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罗玉环辨治顽固性心律失常临证经验 被引量:2

Luo Yuhuan's Clinical Experience in Treating Refractory Arrhythmias
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摘要 顽固性心律失常是心血管内科较常见疾病,轻者可以影响患者的正常工作生活,但大多都合并有器质性心脏病或全身性疾病,其严重者可持续进展,导致和加重心衰,甚至诱发猝死而危及生命。西医常规治疗,只能使部分患者的病情得到控制,大部分患者症状仍持续存在或反复发作。导师罗玉环浸淫医道30余年,临证中注重四诊合参,辨病、辨证结合,认为顽固性心律失常的病机以气虚、阳虚为本,饮邪上犯或夹痰瘀为标,治疗主张以大剂补气、温阳为主,兼化饮、祛痰、活血,灵活运用经方和时方,在临床上取得显著的疗效。 Intractable arrhythmia is a relatively common disease in cardiovascular medicine,the mild cases can affect the normal working life of the patients,but most of them are combined with organic heart disease or systemic diseases,and its serious cases can continue to progress,leading to and aggravating heart failure,and even inducing sudden death and endangering life.Conventional Western medical treatment can only bring the condition of some patients under control,and most of the patients still have persistent symptoms or recurrent attacks.Mentor Luo Yuhuan has been immersed in medicine for more than 30 years,focusing on the four diagnostic methods and combining disease identification with evidence identification.She believes that the pathogenesis of intractable arrhythmia is based on deficiency of qi and yang,and that drink and evil spirits or phlegm and blood stasis are the symptoms,so she advocates that treatment should be based on replenishment of qi and warming of yang,and at the same time resolving the drinks,dispelling phlegm,and invigorating the blood,and she flexibly utilizes the scripture formulae and the seasonal formulae,and has achieved remarkable therapeutic effects clinically.
作者 袁宏 罗玉环 Yuan Hong;Luo Yuhuan(Lu'an Hospital of Traditional Chinese Medicine of Anhui University of Traditional Chinese Medicine,Anhui Lu'an 237000,China)
出处 《中医药临床杂志》 2023年第10期1944-1947,共4页 Clinical Journal of Traditional Chinese Medicine
基金 第六批全国老中医药专家学术继承工作项目(国中医药人教发[2017]29号) 安徽省罗玉环名中医工作室(中医药发展秘[2018]11号) 安徽中医药大学附属六安市中医院临床科研项目(No.LAZD001)。
关键词 顽固性心律失常 心悸 名医经验 中医治疗 罗玉环 Intractable arrhythmia Palpitations Famous doctor's experience Chinese medicine treatment Luo Yuhuan
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