郭志华教授治疗冠状动脉粥样硬化性心脏病伴焦虑障碍临床经验

Clinical experience of Professor GUO Zhihua in treating coronary heart disease with anxiety disorder

文章总结了郭志华教授对冠状动脉粥样硬化性心脏病(简称冠心病)伴焦虑障碍的临床诊疗经验,并选取其临床医案进行分享。调查表明,在全球范围内,冠心病发病率与病死率逐年增长,焦虑障碍发生率也每年攀升,而冠心病合并焦虑障碍是临床常见的情况,二者相互影响。郭志华教授强调冠心病伴焦虑障碍的病机主要有虚、实两方面,虚者多由气血亏损,心失所养所致;实者因气机不畅,血脉不通所致,病位在肝与心,与脾、肺、肾三脏相关。故在治疗上,郭教授提出治心先治郁,解郁先疏肝,使肝气调达,心气充盈,脏腑得以荣养,阴阳平和,则心病得愈,诸病不生。

The clinical experience of Professor GUO Zhihua in the diagnosis and treatment of coronary heart disease with anxiety disorder was summarized,and his clinical medical records were given to share with colleagues in this paper.Surveys show that on a global scale,the incidence rate and mortality of coronary heart disease are increasing year by year,and the incidence of anxiety disorder is also increasing every year.Coronary heart disease with anxiety disorder is a common clinical situation,which affects each other.Professor GUO Zhihua emphasizes that the pathogenesis of coronary heart disease with anxiety disorder mainly has two aspects.Deficiency is mostly caused by the lack of Qi(气)and blood,and the lack of nourishment for the heart.Infirmity is caused by the stagnation of Qi and blood.The disease is located in the liver and heart,and is related to the spleen,lung and kidney.Therefore,in terms of its treatment,Professor GUO Zhihua proposes to treat stagnation in the heart first,and relieve stagnation first to soothe the liver,so that liver Qi can be regulated,heart Qi can be filled,Zang-fu organs(脏腑)can be nourished,and Yin and Yang(阴阳)will be balanced,then the heart disease will be cured and all diseases will not occur.