| 引用本文: |
林立华, 冯雨静, 尹胜, 谭诗敏, 彭思敏, 宋志广, 刘旺华.基于“心脑同治”理论探讨心力衰竭相关认知障碍及中医药干预研究[J].湖南中医药大学学报,2026,46(9):1791-1799[点击复制] |
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| 基于“心脑同治”理论探讨心力衰竭相关认知障碍及中医药干预研究 |
| 林立华,冯雨静,尹胜,谭诗敏,彭思敏,宋志广,刘旺华 |
| (湖南中医药大学中医诊断学湖南省重点实验室, 湖南 长沙 410208;湖南中医药大学药食同源功能性食品工程技术研究中心, 湖南 长沙 410208;湖南中医药大学中医心肺病证辨证与药膳食疗重点研究室, 湖南 长沙 410208;湖南中医药大学校友联络服务中心, 湖南 长沙 410208) |
| 摘要: |
| 本文旨在基于中医学“心脑同治”理论，探讨心力衰竭相关认知障碍的中医病因病机及中医药在其防治中的作用。中医学认为，心力衰竭的基本病机为本虚标实，以心气亏虚为本，血瘀、水饮、痰浊为标，病邪循经脉上扰脑络，致心脑功能相互影响，形成恶性循环。中医药运用益气温阳、活血化瘀、化痰通络等治法，从整体层面调节心脑功能，在改善心功能的同时发挥认知保护作用。本研究以“心脑同治”理论为切入点，探讨心力衰竭相关认知障碍的干预思路，为该病的综合防治提供理论依据，并丰富中医药在心脑共病领域的应用。 |
| 关键词: 心力衰竭|心力衰竭相关认知障碍|心脑同治|本虚标实|认知功能 |
| DOI：10.3969/j.issn.1674-070X.2026.09.006 |
| 投稿时间：2026-06-25 |
| 基金项目:国家自然科学基金项目(82574912);湖南省自然科学基金项目(2023JJ30451,2025JJ50719);湖南省卫生健康委员会科研课题(20256419);湖南中医药大学本科生科研创新基金项目(2025BKS082)。 |
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| Heart failure-associated cognitive impairment and TCM intervention based on the “heart-brain co-treatment” theory |
| LIN Lihua, FENG Yujing, YIN Sheng, TAN Shimin, PENG Simin, SONG Zhiguang, LIU Wanghua |
| (Hunan Key Laboratory of Traditional Chinese Medicine Diagnostics, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan Engineering Technology Research Center for Medicine & Food Homology of Functional Food, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Key Laboratory of Traditional Chinese Medicine Heart and Lung Syndrome Differentiation, Medicated Diet & Dietotherapy, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Alumni Liaison Service Centre, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Based on the TCM theory of "heart-brain co-treatment," this study explores the etiology and pathogenesis of heart failure-associated cognitive impairment (HF-CI) from a TCM perspective, as well as the role of TCM in the prevention and treatment of HF-CI. TCM holds that the basic pathogenesis of heart failure is deficiency in the root and excess in the manifestation, with heart qi deficiency as the root, and internally generated blood stasis, water retention, and turbid phlegm as the manifestations. These pathogenic factors may ascend along the meridians to disturb the brain collaterals, leading to mutual influence between heart and brain functions and forming a vicious cycle. TCM adopts treatment methods such as supplementing qi and warming yang, circulating blood and transforming stasis, and transforming phlegm and unblocking collaterals, thereby regulating heart and brain functions at a holistic level and exerting a cognitive protective effect while improving cardiac function. Taking the "heart-brain co-treatment" theory as its starting point, this study explores intervention approaches for HF-CI, providing a theoretical basis for the comprehensive prevention and treatment of the disease and enriching the application of TCM in the field of heart-brain comorbidity. |
| Key words: heart failure|heart failure-associated cognitive impairment|heart-brain co-treatment|deficiency in the root and excess in the manifestation|cognitive function |
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