与冠心病合并焦虑、抑郁、失眠等精神心理应激密切相关,病因多与情志内伤有关,病位在心,涉及肝脾肾,病机为心肝火旺、心肾阴虚、心脾两虚等。充分认识冠心病"双心"异常的内涵和病机,运用中医病证结合的优势进行治疗,对于减少精神心理应激等冠心病的危险因素,防治冠心病并改善预后有重要价值。

To discuss the etiology, pathogenesis, therapies and prescriptions of psycho-cardiological abnomlality of patients with coronary heart disease. According to the advance in modem diagnosis and treatment, the authors believed that psycho-cardiologieal ab- normality of patients with coronary heart disease is closely related with mental stresses, like anxiety, depression and insomnia. It is mostly caused by emotional injury and expressed in heart, liver, spleen and kidney. The pathogenesis is heart-liver hyperactivity, yin deficiency in heart and kidney, and insufficiency in heart and spleen. The full recognition of etiology and pathogenesis of psyeho-cardi- ological abnormality of patients with coronary heart disease and the combined treatment of disease and syndromes are of great significance to reduce mental stress and other risk factors, prevent and treat coronary heart disease and improve prognosis.