摘要
心悸为临床常见的证候,主要病位在心,与肾、肝胆、脾胃等脏腑相关。本文系统总结《伤寒杂病论》对心悸的论述,指出心脏本身病变及各脏腑病变累及心脏导致心悸的不同临床特征及病因病机,总结出不同脏腑病变和不同病理产物所致心悸的用药特征,并提出“胃心病”“胆心病”“肝心病”“肾心病”的概念,提醒临床医师治疗心悸时其不仅应考虑心的问题,还应考虑是否由于其他脏腑的问题累及心脏所致。由此可见,《伤寒杂病论》对心悸的论述较为全面,对临床具有较大的指导意义,值得进一步研究。
Palpitation is a common clinical syndrome,mainly located in the heart and related to the kidney,liver,gallbladder,spleen,stomach and other viscera.This paper systematically summarizes the discussion on palpitation in Shanghan Zabing Lun,and points out the different clinical features,etiology and pathogenesis of palpitation caused by the disease of the heart itself and the disease of each viscera involving the heart,summarizes the medication characteristics of palpitation caused by different viscera diseases and different pathological products,and puts forward the concepts of“stomach heart disease”,“gallbladder heart disease”,“liver heart disease”and“kidney heart disease”to remind clinicians that when treating palpitations,they should not only consider the heart problem,but also consider whether the heart is caused by other viscera problems.It can be seen that the discussion on palpitation in Shanghan Zabing Lun is more comprehensive,which is of great guiding significance to clinical practice and is worthy of further study.
作者
薛丕良
李丽琦
杜虹韦
刘凯
XUE Piliang;LI Liqi;DU Hongwei;LIU Kai(Department of Nephrology,Heilongjiang Academy of Traditional Chinese Medicine,Heilongjiang Province,Harbin 150036,China;Department of Internal Medicine,Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150001,China)
出处
《中国医药导报》
CAS
2021年第15期175-179,共5页
China Medical Herald
基金
黑龙江省自然科学基金项目(LH2020H104)。
关键词
心悸
伤寒杂病论
辨证论治
病因病机
Palpitation
Shanghan Zabing Lun
Treatment based on syndrome differentiation
Etiology and pathogenesis
