[1]赵立沙,杨成虎,袁慧,等.基于“心主神明”理论应用“疏肝安神”法治疗“双心”失眠理论探讨[J].陕西中医,2025,46(10):1382-1385,1390.[doi:DOI:10.3969/j.issn.1000-7369.2025.10.016]
　ZHAO Lisha,YANG Chenghu,YUAN Hui,et al.Theoretical exploration on treating “dual-heart” insomnia with the “liver-soothing and mind-calming” method based on the “heart governing the mind” theory[J].,2025,46(10):1382-1385,1390.[doi:DOI:10.3969/j.issn.1000-7369.2025.10.016]
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基于“心主神明”理论应用“疏肝安神”法治疗“双心”失眠理论探讨

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年10期
页码:
1382-1385,1390
栏目:
学术探讨
出版日期:
2025-10-05

文章信息/Info

Title:
Theoretical exploration on treating “dual-heart” insomnia with the “liver-soothing and mind-calming” method based on the “heart governing the mind” theory
作者:
赵立沙1; 杨成虎1; 2; 袁慧3; 荆娟1
（1.西安国际医学中心医院，陕西 西安 710100；2.陕西省中医医院，陕西 西安710003；3.陕西中医药大学第一附属医院，陕西 咸阳 712000）
Author(s):
ZHAO Lisha1; YANG Chenghu1; 2; YUAN Hui3; JING Juan1
(1.Xi’an International Medical Center Hospital,Xi’an 710100,China;2.Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi’an 710001,China;3.The First Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712000,China）
关键词:
“双心”疾病; 失眠; 心主神明; 心主血脉; 疏肝安神
Keywords:
Dual-heart disease; Insomnia; Heart governing the mind; The heart rules the blood; Soothing the liver and calming the mind
分类号:
R 256.23
DOI:
DOI:10.3969/j.issn.1000-7369.2025.10.016
文献标志码:
A
摘要:
“双心”疾病是近年来基于“生物-心理-社会医学模式”提出的一种跨学科疾病概念，“心主血脉，心主神明”是中医理论“心”学说中最为基本的观点，失眠是心血管疾病发生发展的重要危险因素，是心“主血脉”“主神明”功能受损导致。心主血而藏神，肝藏血而舍魂，心与肝的关系主要体现在血液运行与神志活动两个方面，肝郁气滞、心神失养是此类患者的核心病机，从而形成“肝郁-血瘀-神扰”的病理三角，基于此，通过疏肝解郁恢复气机升降，同时宁心安神以切断“情志-躯体”交互致病通路，可能打破疾病恶性循环，在中医整体观及治未病思想指导下，以探讨“双心”患者治疗的中医理论，应用疏肝安神法治疗“双心”疾病，以期为中医药治疗“双心”失眠提供理论依据。
Abstract:
Dual-heart disease,also known as psychocardiological disease,is rooted in the foundational theory of “the heart governing blood vessels and the mind” in traditional Chinese medicine (TCM).Insomnia,recognized as a critical risk factor for the development and progression of cardiovascular diseases,arises from impaired functions of the heart in governing blood circulation and mental activities.The interaction between the heart (which governs blood and stores the mind) and the liver (which stores blood and houses the ethereal soul) manifests in blood circulation and mental regulation.The core pathogenesis of this condition involves liver qi stagnation and deficiency of heart spirit nourishment,forming a pathological triad of “liver depression,blood stasis,and mental disturbance”.Based on this,the proposed “Liver-Soothing Pivot Regulation and Heart-Mind Co-Treatment” theory emphasizes restoring qi movement through liver regulation and relieving mental disturbances to disrupt the “psychosomatic” pathogenic cycle.Guided by the holistic view and preventive treatment principles of TCM,this study explores the therapeutic potential of liver-soothing and mind-calming methods for dual-heart diseases,aiming to establish a theoretical foundation for TCM-based management of dual-heart-related insomnia.

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备注/Memo

备注/Memo:
陕西省重点研发计划项目（L2024-QCY-ZYYJJQ-Y23）
更新日期/Last Update: 2025-10-10