中医从“双心”理论治疗冠状动脉粥样硬化性心脏病伴焦虑、抑郁研究概况

Research Overview on Treatment of Coronary Atherosclerotic Heart Disease with Anxietyand Depression from “Double Heart” Theory in Traditional Chinese Medicine

“双心”理论即心理心脏病学,认为心脏和心理关系密切。结合近10年中医治疗冠状动脉粥样硬化性心脏病(冠心病)伴焦虑、抑郁的临床研究,从中药治疗、针灸治疗、耳穴压豆治疗、推拿治疗、穴位贴敷治疗、导引术治疗、五行音乐疗法和其他中医疗法八方面进行论述。并提出建议今后制定相应中医指南,进一步明确冠心病合并抑郁症证型划分,建立和完善治疗与评价体系;将国医大师、名医经验效方在临床进行较大规模的研究,增加入组人数,进行系统性分析;对中医医师进行规范化培训,增加精神心理学方面的相关知识,提高医师的技能水准,准确诊断“双心疾病”,全方位启用“双心门诊”,实现心脏科和心理科两个不同学科融汇交流。参考文献32篇。

“Double heart”theory is psychological cardiology,the heart is closely related to the psychology.Combined with the clinical research on the treatment of coronary atherosclerotic heart disease(coronary heart disease)with anxiety and depression in traditional Chinese medicine(TCM)in the past 10 years,this paper focuses on the eight aspects of treatment including:Chinese herbal therapy,acupuncture and moxibustion,auricular pressing bean therapy,massage therapy,acupoint application therapy,Daoyin therapy,music therapy of five elements and other traditional Chinese medical methods.It is recommended that the corresponding TCM guidelines should be formulated in the future to further clarify the classification of syndromes of coronary heart disease complicated with depression,establish and improve the treatment and evaluation system.It is possible to conduct large-scale clinical research on the experience and efficacious formulas of TCM masters and famous doctors,increasing the inclusion group population to carry on systematic analysis.Standardized training should be carried out for TCM physicians to increase the knowledge related to mental psychology,improve the physicians’ skill levels to accurately diagnose “double heart disease”. “Double heart clinic” should be put into service to realize the integration and exchange of two different disciplines of cardiology and psychology. There are total 32 references.