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王行宽从"相火周流"论治心悸经验

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通过对相火的释意，阐明"相火周流"途径与"相火致悸"规律，总结王行宽教授从"相火周流"论治心悸经验。外感风湿热邪，饮食、情志失调是引发"相火致悸"的始动因素。脾湿胃逆，相火扰神，动击失序是主要病机，同时兼有气阴易伤、痰瘀易生、神明易乱的病理特点。据此，王行宽教授提出，健脾降胃、清泻相火、安神定悸为主要治法，同时注重补养气阴、祛痰化瘀、调神益智，方以宁心定悸汤化裁治疗。
Professor WANG Xingkuan's Experience in Treating Cardiopalmus Based on"Ministerial Fire Circulation"
Through the interpretation of ministerial fire,this paper expounds the way of"ministerial fire circulation"and the law of"ministerial fire causing cardiopalmus",and summarizes Professor WANG Xingkuan's experience in treating cardiopalmus based on"ministerial fire circulation".Exogenous wind and dampness heat,diet and emotional disorder are the initial factors leading to"cardiopalmus caused by ministerial fire".The main pathogenesis are spleen dampness and adverse rising of the stomach-qi,ministerial fire disturbing the mind,and disordered rhythm.At the same time,it has the pathological characteristics of easy injury of qi and yin,easy generation of phlegm and blood stasis and easy disorder of mind.Based on the mechanism,Professor WANG Xingkuan puts forward that streng-thening the spleen and decending the stomach-qi,purging ministerial fire,calming the mind and relieving the palpitation are the main treatment methods,meanwhile,attention is paid to nourishing qi and yin,eliminating phlegm and removing blood stasis,regulating spirit and benefiting intelligence.The prescription of modified Ningxin Dingji Decoction(宁心定悸汤)is given for treatment.

cardiopalmusministerial fire circulationministerial fire causing cardiopalmusstrengthening the spleen and decending the stomach-qipurging ministerial firecalming the mind and relieving the palpitationNingxin Dingji DecoctionWANG Xingkuan

陶俊宏、张稳、范建民、王行宽

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湖南中医药大学,湖南长沙 410208

湖南中医药大学第一附属医院,湖南长沙 410021

心悸 相火周流 相火致悸 健脾降胃 清泻相火 安神定悸 宁心定悸汤 王行宽

国家中医药局王行宽全国名中医传承工作室建设项目湖南省中医药局一般项目

国中医药办人教函[2018]119号2021076

2024

10.16295/j.cnki.0257-358x.2024.05.016

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子：0.431
ISSN：0257-358X
年,卷(期)：2024.43(5)
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