Treatment Approach for Diabetes with Coronary Heart Disease Based on the Heart-Spleen-Kidney Triad Holistic Perspective

SUN Xitong; FAN Xinbiao; ZHOU Huan; GENG Xiaofei; LI Aolin; SHANG Wenyu; ZHANG Junping

doi:10.13288/j.11-2166/r.2025.07.016

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Treatment Approach for Diabetes with Coronary Heart Disease Based on the Heart-Spleen-Kidney Triad Holistic Perspective

更新时间：2025-03-27

- Treatment Approach for Diabetes with Coronary Heart Disease Based on the Heart-Spleen-Kidney Triad Holistic Perspective
- Journal of Traditional Chinese Medicine Vol. 66, Issue 7, Pages: 750-754(2025)
- 作者机构：
  
  1.天津中医药大学第一附属医院/国家中医针灸临床医学研究中心，天津市西青区昌凌路88号，300112
  2.南开大学附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.07.016
  CLC：
- Received：01 August 2024，
  
  Revised：2024-11-19，
  
  Published：02 April 2025
- 稿件说明：
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孙夕童,范新彪,周欢等.基于“心-脾-肾三脏一体观”辨治糖尿病合并冠心病思路[J].中医杂志,2025,66(07):750-754.

SUN Xitong,FAN Xinbiao,ZHOU Huan,et al.Treatment Approach for Diabetes with Coronary Heart Disease Based on the Heart-Spleen-Kidney Triad Holistic Perspective[J].Journal of Traditional Chinese Medicine,2025,66(07):750-754.
孙夕童,范新彪,周欢等.基于“心-脾-肾三脏一体观”辨治糖尿病合并冠心病思路[J].中医杂志,2025,66(07):750-754. DOI： 10.13288/j.11-2166/r.2025.07.016.

SUN Xitong,FAN Xinbiao,ZHOU Huan,et al.Treatment Approach for Diabetes with Coronary Heart Disease Based on the Heart-Spleen-Kidney Triad Holistic Perspective[J].Journal of Traditional Chinese Medicine,2025,66(07):750-754. DOI： 10.13288/j.11-2166/r.2025.07.016.

摘要

认为糖尿病合并冠心病与心、脾、肾三脏密切相关。基于“心-脾-肾三脏一体观”认为本病发病之初多脾肾亏虚，致痰湿浊脂内生，使血失澄澈、脉失畅达。治疗应益肾健脾、活血化瘀，自拟糖心脉温方；脾肾益衰，使心失所养，血滞成瘀，兼夹已成痰湿浊脂等邪，化热成毒，致心体受损，此乃病进之由，治疗应益气养阴、清热活血解毒，自拟糖心脉清方；心、脾、肾三脏皆损，神明失养，出现神志活动异常，治疗应三脏同调，自拟运脾调心汤。以期为糖尿病合并冠心病的临床诊疗提供思路。

Abstract

It is believed that diabetes complicated with coronary heart disease is closely related to the functional interplay of the heart， spleen， and kidneys. This paper proposed the concept of the heart-spleen-kidney as a unified system for understanding and treating the disease. At the early stage， spleen and kidney def

iciency leads to the internal accumulation of phlegm， dampness， and turbid lipids， causing impaired blood circulation and vascular obstruction， so treatment should focus on tonify the kidneys and strengthening the spleen， activating blood circulation and resolving stasis， using the self-prescribed

Tangxin Maiwen Formula

（糖心脉温方）. As the disease progresses， further decline of spleen and kidney function results in inadequate nourishment of the heart， leading to blood stasis and the accumulation of phlegm， dampness， and turbid lipids， which may transform into pathogenic heat and toxins， causing heart damage， then treatment should emphasize on boosting

and nourishing

yin

， clearing heat， activating blood and resolving toxins， using the self-prescribed

Tangxin Maiqing Formula

（糖心脉清方）. In advanced stages， three

zang

organs， the heart， spleen， and kidneys， become severely impaired， leading to mental activity fail to be nourished and abnormal cognitive functions， so treatment should focus on harmonizing the three

zang

organs simultaneously， using the self-prescribed

Yunpi Tiaoxin Decoction

（运脾调心汤）. This approach aims to provide a clinical framework for the diagnosis and treatment of diabetes with coronary heart disease.

关键词

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references

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