Palpitations in Treatise on Cold Damage Diseases and Its Clinical Implications
In Treatise on Cold Damage Diseases,Zhang Zhongjing provides a comprehensive and systematic discussion about the etiolo-gy,pathogenesis,differentiation,and treatment of palpitations.For yang deficiency with exterior syndrome,where the heart is unstable,the treatment focuses on warming yang and relieving the exterior using modified Ephedra and Aconite and Asarum Decoction,or Ephedra and Aconite and Licorice Decoction.For qi and blood deficiency,where the heart lacks nourishment,the treatment focuses on strengthe-ning the middle energizer,tonifying deficiency,replenishing qi and blood using Minor Center-Fortifying Decoction.For heart yang defi-ciency,where the heart is not nourished,the treatment focuses on warming and activating heart yang using Cinnamon Twig and Licorice Decoction.For yin and yang deficiency,with obstructed heart vessels,the treatment focuses on tonifying qi,activating yang,nourishing yin,and replenishing blood to restore pulse and calm palpitations,using Honey-Fried Licorice Decoction.For kidney yang deficiency with water qi attacking the heart,the treatment focuses on warming yang,promoting urination,and stopping palpitations using True War-rior Decoction.For kidney yin deficiency with hyperactive heart fire,the treatment focuses on nourishing yin,clearing fire,and harmoni-zing the heart and kidney using Coptis and Donkey-Hide Gelatin Decoction.For liver qi stagnation with constrained yang,leading to a lack of warmth for the heart,the treatment focuses on Frigid Extremities Powder plus Cinnamon Twig.For spleen yang deficiency with water invading the heart,the treatment focuses on Center-Regulating Pill plus Poria.For gallbladder qi deficiency and fearfulness,lead-ing to a lack of nourishment for the heart,the treatment focuses on Modified Minor Bupleurum Decoction plus Os Draconis and Concha Ostreae.For dysfunction of the triple energizer with internal water retention,the treatment focuses on Minor Bupleurum Decoction remo-ving Radix Scutellariae plus Poria.For stomach and intestinal dysfunction affecting the heart,the treatment adopts Poria and Licorice Decoction.For excess heat in the bowels disturbing the heart,the treatment focuses on clearing the bowels,purging heat,and harmoni-zing the stomach,using Stomach-Regulating and Purgative Decoction or Minor Purgative Decoction according to the condition.Palpita-tions can arise from dysfunction in any of the five zang and six fu organs,not just the heart.Differentiation should consider cold-heat,de-ficiency-excess,and treatment should balance addressing the root cause,manifestation,chronic or emergent state.Medications not only calm palpitations but also aim to treat the underlying pathology by accurately diagnosing the causes.
palpitationsTreatise on Cold Damage DiseasesZhang Zhongjing
万方数据
维普
