摘要
冠状动脉粥样硬化性心脏病作为临床常见心血管疾病,其胸痛症状易引发失眠,而失眠又会加重心血管风险,二者形成恶性循环。中医认为冠心病合并失眠的病因主要为外感六淫、内伤七情、饮食不节、劳逸失调,病机以“虚、火、痰、瘀”为核心,辨证论治主要以气虚血瘀、气阴两虚、气滞血瘀、痰热瘀阻、痰瘀气滞为主。除药物治疗外,一些特色疗法也疗效显著,如耳穴压豆、中药足浴、八段锦等。该文对近些年的相关文章进行梳理,探讨了二者的相关性,概述中医药治疗冠心病合并失眠的研究进展,阐述其疗效及优势,以期为临床工作提供参考。
Coronary heart disease is a common cardiovascular disease,and its chest pain symptoms can easily cause insomnia,which in turn will aggravate cardiovascular risk,forming a vicious circle.The main causes are external sensations,internal injuries and seven emotions,uncontrolled diet,and work-rest disorders.The pathogenesis is centered on"deficiency,fire,phlegm,and stasis";Syndrome differentiation and treatment are mainly based on qi deficiency and blood stasis,qi and yin deficiency,qi stagnation and blood stasis,phlegm and heat stasis,phlegm and qi stagnation.In addition to drug treatment,some special therapies are also quite effective,such as auricular pressure beans,Chinese medicine foot bath,Baduanjin and so on.This article reviews the relevant articles in recent years,discusses the correlation between the two,summarizes the research progress of traditional Chinese medicine in the treatment of coronary heart disease complicated with insomnia,and expounds its efficacy and advantages,in order to provide reference for clinical work.
作者
罗文晔
孔德昭
LUO Wenye;KONG Dezhao(The First Clinical College of Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Peking University First Hospital,Beijing 100034,China)
出处
《实用中医内科杂志》
2025年第8期119-122,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
中医药
冠心病
失眠
综述
traditional Chinese medicine
Coronary heart disease
Insomnia
Review
