中西医结合慢性病杂志

“五脏六腑，心为之主。”王辉武教授深研《黄帝内经》经典理论，结合数十年临床实践经验，创新发展出“心神-使道”学术思想，系统阐述了“心”在人体健康中的核心地位及其病理机制。该思想强调维持健康需“主明”且“使道通”两大条件。若因先天禀赋不足、后天调养失宜或邪气阻滞导致使道不通，由此引发的诸多疾病与证候均属“心病”范畴。王辉武教授将“心病”分为神识类、情志类及血脉类疾病，主张以“通”为治疗原则。神识类疾病以“治烦”为核心，分虚热、实热辨证施治；情志类疾病基于“久病皆郁”“郁乃心病”观点，强调“解郁唯通”；血脉类疾病则重预防，针对胸痹、眩晕、中风等病机分型进行干预。在临床治疗中应秉持中药与非药物疗法并重的理念，通过多途径畅通使道以促进康复。这一理论为心神疾病的诊疗构建了全新框架，在理论研究与临床实践中均展现出独特价值。

The heart is the master of the five internal organs and six viscera. Professor WANG Huiwu has conducted indepth research on the classic theory of the Yellow Emperor's Inner Canon, combined with decades of clinical practice experience, and innovatively developed the academic thought of "mind and spirit guiding the way", systematically expounding the core position and pathological mechanism of the "heart" in human health. This idea emphasizes that maintaining health requires two major conditions: "understanding" and "making the way clear". If the obstruction of the Dao is caused by insufficient innate endowment, improper postnatal care, or obstruction of evil qi, many diseases and syndromes resulting from it belong to the category of "heart disease". Professor WANG Huiwu divides "heart disease" into neurological, emotional, and bloodline diseases, advocating the principle of "communication" as the treatment principle: neurological diseases focus on "treating annoyance" and are treated based on the differentiation of deficiency heat and excess heat; emotional disorders are based on the viewpoint of "prolonged illness leads to depression" and "depression is a heart disease", emphasizing the importance of "resolving depression through communication"; For blood related diseases, prevention is emphasized, and interventions are carried out based on the pathological types of chest obstruction, dizziness, stroke, etc. In clinical treatment, the concept of equal emphasis on traditional Chinese medicine and non pharmacological therapies should be upheld, and multiple pathways should be used to promote rehabilitation by unblocking the meridians. This theory has established a new framework for the diagnosis and treatment of mental illnesses, and has demonstrated unique value in both theoretical research and clinical practice.