摘要
冠心病合并焦虑、抑郁状态是临床常见的双心疾病之一。营卫倾斜理论认为,营卫源于水谷精微,营主濡养,卫主防御,两者动态平衡是维持阴阳平衡的关键,若营卫功能失衡,则百病丛生。本文基于营卫倾移理论探讨营卫失常与冠心病合并焦虑、抑郁状态的关联,认为营卫倾移通过影响神经、循环、代谢及免疫系统实现促进冠心病与焦虑、抑郁共病的恶性循环,提出冠心病合并焦虑、抑郁状态的治疗策略应以和调营卫为核心,兼以化痰散瘀、疏达肝木、健运脾土法,使血脉畅而神魂安,旨在为冠心病合并焦虑、抑郁状态的中医诊疗提供理论依据与临床思路。
Coronary heart disease combined with anxiety-depression is one of the common clinical bipolar diseases.Ying-wei imbalance theory holds that ying-wei originates from the essence of water and grain,nurtured by ying leader,and defended by wei leader,dynamic balance between the two is the key to maintaining the balance of yin and yang,if the functions of ying-wei are imbalanced,various diseases will arise.This article explores the relationship between dysfunction of ying-wei and coronary heart disease combined with anxiety-depression based on ying-wei imbalance theory,believes that ying-wei imbalance promotes a vicious cycle of comorbidity between coronary heart disease and anxiety-depression by affecting nervous,circulatory,metabolic,and immune systems,proposes that treatment strategy for coronary heart disease combined with anxiety-depression should be centered on harmonizing ying-wei,combining the methods of resolving phlegm and removing blood stasis,dredging liver and wood,invigorating spleen and soil,make blood and vessels smooth,and mind calm,so as to provide theoretical basis and clinical ideas for Chinese medicine diagnosis and treatment of coronary heart disease combined with anxiety-depression.
作者
杨璠
胡方林
YANG Fan;HU Fanglin(College of Chinese Medicine,Hunan University of Chinese Medicine,Hunan Province,Changsha 410208,China)
出处
《中国医药导报》
2025年第24期131-134,共4页
China Medical Herald
基金
国家中医药管理局《中华医藏》提要编纂项目(KJS-ZHYC-2020-007)。
关键词
营卫倾移
冠心病
焦虑
抑郁
中医药
Ying-wei imbalance
Coronary heart disease
Anxiety
Depression
Traditional Chinese medicine and pharmacy
