Experience of Professor LI Jie in treating second degree type Ⅱ atrioventricular block with Wenyang Quyu Tongmai decoction
Second degree type Ⅱ atrioventricular block is a kind of serious bradycardia,belongs to the category of"palpitation"in tra-ditional Chinese medicine.Its clinical manifestations are palpitation,dizziness,fatigue,amaurosis and even syncope,in severe cases,it can be life-threatening.The electrocardiogram of second degree type Ⅱ atrioventricular block shows that P waves appear regularly,PR intervals are constant,and part of QRS waves miss after P waves.In Western medicine,antiarrhythmic drugs and implantation of artificial heart pacemakers are used to treat second-degree type Ⅱ atrioventricular block.However,there are many adverse reaction and contraindications of anti-arrhythmic drugs,which cause great trouble to doctors and patients in clinical use.The discharge of the electrodes of the artificial heart pacemaker will directly cause myocardial damage,and there will be chronic inflammatory reaction of cardiac muscle cells for a long time.Both Western medicine treatment and interventional therapy have inevitable drawbacks,so the acceptance of patients in clinical practice is generally low.Pro-fessor LI Jie analyzes this disease from the perspective of traditional Chinese medicine and believes that it is a syndrome of deficiency in origin but excess in superficiality.Heart-yang(心 阳)deficiency or Qi(气)and blood deficiency are the pathogenesis in origin,while stagnation of phlegm or blockage of blood are the pathogenesis in superficiality.Wenyang Quyu Tongmai decoction(温阳祛瘀通脉汤)was established by Professor LI according to 30 years of clinical experience in the treatment of cardiovascular diseases.It has the functions of warming heartyang,promoting blood circulation to remove blood stasis,invigorating Qi and restoring pulse.It is mainly used in the clinical treatment of second degree type Ⅱ atrioventricular block,can significantly improve the symptoms of patients,prevent the deterioration of the disease progress,the effect is re-markable.The article analyzes Professor LI's thinking and experience of treating second degree type Ⅱ atrioventricular block with Wenyang Quyu Tongmai decoction based on one experimental case.
Wen Yang Qu Yu Tong Mai decoctionSecond degree type Ⅱ atrioventricular blockPalpitationClinical experience