李瑞平　于国华　李俊芳　唐仕欢

[摘要] 中医学认为，气和血是人体生命活动的基本物质，“神”有广义和狭义之分，但以血为基础，也是气的气化作用的表现，需要先天之精与后天水谷精微及其所化生的气血津液的濡养。气血不和是疾病发生的基本病机，气与血在神志病的诊疗思维中具有核心地位。冠心病多属胸痹的范畴，但在其发生发展的过程中，心理精神因素与躯体因素在其发生和发展中相互影响，属于一种心身疾病。“双心医学”概念的提出，与中医的认识基本一致。气血失调，气虚血瘀，心神失养是冠心病的重要病机，而冠心静胶囊具有益气活血，安神定志，气血并治，心身同调的特点，对当今冠心病的防治具有重要意义和推广价值。

[关键词] 气； 血； 神； 冠心静胶囊

Discussion on relevant theories of "QiBloodShen" and

formula implication of GuanXinJing capsule

LI Ruiping1， YU Guohua2，4， LI Junfang3，4， TANG Shihuan4*

（1.Baoding Institute of Drug Control， Baoding 071000， China；

2.School of Chinese Materia Medica， Beijing University of Chinese Medicine，

Beijing 100102， China；

3. School of Chinese Materia Medica， Tianjin University of Traditional Chinese Medicine， Tianjin 300193， China；

4. Institute of Chinese Materia Medica， China Academy of Chinese Medical Sciences， Beijing 100700， China）

[Abstract] In the field of traditional Chinese medicine（TCM），the definition of "Shen" contains a broad concept and a narrow concept. Broad "Shen" is the dominator and administrator of human vital movement，while narrow "Shen" means spirit， consciousness， thinking and emotions of human. "Shen" originates from innate essence of parents， and survives on acquired essence of water and food as well as the nutrition of its metaplastic QiBloodBody fluid. QiBlood，the most precious asset of human body， is a quite important section of one person and the central material basis of "ShenZhi". Coronary heart disease（CHD） is classified as thoracic obstruction category in TCM. However， in the progress of CHD， the mental factors and physical factors interplay each other. Thus， CHD is defined as a kind of psychosomatic disorder. So， the concept of psychocardiology generally corresponds to the cognition of TCM. Disorder of Qi and Blood， Qi deficiency and Blood stasis and lack of spirit and "Shen" preservation， are the main causes of coronary heart disease（CHD）. GuanXinJing capsule possesses multiple therapeutical effects including supplementing qi and activating blood circulation， tranquilizing "Shen" and sedating "Zhi" and balancing psychosomatic status. It will be of vital importance and promotional value in the prophylaxis and treatment of CHD.

[Key words] Qi； Blood； Shen； GuanXinJing capsule

doi：10.4268/cjcmm20162231

中医学认为，气和血是人体生命活动的基本物质，依赖于人体脏腑功能而化生，同时也是脏腑功能活动的物质基础。“神”以血为基础，也是气的气化作用的表现。气血不和是疾病发生的基本病机，气与血在神志病的诊疗思维中具有核心地位。越来越多的研究表明，冠心病是一种心身疾病，其发生发展与行为特征和情绪应激有着密切的关系[1]。中医从“气血神”相关理论论治冠心病，可从根本上把握其基本病机，通过调和气血达到调整脏腑功能、形神同治的目的。冠心静胶囊组方严谨，具有益气活血、安神定志、化瘀止痛之功效，体现了冠心病的治疗原则，符合“双心同治”的治疗模式。……