CAJ | 학술논문

心血管病患者多伴发紧张、焦虑、惊恐、悲伤和抑郁等精神心理问题，精神心理问题可增加心血管事件的发病率和病死率。二者共存于一个个体，现代医学称之为“双心疾病”。目前西医一般采用心血管病药物和抗焦虑、抗抑郁药联合治疗，但因药物之间存在相互作用，且患者依从性差，往往难以获得理想效果。作者长期临床观察发现，双心疾病的基本病机为肝气郁结、气机失调、气血失和，治疗当以疏肝解郁、调畅气机、调理气血为主。在此基础上，根据正虚邪实的轻重和兼夹病邪的不同属性，施以不同的扶正祛邪、调和气血方药，随证治之，常可收到较好疗效。
심혈관병환자다반발긴장、초필、량공、비상화억욱등정신심리문제，정신심리문제가증가심혈관사건적발병솔화병사솔。이자공존우일개개체，현대의학칭지위“쌍심질병”。목전서의일반채용심혈관병약물화항초필、항억욱약연합치료，단인약물지간존재상호작용，차환자의종성차，왕왕난이획득이상효과。작자장기림상관찰발현，쌍심질병적기본병궤위간기욱결、기궤실조、기혈실화，치료당이소간해욱、조창기궤、조리기혈위주。재차기출상，근거정허사실적경중화겸협병사적불동속성，시이불동적부정거사、조화기혈방약，수증치지，상가수도교호료효。
Patients with cardiovascular disease always have psychological problems such as tension ,anxiety,panic,sadness and depres-sion et al ,and psychological problems can increase the morbidity and mortality of cardiovascular events .We call it pshycardiological dis-ease in modern medicine when psychological problems and cardiovascular disease coexist in an individual .Drugs for cardiovascular dis-ease and anti-anxiety or anti-depression drugs are commonly used to treat pshycardiological disease .But due to the interactions between drugs ,and the poor compliance of patients ,it is difficult to have ideal effects for pshycardiological disease .After long-term clinical obser-vations ,we found that the basic pathogeneses of pshycardiological disease are stagnation of liver qi ,disorder of qi activity ,as well as dis-harmony of qi and blood .The treatment should be soothing liver-qi stagnation ,regulating qi activity ,regulating qi and blood .And then drugs that work to strengthen body resistance ,eliminate evil or regulate qi and blood should be used depending on the severity of vital qi deficiency and the different kinds of pathogenic factors to get a satisfactory therapeutic effect .