[1]彭泽,赵大鹏,郭东浩,等.基于“五志过极”理论探析双心疾病辨治思路[J].陕西中医,2025,46(11):1535-1539.[doi:DOI:10.3969/j.issn.1000-7369.2025.11.017]
　PENG Ze,ZHAO Dapeng,GUO Donghao,et al.Based on Wuzhi Guoji theory for treatment of pycho-cardiology disease[J].,2025,46(11):1535-1539.[doi:DOI:10.3969/j.issn.1000-7369.2025.11.017]
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基于“五志过极”理论探析双心疾病辨治思路
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年11期
页码:
1535-1539
栏目:
学术探讨
出版日期:
2025-11-05

文章信息/Info

Title:
Based on Wuzhi Guoji theory for treatment of pycho-cardiology disease
作者:
彭泽1; 赵大鹏2; 郭东浩2; 刘振强1; 孙垚1; 吴金乔1; 金娟2
（1.黑龙江中医药大学，黑龙江 哈尔滨 150040；2.黑龙江中医药大学附属第一医院，黑龙江 哈尔滨 150040）
Author(s):
PENG Ze1; ZHAO Dapeng2; GUO Donghao2; LIU Zhenqiang1; SUN Yao1; WU Jinqiao1; JIN Juan2
(1.Heilongjiang University of Chinese Medicine,Harbin 150040,China;2.The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)
关键词:
双心疾病; 冠心病; 焦虑抑郁状态; 五志过极; 中医情志理论
Keywords:
Pycho-cardiology disease; Coronary heart disease; Anxiety and depression states; Wuzhi Guoji; Traditional Chinese medicine emotional theory
分类号:
R 541
DOI:
DOI:10.3969/j.issn.1000-7369.2025.11.017
文献标志码:
A
摘要:
“双心疾病”为心脏器质性病变合并精神心理障碍。本研究着眼于双心理论与中医情志理论，认为“心脏-心理”具有双向关联，“心主血脉”及“五志过极”是双心疾病发生并相互转化的基石，以“五志过极”视角探讨双心疾病，立足于心体主导下的“气血受损、五志失和”之征及心神主导下的“五志难安、心脉不通”之象。以气血同调为基本治则，治疗兼顾“情志-气血”，秉持双心并重，血脉重要，神明亦重要的中医整体论治思维，倡导身心并重、内外并举、衷中参西的临病经验与学术思想。
Abstract:
Psycho-cardiac disease refers to coexistence of organic cardiac pathology and psychiatric or psychological disorders.This study explores the psychocardiac theory in conjunction with traditional Chinese medicine (TCM) theory of emotional regulation.It posits a bidirectional relationship between heart and mind,where the heart governing blood vessels and excessive intensification of the five emotions serve as foundational mechanisms for the onset and mutual transformation of psychocardiac disease.From the perspective of excessive intensification of the five emotions,the analysis of psychocardiac disease focuses on the manifestations of impairment of Qi and blood and disharmony of the five emotions under the dominance of the heart’s physical aspect,as well as signs of restlessness of the five emotions and obstruction of the heart vessels under the governance of the heart spirit.The fundamental treatment principle involves the coordinated regulation of Qi and blood,with therapeutic approaches addressing both emotions and Qi-blood.Adhering to the holistic TCM therapeutic philosophy that equally emphasizes the heart-mind,blood vessels,and spirit,this study advocates clinical approach and academic ideology that values both body and mind,integrates internal and external treatments,and combines the essence of TCM with Western medicine.

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备注/Memo

备注/Memo:
黑龙江省自然科学基金资助项目(LH2019H104)；黑龙江省博士后科研启动基金资助项目(LBH-Q118124)；黑龙江省中医药管理局中医药科研课题(ZHY2025-041)
更新日期/Last Update: 2025-11-04