从“调心神”论冠心病伴焦虑抑郁的针灸治疗

The Acupuncture Treatment on Coronary Heart Disease with Anxiety or/and Depression Based on Heart-mentality Regulation Theory

分析冠心病伴焦虑抑郁复杂的病因病机和针灸调心神的理论内涵。本病因心阳虚,胸阳不振,导致痰瘀阻滞经脉,心脉闭阻不通,心神失常。心神以气血为物质基础,脉为体,通阳为用。针灸调心神以调和气血,助阳通络为基本治法,使血脉通而心神调达。经络辨证上,以手厥阴心包经和督脉为主,佐以足阳明胃经、足太阴脾经及任脉,共奏形神并治之效,为中西医临床诊治思路提供新方法。

The article analyzes the complicated etiology and pathogenesis of coronary heart disease with anxiety or/and depression and the theoretical connotation of heart-mentality regulation theory of acupuncture and moxibustion.The etiology and pathogenesis of this disease is heart yang deficiency and hypofunction of yang qi in chest,which leads to phlegm stasis blocking the meridians so that the heart vessels are obstructed and the mind is abnormal.Qi and blood are the material basis of mind,and it takes the vessels as the body and activating yang for the function.The therapeutic principle and method of mind regulation by acupuncture and moxibustion is regulating qi and blood,and activating yang and dredging collaterals.With the way,it can be vessel unobstructed and regulate mind.On syndrome differentiation of meridians and collaterals,it gives priority to the Pericardium meridian of the hand jueyin and governor meridian,and accompanying by the the stomach meridian of the foot yangming、spleen meridian of the foot taiyin and conception meridian to play a role in the treatment of appearance and spirit.Besides,it also provides a new method for the clinical diagnosis and treatment of traditional Chinese and western medicine.