摘要
室性早搏属中医"心悸"范畴,其发病特点与中医"风证"有相似之处。"风为百病之长",外风、内风均可导致室性早搏的发生。外风可由表及里或直中于心而发病,多伴有表证,治疗上应注重风药的使用;内风多由热极生风、痰热生风、肝风内动、血虚生风、阴虚动风等扰动心神而发病,在清热、化痰、平肝、养血、滋阴的基础上,亦当注重祛风熄风。"邪之所凑,其气必虚。"无论外风、内风致悸,皆应重视补益心气、养心安神,使心神得养,则邪不可干而风自止。
Premature ventricular contraction(PVC)belongs to the category of"palpitations"in Chinese medicine,and their onset characteristics are similar to those of Chinese medicine"wind syndrome"."Wind is the chief of all diseases",external wind and internal wind can lead to the occurrence of PVC.External wind can be from the outside to the inside or straight in the heart and attack,often accompanied by surface syndrome,treatment should pay attention to the use of wind medicine;internal wind is often caused by the disturbance of mind,such as heat generating wind,phlegm-heat generating wind,liver wind stirring up internally,blood-deficiency generating wind,stirring wind due to yin deficiency and so on.On the basis of clearing heat,resolving phlegm,calming liver,nourishing blood and nourishing yin,we should also pay attention to dispelling wind and extinguishing wind."The invasion of pathogenic factors must result from the asthenia of healthy qi."Regardless of the palpitations caused by external or internal winds,attention should be paid to replenishing the mind,nourishing the mind and calming the mind,so that the mind can be nourished,so pathogenic factors can not invade the body,and the wind will stop.
作者
贾君迪
李玉峰
肖珉
姜旭
修晟尧
王洁
JIA Jundi;LI Yufeng;XIAO Min;JIANG Xu;XIU Chengyao;WANG Jie(Dongzhimen Hospital,Beijng University of Chinese Medicine,Beijing China 100700)
出处
《中医学报》
CAS
2021年第1期34-37,共4页
Acta Chinese Medicine
基金
国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目{国中医药人教发[2017]24号}。
关键词
风邪
室性早搏
外风
内风
祛风熄风
补益心气
养心安神
wind pathogen
premature ventricular contraction(PVC)
external wind
internal wind
dispel wind and extinguish wind
tonify heart qi
nourishing heart and tranquilizing mind
