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中医论治冠心病合并抑郁症的作用机制及研究进展

Mechanisms and Research Progress of Traditional Chinese Medicine in the Treatment of Coronary Heart Disease Complicated with Depression
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摘要 冠心病与抑郁症之间存在着密切且复杂的关联,两者互为因果,形成了一个恶性循环。冠心病可以引起抑郁症,抑郁症亦是冠心病发生发展的危险因素,中医认为,冠心病多属“胸痹”“心痛”范畴,其发病与心脉痹阻、气血不畅密切相关,病因涉及情志内伤、饮食不节、劳逸失度等多方面因素。而抑郁症在中医中则常被归类为“郁证”,认为是由于情志不舒、气机郁滞所致,表现为情绪低落、胸胁胀满、失眠多梦等症状。该文深入探讨了中医对冠心病及抑郁症的认识,旨在探讨冠心病合并抑郁症的中医治疗机制及当前研究进展。 There exists a close and complex bidirectional relationship between coronary heart disease(CHD)and depression,forming a vicious cycle.CHD can lead to depression,while depression also serves as a risk factor for the onset and progression of CHD.In Traditional Chinese Medicine(TCM),CHD is primarily classified under the categories of"chest impediment"or"heart pain",with its pathogenesis closely linked to the obstruction of heart vessels and stagnation of qi and blood.Etiological factors include emotional disturbances,dietary irregularities,and improper balance of work and rest,among others.Depression,in TCM,is often categorized as"depression syndrome",attributed to emotional stagnation and inhibited qi movement,manifesting as low mood,chest and hypochondriac distension,insomnia,and dream-disturbed sleep.This paper provides an in-depth exploration of TCMs understanding of CHD and depression,aiming to elucidate the mechanisms of TCM treatment for CHD comorbid with depression and review current research progress.
作者 张菁 王科雯 罗文晔 孔德昭 ZHANG Jing;WANG Kewen;LUO Wenye;KONG Dezhao(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Peking University First Hospital,Beijing 100035,China)
出处 《实用中医内科杂志》 2025年第8期116-119,共4页 Journal of Practical Traditional Chinese Internal Medicine
基金 辽宁省科学技术厅博士科研启动基金计划项目(2021-BS-174)。
关键词 中医 冠心病 抑郁症 研究进展 Traditional Chinese Medicine(TCM) Coronary heart disease(CHD) Depression Research Progress
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