从肝论治“双心疾病”临床体会

Mainly from the Clinical Experience of Liver Differentiation "Double Heart Disease"

冠心病患者常常合并有抑郁焦虑心理的状态,而焦虑抑郁的心理状态也会促进冠心病病程的发展,现代医学将冠心病与焦虑抑郁心理状态合并于一身的疾病成为"双心疾病"。西医对于"双心疾病"的治疗采用心血管药物与抗焦虑、抗抑郁药物联合应用的方法,但由于各种药物间存在相互作用导致疗效降低甚至产生毒副反应及患者对心理治疗药物存在抵触情绪、依从性差等原因,使治疗往往难以达到满意效果。笔者通过跟随导师出诊及查阅相关资料,发现"双心疾病"基础病机为肝气郁结,治疗当以疏肝解郁为基础并根据具体证型的不同施以疏肝健脾或清肝泻火之法,常可收到满意疗效。

Coronary heart disease patients often with depression state of anxiety,anxiety and depression state of mind will also promote the development of coronary heart disease progression,modern medicine will be combined with psychological status of anxiety,depression and coronary heart disease of disease as＂double heart disease＂. Western medicine in the treatment of the＂double heart disease＂uses the cardiovascular and anti-anxiety drugs,the combined method of the antidepressant drugs,but less effective due to all kinds of interactions between drugs and adverse reactions and for psychological treatment in patients with drug resistance,poor compliance,treatment is often difficult to achieve satisfactory effect. The author through to follow tutor visits and access to relevant data,found that the ＂double heart disease＂basic pathogenesis of diseases with ease,treatment when the liver-Qi stagnation based and depending on the specific syndromes with liver spleen or liver of purging fire,often can receive satisfactory curative effect.