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周亚滨基于“形神一体观”论治双心疾病经验

ZHOU Yabin's experience in treating psycho-cardiological diseases based on the"holism of body and spirit"theory
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摘要 心血管系统疾病合并精神心理障碍被称为“双心疾病”。从中医学角度分析,双心疾病乃形神共病,血脉心体病变会影响心神的功能,同时心神受损也会影响心体病变的发生发展,二者生理相依,病理互损。周亚滨教授基于心脉受损、心神失养这一双心疾病的根本病机,从中医学的整体观念出发,提出当以综合调理形神为主要目标,立“形神同调”为基本法则治疗本病。治形重在扶正补虚、化瘀豁痰,调神重在育心安神、疏肝解郁,同时配合精神疏导、中医特色外治疗法,形神兼顾而并调,方达双心和合之佳效。 Cardiovascular diseases combined with mental and psychological disorders are referred to as"psycho-cardiological diseases".From the perspective of Chinese medicine,psycho-cardiological diseases are considered as co-morbidities of the body(form)and mind(spirit).Cardiovascular pathological changes can affect the function of the heart spirit,and at the same time,damage to the heart spirit can also affect the occurrence and development of heart diseases.The two are physiologically interdependent and pathologically mutually damaging.Professor ZHOU Yabin,based on the fundamental pathogenesis of psycho-cardiological diseases—damage to the heart spirit and malnutrition of the heart spirit,and proceeding from the holistic concept of Chinese medicine,proposes that the main goal should be the comprehensive regulation of both the body and mind.Moreover,he establishes the basic principle of"simultaneous regulation of the body and mind"for treating these diseases.The treatment of the body focuses on reinforcing the healthy qi and supplementing deficiency,transforming stasis and phlegm,while the regulation of the mind emphasizes nourishing the heart and calming the mind as well as soothing the liver and relieving depression.This is complemented by psychological counseling and external therapies with unique features of Chinese medicine,achieving a balanced and harmonious regulation of both the body and mind,thereby attaining optimal efficacy in the treatment of psycho-cardiological diseases.
作者 时娜 杨建飞 王贺 周亚滨 SHI Na;YANG Jianfei;WANG He;ZHOU Yabin(Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150040,China;The First Hospital of Heilongjiang University of Chinese Medicine,Harbin,Heilongjiang 150040,China)
出处 《湖南中医药大学学报》 CAS 2024年第10期1828-1833,共6页 Journal of Hunan University of Chinese Medicine
基金 国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)。
关键词 双心疾病 形神一体观 形神同调 经验总结 周亚滨 psycho-cardiological disease holism of body and spirit simultaneous regulation of the body and mind summation of experience ZHOU Yabin
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