基于龙虎回环理论探讨心脏神经官能症的论治
Based on the Dragon-Tiger Circulation Theory to Explore Treatment Approaches for Cardiac Neurosis
摘要: 心脏神经官能症是一种以心血管症状为主的功能性疾病，中医认为其发病与情志失调及肝肺气机失衡密切相关。本文基于象征肝(青龙主升)肺(白虎主降)气机升降相因、动态平衡的“龙虎回环”理论，探讨肝升肺降的动态平衡在疾病发生发展中的作用，指出肝气郁滞(木郁)与肺虚失降(金虚)是核心病机，二者通过五行生克及气机升降失常，形成“木郁侮金–金虚及火”的病理传变链。金虚则肺失治节，宗气生成不足；金虚及火则心失所养、心神不宁；木郁则疏泄失职，气血失调；最终导致心神失守、气血失和，发为本病诸证。治疗上主张疏肝解郁与补肺安神并举，以调和气血、恢复气机动态平衡。文章结合经典方剂与现代研究，为心脏神经官能症的中医论治提供新思路，并展望未来中西医结合研究的潜在方向，以促进中医理论在现代医学领域的深化与应用。
Abstract: Cardiac neurosis is a functional disorder characterized primarily by cardiovascular symptoms. Traditional Chinese Medicine (TCM) posits that its pathogenesis is closely linked to emotional disturbances and imbalance in the qi dynamics of the liver and lung. This article employs the “Dragon-Tiger Circulation Theory”—which symbolizes the interdependent ascending (Green Dragon governing liver) and descending (White Tiger governing lung) qi movements and their dynamic equilibrium—to analyze the role of hepatic ascent and pulmonary descent in disease progression. It identifies liver-wood stagnation and lung-metal deficiency with impaired descent as the core pathological mechanisms. Through disordered Five-Phase interactions and disrupted qi dynamics, these form a pathological transmission chain: “Wood Stagnation Harms Metal → Metal Deficiency Affects Fire”. Metal deficiency impairs the lung’s governance of rhythm, leading to insufficient ancestral qi production. When Metal Deficiency affects Fire (heart), the heart loses nourishment and mental restlessness ensues. Wood stagnation disrupts the liver’s free-flowing function, causing qi-blood disharmony. Ultimately, this results in unsettled spirit and disrupted qi-blood harmony, manifesting as the clinical symptoms of this disorder. The treatment advocates for simultaneously soothing the liver to relieve depression and tonifying the lungs to calm the spirit, aiming to regulate qi and blood and restore the dynamic equilibrium of qi activity. By integrating classical formulas with modern research, the article provides new insights into the TCM-based treatment of cardiac neurosis. It also explores potential future directions for integrated Chinese-Western medical research, aiming to promote the deepening and application of TCM theory within the field of modern medicine.
文章引用：肖坤宇, 隋艳波. 基于龙虎回环理论探讨心脏神经官能症的论治[J]. 临床个性化医学, 2025, 4(4): 21-25. https://doi.org/10.12677/jcpm.2025.44411

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