柔肝化瘀法治疗不稳定型心绞痛A型行为患者的理论探讨

Theoretical Exploration on the Type A Behavior of Patients with Unstable Angina Pectoris Treated by the Method of Nourishing Gan and Removing Blood Stasis

不稳定型心绞痛患者倾向于A型行为模式,A型行为与情志致病密切相关。中医学五行理论认为,肝为心之母,心乃肝之子。柔肝化瘀法符合母病及其子,子病治其母的中医学理论。A型行为患者在心理应激状态下产生相应的应激反应,导致体内释放炎症因子,炎症反应的激活导致粥样硬化性斑块的不稳定,诱发不稳定型心绞痛。心理应激与中医学情志致病理论一致,柔肝化瘀法可以达到心身同治的目的。

Patients with unstable angina pectoris tend to type A behavioral pattern. Type A behav- ioral pattern is closely related to emotional factors. The theory of five elements of traditional Chinese medicine （rCM） consider that Gan is the mother of the Xin and Xin is the son of the Gan. The method of nourishing Gan and removing blood stasis is in conformity with the TCM theory that the illness of mother viscera affects the child one while the treatment of mother viscera affects the child one. The type A be- havior patients have the corresponding stress reaction in the state of psychological stress, leading to the release of inflammatory factors in the body. The activation of inflammatory reaction leads to instability of atherosclerotic plaques, induces unstable angina pectoris. Psychological stress is consistent with the theory of emotional disease in TCM. The method of nourishing Gan and removing blood stasis can achieve the purpose of simultaneous treatment of body and mind.