郭维琴教授治疗心血管疾病合并焦虑症的临床经验

Professor GUO Weiqin's experience on cardiovascular disease combined anxiety

冠心病等慢性心血管疾病患者有较高比例并发焦虑症的情况,改善患者焦虑症躯体症状,对减缓心血管疾病进展、获得更好的生存质量至关重要。郭维琴教授认为焦虑症多因脏腑虚弱、心神失养,或因忧思无度、脏腑气机升降失常所致,气血调和有助于改善患者的不适症状,故临床中她善用补中益气、健脾益肺法调畅气机,并根据患者体质及症状的复杂多变性将焦虑症分为肝郁气滞、气郁化火、心胆气虚、心脾气虚、心肾阴虚5型进行辨证论治,临床中灵活用药,取得了很好的疗效。

There is a high proportion of anxiety combined with cardiovascular disease,so improving somatic symptoms of anxiety patients is significant for slowing down the progress of cardiovascular disease and getting a high quality life. Professor GUO Weiqin believes anxiety is caused by loss of heart-mind due to weakness of zang-fu,or by excessive melancholy and worry induced qi movement disorder of zang-fu.Harmonizing qi and blood could help improving the symptoms,so she makes good use of invigorating spleen and replenishing qi,invigorating spleen for benefiting lungs method to regulate qi movement. Also,she divides anxiety into 5 different syndrome types based on the constitution of patient and complicated symptoms. The syndrome types are as follows,syndrome of liver qi stagnation,syndrome of qi depression transforming into fire,syndrome of qi deficiency of heart and gallbladder,syndrome of qi deficiency of heart and spleen,syndrome of yin deficiency of heart and kidney. Flexible application of traditional Chinese medicine could get better clinical curative effect.