从情志论治胸痹

Treating thoracic obstruction disease from the perspective of emotion

目的:探究中医治疗胸痹的方法,从情志方面着手进一步治疗胸痹。方法:从情志角度分析胸痹,结合胸痹的特点,对胸痹进行合理论治。结果:防治胸痹的发病要重视情志调控,对于过喜引起的心血瘀阻型胸痹,应当以疏通气血,通痹止痛为基本原则;对于由怒引起的气滞心胸型胸痹要重视疏肝理气,活血通络;对于由思引起痰浊闭阻型胸痹,要重视通阳泄浊,豁痰开结;对于由忧或悲引起的气阴两虚型胸痹,要重视益气养阴,活血通脉;对于由恐或惊引起的肾阳亏虚型胸痹,要重视温补阳气,振奋心阳。结论:从情志方面论治胸痹,可为胸痹的临床研究提供新的方向。

Objective:From the perspective of emotion,this paper explores the methods of treating thoracic obstruction disease.Methods:By analyzing thoracic obstruction from the perspective of emotion,combining with the characteristics of thoracic obstruction,the thoracic obstruction disease was treated rationally.Results:The prevention and treatment of thoracic obstruction disease should pay attention to emotional regulation.For the heart-blood stasis type of thoracic obstruction,caused by excessive pleasure,the basic treatment principles should be dredging Qi(气)and blood circulation,and relieve pain.For the Qi-stagnation type of thoracic obstruction,caused by anger,the treatment should pay attention to soothing the liver and regulating Qi,and promoting blood circulation and dredging collaterals.For the phlegm-turbid obstructed type of thoracic obstruction,caused by deliberation,attention should be paid to unblocking Yang(阳)to release turbidity,removing phlegm,and eliminating stagnation.For the Qi and Yin(阴)both deficiency type of thoracic obstruction,caused by worry or sorrow,attention should be paid to promoting Qi and nourishing Yin,activating blood circulation and invigorating the arteries and veins.For the kidney Yang-deficiency type of thoracic obstruction,caused by fear or shock,we should pay attention to warming Yangqi(阳气).Conclusion:Treating thoracic obstruction from the perspective of emotion can provide a new direction for the clinical research of thoracic obstruction.