通讯作者: 马重阳, machongyang@live.com

DOI：10.12201/bmr.202512.00035

Study on the Theory and Application of “Heart-Gallbladder Interconnection”

• 摘要：“心胆相通”理论源于“脏腑别通论”,揭示了心胆在生理病理上的密切联系。生理上,心主神明与胆主决断共司神志,君相二火协同作用,经脉通过目系及心包络相连；病理表现为双向传变,心病可影响胆腑,胆病易扰心神,临床常见心悸、胁痛等症状。现代研究证实其科学基础：存在“胆心反射”通路,胆囊疾病与心血管疾病具有高共病率,并明确了胆心综合征的因果关系。临床应用证实该理论的指导价值：温胆汤治疗抑郁症、冠心病及精神分裂症；瓜蒌薤白半夏汤治疗慢性胆囊炎等。这一理论不仅完善了中医藏象学说,其整体观更为现代医学提供了新视角,具有重要的理论和临床价值。

  关键词： 心; 胆 脏腑别通; 心胆相通 胆心综合征; ; 

   

  Abstract: The theory of Heart-Gallbladder Interconnection originates from the Theory of Visceral Interconnection, revealing the close relationship between the heart and gallbladder in both physiology and pathology. Physiologically, the heart governing mental activities and the gallbladder controlling decision-making jointly regulate consciousness, with the monarch fire (heart) and ministerial fire (gallbladder) working synergistically, connected through the ocular system and pericardium meridians. Pathologically, bidirectional transmission occurs: heart disease may affect the gallbladder, while gallbladder disorders often disturb heart function, clinically manifesting as palpitations and hypochondriac pain. Modern research has confirmed its scientific basis, including the gallbladder-heart reflex pathway, high comorbidity between gallbladder and cardiovascular diseases, and established causal relationships in gallbladder-heart syndrome. Clinical applications demonstrate the theorys value: Wendan Decoction treats depression, coronary heart disease, and schizophrenia; Gualou Xiebai Banxia Decoction effectively manages chronic cholecystitis. This theory not only enriches TCM visceral manifestation theory but also provides new perspectives for modern medicine with its holistic approach, holding significant theoretical and clinical value.

  Key words: heart; gallbladder; visceral interconnection; heart-gallbladder interconnection; gallbladder-heart syndrome

  提交时间：2025-12-12

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-10-21	10.12201/bmr.202512.00035V1	下载

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