中医药辨证治疗心血管神经症临床研究进展

随着社会生活节奏加快,心血管神经症患者人群逐年增加,其发病机制复杂,西药疗效甚微。中医药辨治此病具有疗效显著,安全性高等优势,其机制可能与参与调节中枢及内分泌系统功能,扩张冠状动脉、改善血管通透性等改善循环代谢,抗抑郁改善焦虑等相关。重视情志的作用,辨证病位主要在心,与其他各个脏腑密切相关,以气血阴阳失衡、心神不宁为其主要病机,治疗坚持整体观念,多从心、肝、脾、肾入手,调整脏腑气血阴阳,扶正兼以祛邪,配合针灸推拿治疗,疗效显著,常见的分型有心神不安型、气血两虚型、气阴不足型、肝气郁滞型、心肾不交型等。

Clinical research progress of dialectical treatment of cardiovascular neurosis with traditional Chinese medicine

To introduce the clinical research progress of traditional Chinese medicine in the treatment of cardiovascular neurosis in recent years. With the acceleration of social life rhythm,the number of patients with cardiovascular neurosis is increasing year by year. Its pathogenesis is complex,and thereis lack of efficiency in Western medicine. Traditional Chinese medicine(TCM) differentiation and treatment has obvious curative effects and high safety advantages in this field. Its mechanism may be related to participating in regulating the function of central and endocrine system,expanding coronary artery,improving vascular permeability,improving circulatory metabolism,anti-depression and anxiety. It is important that we should pay more attention to the role of emotion.The dialectical location is mainly in the heart,closely related to other organs. The main pathogenesis is the unbalance of qi,blood,yin and yang,and restlessness of mind. The treatment adheres to the overall concept,starting from the heart,liver,spleen and kidney,adjusts the internal organs,qi,blood,yin and yang,strengthens the body and eliminates pathogens,and cooperates with acupuncture and massage therapy and the curative effect is remarkable. The common types include disturbance of mind,deficiency of both qi and blood,deficiency of qi and yin,stagnation of liver and qi,disjunction of heart and kidney,etc.