基于形气神一体观构建冠心病的病机理论体系

Constructing Pathogenesis Theoretical System of Coronary Heart Disease Based on Holism of Body,Qi and Spirit

形气神一体观是中医理论体系的重要组成部分。形、气、神三者对人体生命活动具有重要作用,与冠心病的发生、发展关系密切。分析形、气、神三者之间的密切联系,从形气神一体观的角度探讨形、气、神与冠心病的关系,阐述冠心病病机。冠心病形的改变以心血不足为主,而痰浊、瘀血为主要致病因素;气的变化包括气虚、阳虚和气滞等方面;神的异常以由于心神失养造成的狭义之神调控情志、认知、思维等精神活动功能失常为主。

The holism of body,qi and spirit are a significant part of the theoretical system of traditional Chinese medicine.Body,qi and spirit are significant for human life activity,and are closely connected with the occurrence and progress of coronary heart disease(CHD).In the paper the close relationships among body,qi and spirit were discussed.The relationships of CHD with body,qi,and spirit,and the disease mechanism of CHD were discussed from the perspective of the holism of body,qi and spirit.It is held that the change of the body in CHD is mainly deficiency of heart blood,with phlegm and static blood as the major pathological factors,change of qi includes qi deficiency,yang deficiency and qi stagnation,and change of spirit mainly includes dysfunction of mental activities due to malnutrition of spirit,that is,disorder of spirit caused by of spirit of narrow sense failing to regulate psychological activities such as emotion,recognition and thought.