基于心-脑相关理论探讨针刺论治心衰后认知功能障碍

Exploration of Cognitive Dysfunction after Acupuncture Treatment for Heart Failure Based on Heart-Brain Related Theory

心力衰竭后认知功能障碍为临床常见疾病,中医“异病同治”的理念对该病的治疗的指导意义重要而深远。文章在融合了古代学术思想和现代医学理论与实践的基础上,以整体观念为指导原则,基于“心脑相关”理论进行了深入研究,认为该病的发生、发展及预后与心脑密切相关。从心脑以神相统、其相统物质基础在气血、脉为心脑沟通之桥梁等理论出发,提出心脑气血亏虚为发病的关键病机,痰浊、血瘀、毒损为疾病发生之标。痰、瘀、毒因为心脑气血亏虚而生,邪气内生盘踞体内,久恋不去,耗损正气,致虚、瘀、痰、毒夹杂痹阻,邪气沉疴痼结,病情迁延难愈。针对心脑的生理特点及该病的病因病机,治疗上采用益气养血、通络调神,痰瘀并治、化浊解毒等针刺疗法,倡导未病先防,为疾病治疗提供新思路。

Cognitive dysfunction after heart failure is a common clinical condition.The concept of“treating different diseases with the same approach”in traditional Chinese medicine has important and profound guiding significance for the treatment of this disease.Based on the integration of ancient academic thoughts and modern medical theories and practices,this study conducted in-depth research guided by the concept of holism and the theory of the heart-brain connection.It is believed that the occurrence,development,and prognosis of this disease are closely related to the heart and brain.Starting from the theories that the heart and brain are interconnected through the material basis of Qi and blood,and that phlegm,blood stasis,and toxin damage are the markers of disease occurrence,it is proposed that deficiency of Qi and blood in the heart and brain is the key pathological mechanism of the disease.Phlegm,stasis,and toxins are generated due to deficiency of Qi and blood in the heart and brain,and evil Qi invades and resides in the body,leading to the depletion of righteous Qi and the formation of a mixture of deficiency,stasis,phlegm,and toxins.The stagnation of pathogenic Qi and the chronic formation of diseases make the condition difficult to heal.Based on the physiological characteristics of the heart and brain and the etiology and pathogenesis of this disease,treatment methods such as tonifying Qi and nourishing blood,promoting meridian circulation,regulating the mind,resolving phlegm and stasis,and detoxification through acupuncture are used.It advocates prevention before disease onset and provides new ideas for disease treatment.