| 李琳轩,程晓振,李明昊,艾克热木·艾尔肯,李红萍,钮岳岳,冯玲.冯玲教授基于“脉神同调”治疗心房颤动伴焦虑、抑郁的经验[J].中国医药导报,2024,21(4):125-129 |
二维码（扫一下试试看！） |
| 冯玲教授基于“脉神同调”治疗心房颤动伴焦虑、抑郁的经验 |
| Professor Feng Ling’s experience in treating atrial fibrillation with anxiety and depression based on “pulse and spirit homology” |
| 收稿日期： 修订日期：2023-07-19 |
| DOI：10.20047/j.issn1673-7210.2024.04.29 |
| 关键词: 脉神同调 心房颤动 焦虑 抑郁 |
| Key Words: |
| 基金项目:国家重点研发计划课题（2019YFC1708404）；中国中医科学院科技创新工程课题（CI2021A03001） |
|
| 摘要点击次数: 538 |
| 全文下载次数: 404 |
| 摘要:心房颤动伴随焦虑、抑郁等不良情绪属于双心医学的范畴，即心血管疾病和心理疾病，这与中医学“形神一体观”的理论不谋而合。因心房颤动患者往往伴有失眠、焦虑、抑郁等不良情绪，对此冯玲教授提出“脉神同调”，即在治疗心房颤动的同时注重对神志、睡眠等不良情绪的调理。“脉神同调”是冯玲教授在“形神一体观”的综合指导下治疗心房颤动的重要思想，脉乃脉体和脉律，神乃神志，即在治疗心房颤动的同时加强对神志的调理。脉体充盈饱满，脉律均匀和缓有力则能助心行血，从而使脉调和，神志安宁，心搏有常。结合冯玲教授临床经验，认为“气机郁滞、痰浊痹阻、心失所养”是本病的发病关键，当以“脉神同调”为总治则，以豁痰化浊通心阳，涤脉通利宁心神；疏肝解郁调气机，畅通心脉安心神；佐以健脾补肾，填充血脉养心神为具体治法。临床上常使用瓜蒌薤白半夏汤、小柴胡汤加减化裁，每获良效。 |
| Abstract:Atrial fibrillation accompanied by anxiety and depression and other adverse emotions belong to the category of bicardiac medicine, that is, cardiovascular disease and psychological disease, which coincides with the theory of “body-spirit concept” in traditional Chinese medicine. Because patients with atrial fibrillation are often accompanied by insomnia, anxiety, depression, and other bad emotions, Professor Feng Ling proposed “pulse and spirit homology”, that is, pay attention to the conditioning of bad emotions such as consciousness and sleep while treating atrial fibrillation. “pulse and spirit homology” is an important thought of Professor Feng Ling in the treatment of atrial fibrillation under the comprehensive guidance of “body-spirit concept”. Pulse is the pulse body and pulse rhythm, and spirit is the mind, that is, to strengthen the conditioning of mind while treating atrial fibrillation. The pulse body is full, and the pulse rhythm is even slow and powerful, which can help the heart to flow blood, so that the pulse is harmonized, the mind is peaceful, and the heart is often beat. Combined with Professor Feng Ling’s clinical experience, the author thinks that “qi movement stagnation, phlegm turbidity obstruction, heart displacement and cultivation” is the key to the disease, and the general treatment should take “pulse and spirit homology” to clear phlegm to turbidize, and smooth heart Yang; clearing pulse to peace of mind; soothing liver and relieving depression to regulate qi movement; smoothing heart pulse to peace of mind; with invigorating spleen and kidney, filling the blood and nourishing the heart as the specific treatment. Clinically, Gualou Xiebai Banxia Decoction and Xiao Caihu Decoction are often used to add and reduce, and every good effect is obtained. |
| 查看全文 HTML 查看/发表评论 下载PDF阅读器 |
|
|
|
