从“疏肝养心调神之法”探讨冠心病合并焦虑症的辨治

To Explore the Differentiation and Treatment of Coronary Heart Disease Combined with Anxiety from “Soothing Liver and Nourishing Heart and Regulating Spirit”

摘要: 冠心病合并焦虑抑郁是心血管病内科临床常见疾病，具有发病率、死亡率均高的特点，西医治疗此病不良反应多见导致患者不能坚持服药，此时中医药防治本病的优势逐渐显现。在中医学看来冠心病合并焦虑症应属“胸痹”“郁证”等范畴，其最关键因素为肝郁气滞、气虚血瘀、心神失养。临床中常以“疏肝养心调神之法”为治疗思想，疗效甚佳，以此发挥中医特色优势，提高患者远期预后。

Abstract: Coronary heart disease combined with anxiety and depression is a common clinical disease in cardiovascular medicine, with high morbidity and mortality characteristics. The adverse reactions of Western medicine in the treatment of this disease often lead to patients unable to adhere to medication. At this time, the advantages of traditional Chinese medicine in the prevention and treatment of this disease gradually emerged. In the view of traditional Chinese medicine, coronary heart disease combined with anxiety should belong to the categories of “chest impediment” and “depression syndrome”, and the most key factors are liver-qi stagnation, qi deficiency and blood stasis, and mental discontentment. In clinical practice, “soothing liver and nourishing heart and regulating spirit” is often used as the therapeutic idea, and the curative effect is very good, so as to give full play to the advantages of TCM characteristics and improve the long-term prognosis of patients.