世界中医药

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。

English Summary:

Patients with cardiovascular disease always have psychological problems such as tension，anxiety，panic，sadness and depression et al，and psychological problems can increase the morbidity and mortality of cardiovascular events. We call it pshycardiological disease in modern medicine when psychological problems and cardiovascular disease coexist in an individual. Drugs for cardiovascular disease 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 observations，we found that the basic pathogeneses of pshycardiological disease are stagnation of liver qi，disorder of qi activity，as well as disharmony 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.

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