摘要
中医具有整体观念的特点,其认为五脏六腑之间相辅相成,心与脾在生理、病理等方面均有密切联系,上个世纪“湖南中医五老”之一的刘炳凡教授提出“治病必须治人,治人首重脾胃,治人必须治思想”的学术观点,蔡光先名老中医在刘老学术思想的影响下,提出“生命之树,脾胃为根”等学术见解,认为脾胃是人体脏腑的基石。蔡光先名老中医工作室负责人肖长江教授在临床工作中发现,目前心衰西医的治疗主要是抑制心肌重构及对症治疗,多注重有形之心脏,对于无形之心,即心之“气”,心之“神”尚未给予足够重视,而“气”是生命活动的重要形式和内容,是人体生命活动的原动力,“神”为生命活动的主宰。在刘炳凡、蔡光先两位名老中医重视脾胃的学术思想启发下,肖长江教授基于“心脾相关”理论,提倡“心病从脾胃论治”,并提出构建慢性心力衰竭“形、气、神”同治的三维模式,即通过素食调脾护心以复心之“形”,方药健脾益心以畅心之“气”、话疗养心护脾以调心之“神”,取得较为显著的临床效果。
Traditional Chinese medicine has the characteristics of overall concept.It believes that the five Zang organs and six Fu organs complement each other,and the heart and spleen are closely related in physiology and pathology.Professor LIU Bingfan,one of the “five elders of Hunan traditional Chinese medicine” in the last century,put forward the academic view that “treating diseases must treat people,treating people first focuses on the spleen and stomach,and treating people must treat people”,Under the influence of LIU Lao’s academic thought,CAI Guangxian,a famous traditional Chinese medicine,put forward academic opinions such as “the tree of life,the spleen and stomach is the root”,and believed that the spleen and stomach is the cornerstone of the human viscera.Professor XIAO Changjiang,the head of CAI Guangxian’s famous traditional Chinese medicine studio,found in his clinical work that the current treatment of Western medicine for heart failure is mainly to inhibit myocardial remodeling and symptomatic treatment,paying more attention to the tangible heart,but not enough attention has been paid to the invisible heart,that is,the “Qi” of the heart and the “spirit” of the heart.Inspired by the academic thought of LIU Bingfan and CAI Guangxian,two famous traditional Chinese medicine practitioners who attach importance to the spleen and stomach,Based on the theory of “correlation between heart and spleen”,Professor XIAO Changjiang advocated “treatment of heart disease from the spleen and stomach”,and proposed to build a three-dimensional model of “form,Qi and spirit” for the treatment of chronic heart failure,that is,regulating the spleen and protecting the heart through vegetarianism,restoring the “form” of the heart,strengthening the spleen and benefiting the heart with prescription medicine,smoothing the “Qi” of the heart,and nourishing the heart and protecting the spleen with speech therapy,so as to regulate the “spirit” of the heart,which has achieved remarkable clinical effects.
作者
王孟可
夏相宜
周慧
肖长江
WANG Mengke;XIA Xiangyi;ZHOU Hui;XIAOChangjiang(Hunan University of Traditional Chinese Medicine,Hunan Changsha 410208,China;Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine,Hunan Changsha 410006,China)
出处
《中医药临床杂志》
2022年第11期2020-2023,共4页
Clinical Journal of Traditional Chinese Medicine
基金
国家中医药管理局“2013年全国名老中医药专家传承工作室”资助项目。
关键词
心脾相关
慢性心力衰竭
形、气、神同治
Heart and spleen related
Chronic heart failure
Simultaneous treatment of form
Qi and spirit
