“双心同治”治疗慢性心力衰竭的理论探讨

Theoretical Discussion on “Dual Heart Therapy” in Treating Chronic Heart Failure

祖国医学认为心具有主血脉和主神志的功能。心之疾病可出现神志方面的问题,而神志反之也可影响心的功能。这与现代双心医学治疗理念具有异曲同工之妙。临床中慢性心力衰竭与焦虑抑郁相互影响,从而增加心衰发病率及再住院率,降低患者生活质量。基于中医学"心"的生理功能特点及现代双心医学理念,临床上注重形神共治,通过益气、温阳、养阴、活血、利水、化痰等法治疗心衰的同时将调肝、安神贯穿治疗始终,同时不忘心理疏导,双心同治。

Traditional Chinese medicine(TCM)believes that the heart controls the blood circulation and the spirit.The heart illness can have mental problems,while mental problems can also affect the function of the heart.This theory is similar to the one of Psycho-Cardiology.Chronic heart failure(CHF)and bad emotions like anxiety and depression can affect each other clinically,thereby increasing the incidence rate and re-hospitalization rate of CHF and reducing the quality of patients’life.Basing on the physiological characteristics of TCM’s'heart'and Psycho-Cardiology concept,we pay attention to the concurrent therapy of body and spirit.We can cure CHF by tonifying qi,nourishing yin or yang,invigorating blood-circulation,reducing the water or phlegm and so on.Meanwhile recuperating the liver and soothing the nerves should be taken throughout the entire treatment.We should always relax patients’unhealthy mentalities to give them dual heart therapy.