摘要
心律失常的病因病机多为虚实两端,虚为气血阴阳亏虚,实为痰火、水饮、血瘀等阻滞心脉.毛德西教授认为,心律失常的病机以气虚与血瘀为主,以气虚为本,血瘀为标,兼夹痰火、水饮等证.毛教授在补虚祛实治法下,尤其重视益气活血,自拟心悸八味方治之,该方具有益气养血、活血祛瘀、安神定悸的功效,临床随证加减运用,可取效甚佳.痰湿明显者,加茯苓、橘红、佛手以燥湿化痰;血瘀甚者,加苏木、红景天、茶树根以活血化瘀;心烦失眠者,加夜交藤、合欢皮、茯神以宁心安神.
Abstract
The etiology and pathogenesis of arrhythmia are mostly because of deficiency and excess.Deficiency refers to qi,blood,yin and yang deficiency,while excess refers to phlegm fire,fluid retention,and blood stasis,etc,which block the heart pulse.Professor Mao Dexi believes that the pathogenesis of arrhythmia is mainly qi deficiency and blood stasis,with qi deficiency as the root cause and blood stasis as the manifestation,combined with phlegm fire,fluid retention and other syndromes.Professor Mao adopts the method of tonifying deficiency and removing excess,especially pays attention to replenishing qi and activating blood,so he has developed Palpitation Eight-Ingredient Decoction.The formula has the effects of nourishing qi and blood,activating blood and removing stasis,calming the mind and relieving palpitations.It can be used with modifications according to clinical symptoms and has excellent therapeutic effects.For those with obvious phlegm dampness,Fuling(Poria),Juhong(Exocarpium Citri Rubrum),and Foshou(Fructus Citri Sarcodactylis)can be added to dry dampness and resolve phlegm.For those with severe blood stasis,Sumu(Caesalpinia sappan Linn),Hongjingtian(Herba Rhodiolae),and Chashugen(Camellia sinensis)can be added to activate blood and remove blood stasis;For those who suffer from rest-lessness and insomnia,Yejiaoteng(Caulis Polygoni Multiflori),Hehuanpi(Cortex Albiziae)and Fushen(Sclerotium Poriae Pararadi-cis)can be added to calm the heart and mind.
基金项目
国家中医药管理局全国名中医传承工作室建设项目(国中医药办人教函[2018]119号)
河南省中医药科学研究专项课题项目(2019ZY2061)
维普
万方数据