Cognitive dysfunction due to chronic heart failure from the perspective of heart-kidney coordination

ZHAO Yue; ZHANG Hongjia; ZHAO Li; DOU Jinfang; GAO Yuqian; PENG Jiaran; HEI Murong; WANG Zhimiao; ZHU Haiyan

doi:10.3969/j.issn.2095-6606.2023.05.013

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Cognitive dysfunction due to chronic heart failure from the perspective of heart-kidney coordination

Theoretical Exploration | 更新时间：2023-10-12

- Cognitive dysfunction due to chronic heart failure from the perspective of heart-kidney coordination
- Modern Chinese Clinical Medicine Vol. 30, Issue 5, Pages: 69-71(2023)
- 作者机构：
  
  1.北京中医药大学东直门医院，北京　100700
  2.北京中医药大学心血管病研究所
  3.北京中医药大学中医学院
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.05.013
  CLC： R259
- Published：30 September 2023，
  
  Received：12 October 2022，
- 稿件说明：
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ZHAO Yue, ZHANG Hongjia, ZHAO Li, et al. Cognitive dysfunction due to chronic heart failure from the perspective of heart-kidney coordination. [J]. Modern Chinese Clinical Medicine 30(5):69-71(2023)
DOI：

ZHAO Yue, ZHANG Hongjia, ZHAO Li, et al. Cognitive dysfunction due to chronic heart failure from the perspective of heart-kidney coordination. [J]. Modern Chinese Clinical Medicine 30(5):69-71(2023) DOI： 10.3969/j.issn.2095-6606.2023.05.013.

摘要

慢性心力衰竭是以心为主，多脏腑功能失调的一种本虚标实的疾病。慢性心衰患者常常出现认知功能障碍的现象，其原因尚不明确。而中医藏象学说中的“心肾相交”理论为阐释慢性心衰导致认知功能障碍的发生提供了理论依据。“心神”与“肾志”是认知功能的主要组成部分，当心肾相交之时，神气清明，志意常治。若心气不足，肾失气化，心火不能下温肾水，肾水不能上济心火，导致心肾不交，就会出现健忘、迟钝等神志的异常。从而出现认知功能障碍。本文旨在通过“心肾相交”理论探讨慢性心衰患者出现认知功能障碍的可能病机，为慢性心衰导致的认知功能障碍的论治提供思路与方法。

Abstract

Chronic heart failure is a disease in which the heart is the main focus and multiple internal organs are dysfunctional. Patients with chronic heart failure often suffer from cognitive dysfunction

the cause of which is still unclear. The theory of coordination between heart and kidney in traditional Chinese medicine provides a theoretical basis for explaining the occurrence of cognitive dysfunction caused by chronic heart failure. The heart spirit and kidney spirit are the main components of cognitive function. When the heart and kidney work in coordination

the spirit is clear and the will is calm. Deficiency of heart qi and disfunction of kidney for activating qi may lead to the inability of the heart fire to warm the kidney water

and that of the kidney water to aid the heart fire

resulting in the incoordination between the two organs

then forgetfulness

slowness

and other abnormalities of the mind will occur

thus causing cognitive dysfunction. The purpose of this paper is to explore the possible pathomechanisms of cognitive dysfunction in patients with chronic heart failure through the theory of coordination between heart and kidney and to provide ideas and method for the treatment of cognitive dysfunction caused by chronic heart failure.

关键词

心肾相交慢性心力衰竭认知功能障碍

Keywords

heart-kidney coordinationchronic heart failurecognitive impairment

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