基于“心藏神”理论探讨慢性心力衰竭伴睡眠障碍的临床诊疗思路

KHROMULYAKMaria; 任春贞; 陈其林; 吕欣芳; 蒋虎刚; 吴雪; 高翔; 王春玲; 李应东

doi:10.3969/j.issn.1006-2157.2023.07.004

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基于“心藏神”理论探讨慢性心力衰竭伴睡眠障碍的临床诊疗思路

“中医药防治心血管疾病”专题 | 更新时间：2023-08-07

- 基于“心藏神”理论探讨慢性心力衰竭伴睡眠障碍的临床诊疗思路
- Exploring the diagnosis and treatment of chronic heart failure with sleep disorder based on the theory of "heart storing the spirit"
- 北京中医药大学学报 2023年46卷第7期页码：908-912
- 作者机构：
  
  1.甘肃中医药大学中西医结合学院　兰州　730099
  2.甘肃省中医药防治慢性疾病重点实验室
  3.甘肃中医药大学附属医院
- 作者简介：
  
  KHROMULYAK Maria，女，在读博士生
  # 李应东，男，博士，教授，博士生导师，主要研究方向：中西医结合防治心血管疾病，E-mail: lydj412@163.com
- 基金信息：
  
  甘肃省科技重大专项(20ZD7FA002);甘肃教育揭榜挂帅项目(2021jyjbgs-03);甘肃省中医药防治重大疾病专项(GZKZD-2018-02)
- DOI：10.3969/j.issn.1006-2157.2023.07.004
  中图分类号： R259.541
- 收稿：2022-12-31，
  
  网络首发：2023-05-12，
  
  纸质出版：2023-07-30
- 稿件说明：
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KHROMULYAKMaria, 任春贞, 陈其林, 等. 基于“心藏神”理论探讨慢性心力衰竭伴睡眠障碍的临床诊疗思路[J]. 北京中医药大学学报, 2023,46(7):908-912.

KHROMULYAK Maria, REN Chunzhen, CHEN Qilin, et al. Exploring the diagnosis and treatment of chronic heart failure with sleep disorder based on the theory of "heart storing the spirit"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(7): 908-912.
KHROMULYAKMaria, 任春贞, 陈其林, 等. 基于“心藏神”理论探讨慢性心力衰竭伴睡眠障碍的临床诊疗思路[J]. 北京中医药大学学报, 2023,46(7):908-912. DOI： 10.3969/j.issn.1006-2157.2023.07.004.

KHROMULYAK Maria, REN Chunzhen, CHEN Qilin, et al. Exploring the diagnosis and treatment of chronic heart failure with sleep disorder based on the theory of "heart storing the spirit"[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(7): 908-912. DOI： 10.3969/j.issn.1006-2157.2023.07.004.

摘要

随着医学技术的进步与人类社会的发展，慢性心力衰竭的发病率不断增高，已成为严重威胁人类健康的疾病之一。许多慢性心力衰竭患者常伴有睡眠障碍，长期睡眠障碍又使得慢性心力衰竭病情加重。中医学治疗慢性心力衰竭伴睡眠障碍有独特的优势。慢性心力衰竭伴睡眠障碍是常见的“双心疾病”，通过阐释中医学“心藏神”理论、结合西医学对慢性心力衰竭伴睡眠障碍的认识，探讨“心藏神”与慢性心力衰竭伴睡眠障碍的关系，认为心不藏神是慢性心力衰竭伴睡眠障碍的关键因素。本文以中医学理论为指导，双心同治，以养心安神、活血化瘀、疏肝解郁为主要治疗原则，分析、总结中医药治疗慢性心力衰竭伴睡眠障碍的疗效及优势，为临床辨证论治慢性心力衰竭伴睡眠障碍提供参考。

Abstract

With the advancement of medical technology and the development of human society

the incidence of chronic heart failure is increasing and has become a serious threat to human health. Many patients with chronic heart failure often suffer from sleep disorder

which in turn worsens the condition of patients with chronic heart failure. Traditional Chinese medicine (TCM) has unique advantages in the treatment of chronic heart failure with sleep disorder. Chronic heart failure with sleep disorder is a common "psycho-cardiological disease". In this paper

we discuss the relationship between the theory of "heart storing the spirit" and chronic heart failure with sleep disorder by explaining the theory of "heart storing the spirit" in TCM and combining the understanding of chronic heart failure with sleep disorder in western medicine. Under the guidance of theories of TCM and the simultaneous treatment of psycho-cardiological disease

the main therapeutic principles are to nourish the heart and calm the mind

invigorate blood and dissolve stasis

and soothe the liver and resolve constraint. We analyze and summarize its efficacy and advantages

so as to provide a reference for the clinical diagnosis and treatment of chronic heart failure with sleep disorder.

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references

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