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丹栀龙牡汤治疗心脏神经官能症撷粹

Danzhi Longmu Decoction for Treatment of Cardiac Neurosis
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摘要 心脏神经官能症是心血管疾病的一种,由于发病机制不清、症状较多,西医以心理疗法、抗抑郁焦虑及对症治疗为主,疗效欠佳;而中医具有“整体观念”“辨证论治”的特点,可因人而异诊疗此病,在临床上取得了显著疗效。杨建新医师认为,本病属中医“郁病”“心悸”的范畴,病位主要涉及心、肝、脾三脏,与肝的关系最为密切,其中肝失疏泄最为关键,最常见的证型为肝郁脾虚型,以肝郁血虚脾弱、内有郁热为主要病机,以疏肝解郁、健脾养血、清热除烦、镇静安神为法,以丹栀龙牡汤为方治疗,疗效显著,在临床上取得了广大患者的尊敬和信赖。 Cardiac neurosis is a cardiovascular disease.Due to the unclear pathogenesis and numerous symptoms,Western medicine mainly focuses on psychotherapy,anti-depression and antianxiety,and symptomatic treatment,which do not achieve satisfactory therapeutic effects.Traditional Chinese medicine(TCM)featuring a holistic view and treatment based on syndrome differentiation achieves definite efficacy against this disease since the treatment methods vary for different patients.Physician Yang Jianxin believes that cardiac neurosis is a disease of depression and palpitations in TCM.The disease mainly involves the heart,liver,and spleen and is closely related to the liver,with the key cause of the liver failing to govern the free flow of qi.The patients mainly present the syndrome of liver depression and spleen deficiency.The main pathogenesis is liver depression,blood deficiency,spleen deficiency,and heat stagnation.Accordingly,the main treatment methods include soothing liver and relieving depression,invigorating spleen and nourishing blood,clearing heat and relieving restlessness,and tranquilizing mind.Danzhi Longmu Decoction has demonstrated a definite therapeutic effect on this disease and gained the recognition of a large number of patients.
作者 唐功玥 杨建新 TANG Gongyue;YANG Jianxin(College of Integrated Traditional Chinese and Western Medicine,Gansu University of Chinese Medicine,Lanzhou 730000,China;Department of Vasculocardiology,Tianshui Hospital of Traditional Chinese Medicine,Lanzhou 741000,China)
出处 《基层中医药》 2024年第1期6-10,共5页 Basic Traditional Chinese Medicine
关键词 心脏神经官能症 郁病 肝主疏泄 肝郁脾虚 丹栀龙牡汤 cardiac neurosis depression liver governs the free flow of qi liver depression and spleen deficiency Danzhi Longmu Decoction
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