摘要
双心疾病,即心脏之心与心理之心相伴发病。现代医学中该病属于交叉学科,阐述较少。近年来,双心疾病中医诊疗渐显优势。周亚滨教授认为双心疾病的中医辨病应为心悸,病因病机为肝气不畅或心肝血虚,并提出临证应多向论治,从中医神魂魄理论入手整体,从肝对“心主血脉”和“心主神明”两方面造成的影响入手微观,以补心益肝、潜阳定悸贯穿治疗始终。方用柴胡桂枝龙骨牡蛎汤及归脾汤加减,药物加减坚持重视脾胃的原则,诸药合奏平调阴阳、安神定悸之功,疗效确切。
Bi-heart disease,that is,the heart and the mind are accompanied by onset.The disease is a cross-discipline in modern medicine,there are few explanations.In recent years,the diagnosis and treatment of traditional Chinese medicine of bi-heart disease have shown its advantages gradually.Professor Zhou Yabin believes that palpitation is the traditional Chinese medicine diagnosis of Bi-heart disease,and the etiology and pathogenesis are liver qi stagnation or heart and liver blood deficiency.He proposes that clinical syndromes should be treated in many ways,starting with the holistic view from the theory of spirit and soul and inferior spiritand,starting with the microscosmic view from the liver to“heart controls blood circulation”and“heart controls mental activities”two aspects of the impact,and he put forwords that tonifying heart and liver,subduing yang and tranquilizing palpitation throughout the treatment.The prescriptions are Chaihu Guizhi Longgu Muli Decoction and Guipi Decoction,the addition and subtraction of drugs adhere to the principle of emphasizing the spleen and stomach.All kinds of drugs have the effect of regulating yin and yang mildly and tranquilizing spirit to calm palpitation,and the effect is definite.
作者
李呈佳
王贺
杨欣欣
姜楠
孟天伟
李东旭
刘影哲
周亚滨
LI Chengjia;WANG He;YANG Xinxin;JIANG Nan;MENG Tianwei;LI Dongxu;LIU Yingzhe;ZHOU Yabin(Graduate School,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150000,China;the Second Department of Cardiovascular Diseases,First Affilated Hospital,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150000,China)
出处
《中国医药导报》
CAS
2021年第35期150-153,共4页
China Medical Herald
基金
黑龙江省博士后科研启动金资助项目(LBH-Q13168)
黑龙江中医药大学科研基金项目(2019BS04)。
关键词
心悸
双心疾病
调和阴阳
整体与微观
Heart palpitation
Bi-heart disease
Balance yin and yang
Holistic and microcosmic
