基于“双心理论”浅谈高血压伴焦虑的中医辨治

Discussion on the Traditional Chinese Medicine Treatment of Hypertension with Anxiety Based on the Theory of Psychocardiacology

摘要: 近年来，高血压伴随焦虑症的共病这种双心疾病现象在全球范围内逐渐增加，引起了医学研究者和临床医生的广泛关注。中医作为一种传统、综合性的医学学科，其在治疗高血压伴焦虑方面的独特优势逐渐显现。但中医的诊疗体系在疾病的认识、病因病机的分析不像西医的生理病理那般简单具象、不易理解，在治疗上也缺少一定的规范化，这一直是中医被世界认识及运用的重点和难点。未来研究需要进一步探索中医的辨证论治，进一步完善和精化辨证思维，以促进理法方药的准确选择。本文将基于“双心理论”着重论述高血压伴焦虑的中医辨证思路和治疗原则。

Abstract: In recent years, the phenomenon of comorbidity of hypertension with anxiety disorder, a psychocardiacology disease, has gradually increased worldwide, attracting widespread attention from medical researchers and clinicians. Traditional Chinese medicine, as a traditional and comprehensive medical discipline, is gradually showing its unique advantages in the treatment of hypertension with anxiety. However, the diagnostic and treatment system of traditional Chinese medicine is not as simple and explicit as the physiological and pathological aspects of Western medicine, and it is not easy to understand. In treatment, it lacks certain standardization, which has always been the focus and difficulty of traditional Chinese medicine being recognized and used worldwide. Future research needs to further explore the treatment based on the differentiation of symptoms and syndromes in traditional Chinese medicine, and to further refine the thinking of syndrome differentiation to promote the accurate selection of principles, methods, formulas, and drugs. This paper will focus on the theory of “psychocardiacology” to discuss the TCM differentiation of symptoms and treatment principles for hypertension with anxiety.