1, “two-hearted medicine” model proposed Since the 1980s, the medical model has changed from pure biomedical model to diversified biopsychosocial medical model, infectious diseases, parasitic diseases, nutritional deficiency diseases are no longer the main life-threatening diseases, they are no longer important in the “disease spectrum” and “cause of death spectrum”. In contrast, the number of diseases related to psychological and social factors has increased significantly, and the top three causes of death, such as cardiovascular diseases, malignant tumors and cerebrovascular diseases, all include psychological stress, smoking and environmental pollution. Psychological and social factors are included. People have started to study diseases from the perspective of mind-body medicine, and in response to the changes in the disease spectrum, it is necessary to transform the purely technical treatment into a standardized treatment and care model that combines technical, behavioral and psychological treatment. The traditional biomedical model does not pay attention to the psychological problems that coexist with physical diseases, and many patients with psychological disorders are hidden in general outpatient clinics, and are seen in general outpatient clinics with “heart disease”, “gastrointestinal disease” or other symptoms. In addition, these patients do not know that they are suffering from psychological disorders and will not go to psychological clinics, so the psychological clinics set up in many hospitals cannot actually solve the psychological problems of these patients. With the development of the economy and the increase of social pressure, cardiovascular disease and related psychological problems have become one of the most serious health problems in China, and more and more patients with cardiovascular disease have psychological problems in combination, and these two diseases are mutually causal and affect each other, leading to the deterioration of the disease. Because the two disciplines are involved, the clinical manifestations are atypical and easily misdiagnosed and mistreated: some cardiovascular patients, despite the great effort and financial resources spent on stenting and surgery, have difficulty in returning to normal work and life due to the combination of psychological problems, especially anxiety and depression, making it difficult to achieve true recovery; a number of patients go to cardiology for chest tightness and chest pain or palpitations and shortness of breath, and the patients themselves, even the The actual situation is that there is no organic heart disease, but rather physical symptoms caused by anxiety and depression, and due to the lack of recognition of psychological problems, excessive use of CT or coronary angiography, which wastes health resources and aggravates the disease; therefore, in 2006, China’s famous cardiovascular disease experts, health educator Professor Hu Dayi first Therefore, in 2006, Professor Hu Dayi, a famous cardiovascular disease expert and health educator in China, proposed “two-hearted medicine” (Psycho-Cardiology) for the first time and pointed out that the two-hearted medical model is necessary for hospital operation. Psycho-Cardiology is a new discipline formed by the intersection of cardiovascular medicine and psychological medicine. While emphasizing the treatment of physical cardiovascular diseases, it also pays attention to patients’ mental and psychological problems, respects patients’ subjective feelings, and advocates comprehensive mind-body health in the true sense – that is, the overall harmony of mind-body health. “Double heart medicine” follows the social-psychological-biomedical model, emphasizing comprehensive treatment, multi-level and multi-angle therapeutic interventions for patients, and emphasizing the harmonious unity of a healthy body and a healthy mental and psychological state. 2.Setting up double-hearted medicine service in general hospitals In order to make double-hearted medicine really apply to clinical service for patients, Professor Hu Dayi proposed to build “double-hearted consultation”: psychologists will be invited to the cardiology department for consultation, and at the same time, cardiologists will be trained in psychology and obtain relevant certificates before seeing patients. It is an important practice of “double heart medical model”, which is a window department to facilitate the consultation of heart patients with psychological disorders; at the same time, the opening of “double heart clinic” can help medical workers to establish the awareness of paying attention to the mental and psychological health of patients, so as to better serve patients. At the same time, the “Double Heart Clinic” can help medical workers to build up the awareness of paying attention to patients’ mental and psychological health, so as to better serve patients. The “Double Heart Clinic” is composed of medical staff with different levels of expertise. Doctors must pay attention to the psychosocial health of patients in addition to treating their organic pathology. Therefore, the doctor in the “Double Heart Clinic” is a senior cardiovascular physician or general practitioner who has been trained in psychosocial disorders, and who has the experience to treat patients with cardiovascular disease and determine whether they have psychosocial disorders at the same time. It should not be overlooked that the cardiovascular departments of major hospitals have a very high volume of outpatients every day, resulting in a very limited amount of time for doctors to spend on each patient. Therefore, a “double heart clinic” can divert the daily cardiology outpatient volume and provide ample time for patients with psychiatric disorders to resolve their problems. (1) Patients with psychosomatic disorders and cardiovascular disease co-morbidities That is, patients with diagnosed cardiovascular disease who, after cardiology examination and treatment, still have obvious cardiovascular symptoms such as chest tightness, chest pain, panic, shortness of breath, and psychosomatic symptoms such as emotional disturbance, worry, anxiety, depression, insomnia, etc. (2) Patients with psychosomatic disorders, with cardiovascular symptoms as the main manifestation, need to be differentially diagnosed with cardiovascular diseases Such as patients with panic disorder, with recurrent severe cardiovascular symptoms, but after electrocardiogram, cardiac exercise test, or cardiac catheterization, no obvious cardiac organic lesions are found; (3) Patients with cardiovascular diseases undergoing rehabilitation, or patients with cardiovascular diseases in the perioperative period, all need to (3) Patients with cardiovascular disease undergoing rehabilitation, or patients with cardiovascular disease in the perioperative period, need to cooperate with psychological consultation and psychotherapy. In 2006, Professor Hu Dayi first tried to explore the double heart treatment model in Beijing, followed by Professor Yang Juxian in Shanghai and many hospitals in China also carried out the double heart outpatient special treatment model, which achieved significant social benefits; since 2007, the double heart forum has been carried out at the annual South China International Cardiovascular Academic Conference, and in 2008, the Guangdong Provincial People’s Hospital opened the double heart Since 2008, Guangdong People’s Hospital has opened a double heart clinic, and has received more than two thousand patients from the double heart consultation and outpatient clinic so far. During the four years from 2010 to 2014, the Guangdong Medical Association Behavioral Medicine Branch and Guangdong Provincial People’s Hospital and Duke University jointly organized several “Training Courses on the Treatment Techniques of Common Non-psychiatric Mental Disorders in General Hospitals”, which helped many medical and nursing staff to change their inherent service concepts in daily medical practice, and enabled them to We have helped many medical and nursing staffs to change their service philosophy in daily medical practice, so that they can understand and master the knowledge of recognizing and dealing with common mild to moderate psychiatric disorders, and build a humanistic and rational medical model that values the overall health of mind and body and provides comprehensive services for mind and body. 3.The future outlook of double-hearted medicine The real success of double-hearted medicine lies in the formation of a medical model of daily operation, rather than just putting up a sign saying that this time or this clinic is a double-hearted medicine clinic. If each physician, in his or her daily visits, takes into account the physical and mental health of the patient and arranges for return visits and joint consultations through the hospital when necessary, then each physician is providing a two-hearted medical service. The development of double heart clinic should not only be the characteristic of a certain hospital or a few hospitals, but a necessity for each hospital to operate. At present, the “double heart clinic” in China is jointly run by cardiologists and psychologists, and cardiologists must undergo systematic psychological training on a regular basis. The development of dual-hearted medicine can break through the mindset formed under the traditional model and improve the quality of medical education and research, so as to drive the growth of more qualified physicians in the future.