论中医对心脏神经症心理因素的认识

发布时间：2018-01-23 13:22

本文关键词： 心脏神经症心主神明中医心理学情志理论　出处：《中国中医基础医学杂志》2017年08期 　论文类型：期刊论文

【摘要】：心脏神经症属于躯体神经障碍中躯体形式自主神经紊乱,主要表现为心血管循环系统异常,属于中医学的心悸、怔忡、郁证等范畴,病机可归为心阳不足、气血亏虚等虚证以及心火炽盛、心脉瘀阻等实证,主要病位在心。中医对"心"的功能从"主血脉"和"主神明"两个方面认识,可对应器质层面的心脏器官及心理层面的精神活动,前者为物质基础,后者为功能体现。对于心脏神经症,心的气血生化运行功能失调则会出现心失所养,有心悸、胸闷、胸痛等表现,继而其他脏腑功能紊乱,引发气短、失眠、出汗、乏力等。若因心阳不足而致的心脏神经症多表现为抑郁,而心火旺盛为主要病机时多表现为焦虑,这对指导心脏神经症这一表象为心脏之心发病、实为心理之心异常疾病的临床诊治有重要意义。
[Abstract]:Cardiac neurosis belongs to somatoform autonomic nervous disorder in somatic nerve disorders, mainly manifested as cardiovascular circulatory system abnormality, belongs to palpitation, palpitation, depression and other categories of traditional Chinese medicine, and the pathogenesis can be classified as deficiency of heart-yang. Deficiency syndrome such as deficiency of qi and blood, excessive heat of heart, stagnation of heart vein and so on, the main disease is in the heart. The function of "heart" in TCM is understood from two aspects: "main blood vessel" and "master god light". The former is the material basis, the latter is the function embodiment. For the heart neurosis, the disorder of the heart's Qi-blood biochemical function will lead to cardiac displacement and nourishment. There are palpitation, chest tightness, chest pain and other manifestations, and then other viscera dysfunction, causing shortness of breath, insomnia, sweating, fatigue and so on. The main pathogenesis of heart fire is anxiety, which is of great significance in guiding the clinical diagnosis and treatment of cardiac neurosis, which is the appearance of heart disease and the clinical diagnosis and treatment of psychological heart disease.
【作者单位】：长春中医药大学;北京市垂杨柳医院;北京市朝阳区中医医院;中国中医科学院广安门医院;
【基金】：国家自然科学基金青年基金项目(81403501)-抑郁症患者的中医人格特征及“喜”“忧”情志激活后脑电差异的研究北京市自然科学基金预探索项目(7163236)-“喜”“忧”激活“五态人”情志体验的脑电差异研究;北京市自然科学基金面上项目(7172249)-中医人格特征中“阴”“阳”属性的事件相关电位研究
【分类号】：R277.7
【正文快照】： 心脏神经症属于躯体神经障碍中躯体形式自主神经紊乱[1],主要表现在心血管循环系统异常,常见心悸、胸闷、胸痛、气短、焦虑、抑郁、失眠、出汗等症状[2],患者往往自觉心前区搏动不适,自认为是心绞痛,伴有呼吸困难、运动或情绪激动时加重,体检无明显器质性病变,但血压、心脏听

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