北京中医药大学学报2026，Vol.49Issue(3)：305-310,6.DOI:10.3969/j.issn.1006-2157.2026.03.002
畅络调神视角下黄连温胆汤加减治疗双心疾病思路探微
Exploring the theoretical insights of modified Huanglian Wendan Decoction in treating psycho-cardiological disease from the perspective of"Changluo Tiaoshen"
摘要
Abstract
Psycho-cardiological disease,also known as psychological heart disease,is a common comorbidity in clinical cardiology at present.The current treatment is challenged by complex symptoms,high recurrence rate,and obvious side effects of Western medical intervention.Traditional Chinese medicine(TCM)has unique advantages in"simultaneous treatment of the heart and mind".Under the guidance of the collateral disease theory and the theory of mental disorders,our team has summarized the principle of"Changluo Tiaoshen".We hold that the core pathogenesis of psycho-cardiological disease is phlegm-heat blocking collaterals and disturbing the heart-spirit.Huanglian Wendan Decoction is based on the methods of clearing heat and resolving phlegm,calming the mind and tranquilizing the spirit.Modified Huanglian Wendan Decoction is applied to different combinations of Psycho-cardiological Diseases,such as chest obstruction with depression syndrome,true heart pain with zangzao syndrome,palpitations with insomnia,heart failure with dian syndrome,and vertigo with depression syndrome.Remarkable therapeutic effects are achieved by adopting the syndrome differentiation and modification ideas of resolving phlegm,unblocking collaterals and relieving depression;clearing heat,unblocking collaterals and nourishing yin;eliminating phlegm,unblocking collaterals and calming the heart;purging turbidity,unblocking collaterals and removing phlegm;clearing phlegm,unblocking collaterals and regulating the liver respectively.This article elaborates on the syndrome differentiation characteristics of the application of modified Huanglian Wendan Decoction in treating psycho-cardiological diseases from the aspects of TCM theory construction,exploration of pathogenesis and treatment methods,and discussion of clinical ideas,aiming to provide references for the prevention and treatment of psycho-cardiological diseases with TCM.关键词
双心疾病/畅络调神/黄连温胆汤Key words
psycho-cardiological disease/Changluo Tiaoshen/Huanglian Wendan Decoction分类
医药卫生引用本文复制引用
宁博,李宏栩,梁俊烨,罗成,邹荣军,赵明君,范小平..畅络调神视角下黄连温胆汤加减治疗双心疾病思路探微[J].北京中医药大学学报,2026,49(3):305-310,6.基金项目
国家自然科学基金项目(No.82374240) （No.82374240）
广东省基础与应用基础研究基金项目(No.2024A1515013184) （No.2024A1515013184）
陕西省重点研发计划-重点产业创新链(群)项目(No.2024SF-ZDCYL-03-21) （群）
广东省中医院名中医药专家学术经验传承工作室建设项目(中医二院[2025]17 号) （中医二院[2025]17 号）
广东省中医院范小平科研启动经费项目(No.2021KT1709) National Natural Science Foundation of China(No.82374240) （No.2021KT1709）
