从五脏一体观探讨双心疾病的中医辨证思路

摘要

[目的]从五脏一体观探讨双心疾病的中医辨证施治.[方法]以《黄帝内经》及古代众医家关于五脏一体相关的理论为基础,探讨心与神志、心与其他四脏的关系,并分别从肝、脾、肾、肺相关的病因病机以及情志与五脏的关系入手论治双心疾病.[结果]心与情志变动密切相关,在情志与五脏关系中起核心作用.双心疾病与肝、脾、肾、肺四脏的关系密切.情志失调促进双心疾病的进展.故临证治疗双心疾病时,要根据其临床证候特点从肝、脾、肾、肺论治,并需结合情志的疏导与调节.[结论]以五脏一体观为基础对双心疾病进行辨证施治,有助于更好地把握双心疾病的病因病机,抓住疾病的本质,达到治病求本,标本兼治,有助于提高临床疗效,改善双心疾病患者的生活质量.%[Objective] To discuss treatment according to syndrome differention of TCM (traditional Chinese medicine) on double heart disease from the view of Wu Zang Yi Ti.[Method] Based on the theory of Wu Zang Yi Ti from Huangdi Nei Jing and many ancient doctors,discuss the relation between heart and sense,heart and the other four viscera,and treat double heart disease from the etiology and pathogenesis of liver,spleen,kidney,lung and the contact of emotion and five viscera.[Result] The heart is closely related with emotional changes and plays a key role in emotion and viscer.Emotional disorders can promote the progress of double heart disease.So we must base on the characteristics of clinical syndromes when we treat the double heart disease and determine treatment from liver,spleen,kidney and lung.[Conclusion] Discriminating and treating double heart disease from the view of Wu Zang Yi Ti can help us grasp the etiology and pathogenesis of double heart disease better and hold the essence of the disease,so we can achieve the goal of curing for disease roots,and treating both root causes and symptoms.It is helpful to improve the clinical curative effect and improve the quality of life of patients with double heart disease.