Syndrome Differentiation and Treatment of the Psycho-cardiological Disease based on the Thought of “Syndrome Dominating Disease”

ZHAO Weizhe; WANG Chao; ZHAO Haibin; HOU Jiqiu; DING Wanli; JIA Zihao; ZHOU Yue; YIN Wenshan

doi:10.13288/j.11-2166/r.2023.07.007

您当前的位置：

首页 >

文章列表页 >

Syndrome Differentiation and Treatment of the Psycho-cardiological Disease based on the Thought of “Syndrome Dominating Disease”

更新时间：2023-04-17

- Syndrome Differentiation and Treatment of the Psycho-cardiological Disease based on the Thought of “Syndrome Dominating Disease”
- Journal of Traditional Chinese Medicine Vol. 64, Issue 7, Pages: 682-685(2023)
- 作者机构：
  
  1.北京中医药大学，北京市朝阳区北三环东路11号，100029
  2.北京中医药大学东方医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.07.007
  CLC：
- Received：30 September 2022，
  
  Revised：2022-12-04，
  
  Published：02 April 2023
- 稿件说明：
移动端阅览
赵维哲,王超,赵海滨等.基于“以证统病”思路探讨双心疾病的辨治策略[J].中医杂志,2023,64(07):682-685.

ZHAO Weizhe,WANG Chao,ZHAO Haibin,et al.Syndrome Differentiation and Treatment of the Psycho-cardiological Disease based on the Thought of “Syndrome Dominating Disease”[J].Journal of Traditional Chinese Medicine,2023,64(07):682-685.
赵维哲,王超,赵海滨等.基于“以证统病”思路探讨双心疾病的辨治策略[J].中医杂志,2023,64(07):682-685. DOI： 10.13288/j.11-2166/r.2023.07.007.

ZHAO Weizhe,WANG Chao,ZHAO Haibin,et al.Syndrome Differentiation and Treatment of the Psycho-cardiological Disease based on the Thought of “Syndrome Dominating Disease”[J].Journal of Traditional Chinese Medicine,2023,64(07):682-685. DOI： 10.13288/j.11-2166/r.2023.07.007.

摘要

双心疾病作为“神明之心”“血脉之心”共病的复合疾病，具有临床表现多样、疾病诊断繁杂的特点。“以证统病”强调以中医辨证为核心，在辨证的基础之上兼顾疾病的特殊性进行加减用药，其应用于双心疾病的优势在于面对复杂的复合疾病时可以突破诊断繁多且难以抓住主病的局限，优先采用中医特色的整体辨证进行治疗。先证后病，以证统病，病证结合，可为双心疾病提供新的诊疗策略。

Abstract

Psycho-cardiological disease is a compounded disorder to “the heart of the spirit” and “the heart of the body”， and is characterized by diverse minifestations and complicated disease diagnosis. The treatment strategy of “syndrome dominating disease” emphasizes the core of syndrome differentiation in traditional Chinese medicine （TCM）， and gives prescriptions with modifications based on the syndrome differentiation and the features of the disease. In treatment of psycho-cardiological diseases， it has advantages， such as such as breaking through the challenges and limitation of duplicate diagnosis and difficult to grasp the main problem， and giving priority to treatment based on the TCM holism and syndrome differentiation. Syndrome first and disease thereafter， syndrome dominating disease， and combination of disease and syndrome provide a new way for the diagnosis and treatments of psycho-cardiological disease.

关键词

Keywords

references

史金玉，王超，黄乐曦，等 . 冠心病合并焦虑抑郁的治疗研究进展［J］. 世界中医药， 2022 ， 17 （ 14 ）： 2087 - 2091 .

WELLS A ， REEVES D ， CAPOBIANCO L ， et al . Improving the effectiveness of psychological interventions for depression and anxiety in cardiac rehabilitation： PATHWAY-A single-blind， parallel， randomized， controlled trial of group metacognitive therapy ［J］. Circulation ， 2021 ， 144 （ 1 ）： 23 - 33 .

THOMBS BD ， BASS EB ， FORD DE ， et al . Prevalence of depression in survivors of acute myocardial infarction ［J］. J Gen Intern Med ， 2006 ， 21 （ 1 ）： 30 - 38 .

DICKENS C . Depression in people with coronary heart disease： prognostic significance and mechanisms ［J］. Curr Cardiol Rep ， 2015 ， 17 （ 10 ）： 83 .

ZIEGELSTEIN RC . Depression in patients recovering from a myocardial infarction ［J］. JAMA ， 2001 ， 286 （ 13 ）： 1621 - 1627 .

高阳，周洪丹，杨宇彤，等 . 冠心病合并焦虑、抑郁的研究进展［J］. 中国初级卫生保健， 2019 ， 33 （ 12 ）： 74 - 77 .

CELANO CM ， MILLSTEIN RA ， BEDOYA CA ， et al ． Association between anxiety and mortality in patients with coronary artery disease： a meta-analysis ［J］． Am Heart J ， 2015 ， 170 （ 6 ）： 1105 - 1115 .

BLUMENTHAL JA ， FEGER BJ ， SMITH PJ ， et al ． Treatment of anxiety in patients with coronary heart disease： rationale and design of the understanding the benefits of exercise and escitalopram in anxious patients with coronary heart disease （ UNWIND） randomized clinical trial ［J］． Am Heart J ， 2016 ， 176 ： 53 - 62 . doi： 10.1016/j.ahj. 2016. 03.003 http://dx.doi.org/10.1016/j.ahj.2016.03.003 .

MEIJER A ， CONTADI HJ ， BOS EH ， et al . Prognostic association of depression following myocardial infarction with mortality and cardiovascular events： a meta-analysis of 25 years of research ［J］. Gen Hosp Psychiatry ， 2011 ， 33 （ 3 ）： 203 - 216 .

PALACIOS J ， KHONDOKER M ， MANN A ， et al . Depression and anxiety symptom trajectories in coronary heart disease： associations with measures of disability and impact on 3-year health care costs ［J］. J Psychosom Res ， 2018 ， 104 ： 1 - 8 . doi： 10.1016/j.jpsychores. 2017. 10.015 http://dx.doi.org/10.1016/j.jpsychores.2017.10.015 .

王超，王昀，赵海滨 . 从中医“双心学说”探析冠心病合并焦虑的论治思路［J］. 环球中医药， 2016 ， 9 （ 12 ）： 1476 - 1478 .

焦一鸣，王放，付小红 . 论以证统病的研究［J］. 中医文献杂志， 2011 ， 29 （ 6 ）： 5 - 6 .

洪净 . 中医辨证的思维模式和方法研究［J］. 中医杂志， 2003 ， 44 （ 1 ）： 8 - 10 .

朱文锋 . 创立以证素为核心的辨证新体系［J］. 湖南中医学院学报， 2004 ， 24 （ 6 ）： 38 - 39 .

陈兆斌，张博，刘秀敏，等 . 焦虑症发病机制的研究进展［J］. 天津中医药， 2018 ， 35 （ 4 ）： 316 - 320 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

On the Internal Logic of "Syndrome-Treatment-Effect" in Traditional Chinese Medicine Syndrome Differentiation and Treatment from the Perspective of Hermeneutics

QIN Bowei's Contribution and Influence on the Early Construction of the Journal of Traditional Chinese Medicine

Exploration on the Pathomechanistic Evolution of "Qi Transforming into Fire" and the Therapeutic Approach to Emotional Disorders

Exploration on the Formation，Evolution，and Alienation of Syndrome Differentiation and Treatment

Prevention and Treatment of Cardiovascular-Kidney-Metabolic Syndrome with Traditional Chinese Medicine Based on the Core Pathogenesis Evolution of "Constraint，Heat，Deficiency，Stasis，and Toxin"

Related Author

HAN Ziyi

ZHANG Qicheng

CHEN Yifan

LI Yan

SUN Yongkang

SONG Yanbo

CHEN Junhua

WU Yijun

Related Institution

College of CM Culture and Classics，Beijing University of Chinese Medicine

Dongzhimen Hospital，Beijing University of Chinese Medicine

Public Course Teaching Department，Xiamen Medical College

The First Clinical Medical College of Henan University of Chinese Medicine

Institute for Brain Disorders of Henan Academy of Chinese Medical Sciences

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰