从“玄府郁闭”角度探讨冠心病合并抑郁的防治

Discussion on Prevention and Treatment of Coronary Heart Disease with Depression from the Perspective of “Xuanfu Closed”

冠状动脉粥样硬化性心脏病(以下简称"冠心病")常合并焦虑、抑郁状态,二者关系非常密切,相互影响。玄府学说认为,玄府普遍存在于人体五脏之中,具有微观性、开阖性和通利性。玄府开阖有度,气液得以正常出入流通,是保证神志活动正常的重要条件;若玄府郁闭,气液流通障碍,神机运转失利,表现为情志失常。本文提出以开通玄府为冠心病合并抑郁基本治则,充实中医学微观辨证理论,为临床改善患者预后、提高患者生存质量提供借鉴。

Coronary atherosclerotic heart disease (hereinafter referred to “coronary heart disease”) is often associated with anxiety and depression. The two are closely related and often interact with each other. According to Xuanfu theory, it is believed that Xuanfu is commonly found in the five internal organs of the human body and is microscopic, open, and general. Xuanfu has a certain degree of reconciliation, and the normal flow of qi and liquid is an important condition for guaranteeing the normal activities of consciousness. If Xuanfu is closed, qi and liquid circulation will generate obstacles, and the operation of vital activity will fail, which will be manifested as emotional disorders. This article proposed to set opening up Xuanfu as a basic rule of treatment for coronary heart disease, enrich the theory of microscopic syndrome differentiation in TCM, and provide guidance to improve the prognosis and life quality of patients.