基于形神一体观浅析心脏神经症的病机

Analysis of the Pathogenesis of Cardiac Neurosis Based on the Integration of Form and Spirit

心脏神经症属心脑血管病的一种,属于神经官能症的一种特殊类型,主诉较多且多变,多为心悸、气短、心前区疼痛、呼吸困难、焦虑等,时轻时重但多不严重,一般无器质性心脏病证据。《黄帝内经》中"形神一体观"强调形与神密不可分、互相影响,属于中医"整体观"的一部分。中医学"心"内涵广泛,生理学功能包括"主血脉""主神明",为"生之本""神之舍",实际包括"血脉之心"属于"形"的部分,"神明之心"属于"神"的部分,是形神一体的中医生命逻辑基本结构。文章基于此观点,从物质与运动、机体与功能及精神与肉体的关系探讨心脏神经症病机,病机特点存在阳气受损、五脏精气输布失常、情志失和三个方面,形为神之质,神为形之用,在疾病发生、诊断与治疗上要形神同治,治神必不可少,临床诊治时应将关注点放在神明之心,同时谨防血脉之心受伤,始终坚持形神一体的整体辨证思维,对心脏神经症的病因病机乃至治疗有所帮助。

Cardiac neurosis is a kind of cardio-cerebrovascular disease, which is a special type of neurosis. Patients complain more and changeable, mostly palpitations, shortness of breath, pain in the precordial area, difficulty breathing, anxiety, etc It is heavy but mostly not serious, and there is generally no evidence of organic heart disease. The "Integrated View of Form and Spirit" in "The Yellow Emperor’s Internal Classic" emphasizes that form and god are inseparable and interact with each other and belong to the "integral view" of traditional Chinese medicine. The connotation of "heart" in Chinese medicine is relatively broad, and its physiological functions include "main blood vessel" and "main god", which are "the root of life" and "house of gods", so it actually includes "heart of blood vessel" The "form" part and the "god" part of the "Heart of the Deity" are the basic structure of the life logic of Chinese medicine in which the form and spirit are integrated. Based on this point of view, the article discusses the pathogenesis of cardiac neurosis from the relationship between material and exercise, body and function, and spirit and body. It is believed that there are impaired yang, five organs and essence Qi transmission disorder, personal emotional loss and three The pathogenesis characteristics of the aspect are in the form of the essence of the god, and the purpose of the god is the form. In the occurrence, diagnosis and treatment of diseases, it is necessary to treat the form and the spirit together. The treatment of the god is essential. In the heart of the patient’s deity, and at the same time, beware of the injury of the blood vein, always adhere to the overall dialectical thinking of form and spirit, in order to help the pathogenesis and treatment of cardiac neurosis.