Treatment of Coronary Heart Disease with Depression Based on the Theory of"the Pathways of Spirit"
10.16466/j.issn1005-5509.2025.03.002
- VernacularTitle:基于"使道"学说探讨冠心病伴抑郁的防治
- Author:
Yahui LOU
1
;
Yuanyuan QIAN
1
;
Yanjie WANG
1
Author Information
1. 浙江省中医"瘀毒"证重点实验室 杭州 310053;中医"治未病"智慧健康浙江省工程研究中心;浙江中医药大学基础医学院
- Publication Type:Journal Article
- Keywords:
coronary heart disease;
depression;
treatment before illness occurs;
the pathways of spirit;
insufficient control of spirit;
obstructed the pathways of spirit;
impaired heart-spirit functioning;
medicine combined with acupuncture
- From:
Journal of Zhejiang Chinese Medical University
2025;49(3):272-278
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the etiology,pathogenesis,syndrome and treatment of coronary heart disease with depression based on the theory of"the pathways of spirit".[Methods]Starting from the theory of"the pathways of spirit",the relationships among insufficient control of spirit,obstructed the pathways of spirit and impaired heart-spirit functioning in coronary heart disease with depression were analyzed,and the treatment principles at different stages were summarized.[Results]The evolution of coronary heart disease with depression is based on the deficiency of Qi and blood and the insufficient control of spirit.At this stage,Guipi Decoction,Guizhi Longgu Muli Decoction and Jiji Decoction should be used to supplement Qi and blood.The root cause of coronary heart disease with depression is the combination of blood stasis and toxin,which leads to the obstruction of the pathways of spirit.At this stage,Xuefu Zhuyu Decoction or Simiao Yong'an Decoction should be used to dissipate blood stasis and detoxing,combined with large dosage of Astragalus membranaceus to strengthen the healthy Qi without retaining pathogens.The important reason for the deterioration of coronary heart disease with depression is stagnation of Qi which causes impaired heart-spirit functioning.At the obvious stage of Qi stagnation,modified prescriptions such as Bupleurum based formulas and Yueju Pill should be flexibly applied to promote Qi circulation and relieve depression,combined with acupuncture in order to prevent the deterioration of the disease.[Conclusion]"The pathways of spirit"is the way of heart spirit interaction,and communication and coordination between the heart and other organs.Insufficient control of spirit,obstructed pathways of spirit,and impaired heart-spirit functioning are important pathogenesis for the occurrence and development of coronary heart disease with depression.Based on the theory of"the pathways of spirit",it helps to understand the disease evolution process of coronary heart disease with depression,improve the staged diagnosis and treatment rules and specific prescriptions for coronary heart disease with depression.
