运用中医理论浅析治疗“双心疾病”的经验总结

Summary of Experience in Treating“Double Heart Disease”with Traditional Chinese Medicine Theory

心血管疾病和心理疾病可以是相互作用影响的,心血管疾病长期会导致心理问题的出现,心理疾病反过来也可以引发或加重心血管疾病,而且很多与心血管相关疾病的临床症状也可能是心理疾病的表现,这可以概括为“双心疾病”。双心中的“心”有两重含义,一是指心脏,一是指心理。吾师顾健霞主任医师从事心内科多年,有着丰富的临床经验,注重中西医结合,发现心内科最常见的心理疾病是焦虑障碍和抑郁障碍,而中医在“双心疾病”的治疗有着独特的优势,认为双心疾病发生的基本病机为心肝失调,以疏肝解郁、健脾养心、安神为治则。治疗时注重患者的情绪,强调人文关怀,达到心身同治。

Cardiovascular disease and mental disease can interact with each other,cardiovascular disease can cause psychological problems for a long time,mental diseases can in turn cause or aggravate cardiovascular diseases,and many clinical symptoms of cardiovascular-related diseases may also be manifestations of mental diseases,which can be summarized as“double heart disease”.The“heart”in the“double heart”has two meanings,one refers to the heart and the other refers to the mental.Our teacher,Dr.Gu Jianxia,has been engaged in cardiology for many years,has rich clinical experience,and focuses on the integration of Chinese and western medicine,she found that the most common mental illnesses in cardiology are anxiety disorders and depression disorders,and traditional Chinese medicine has unique advantages in the treatment of“double heart disease”,she thinks that the basic pathogenesis of double heart disease is the disorder of heart and liver,take soothing liver and relieving depression,invigorate spleen and nourishing heart,and calming the nerves as the treatment principles.During treatment,the patients’emotions are emphasized,and humanistic care is emphasized to achieve the same treatment of mind and body.