摘要
频发性房性期前收缩是快速性心律失常中常见的疾病,临床表现常有心悸等症状,可引发心房纤颤、心肌病等,目前临床上通常使用β受体阻滞剂、Ic类抗心律失常药物等治疗,效可,但病情易反复。在频发性房性期前收缩的辨治中,气阴两虚、痰气郁结是其关键发病机制,证兼胸阳痹阻,病位在心,与肝相关,注重其虚实夹杂的病性特点,临证以益气养阴治其本,行气化痰治其标,兼用通阳散结之法,处方精简,用药灵活,临床效果显著。该文旨在对虚实夹杂型频发性房性期前收缩的辨治思路进行探讨,希冀对此类疾病的临床治疗提供指导意义。篇末附验案1则,以供参考。
Frequent atrial premature contraction is a common disease in tachyarrhythmia.Its clinical manifestations often include palpitation and other symptoms,which can cause atrial fibrillation,cardiomyopathy etc.At present,βreceptor blocker and Ic antiarrhythmic drugs are commonly used in clinical treatment,which are effective,but the condition is easy to repeat.Deficiency of both Qi and Yin and stagnation of phlegm were the main pathogenesis of frequent atrial premature contractions.The syndrome was accompanied by obstruction of chest Yang.The disease was located in the heart and related to the liver.She paid attention to the disease characteristics of the mixture of deficiency and excess.The clinical syndrome was based on the principle of benefiting Qi and nourishing Yin,the standard of treating Qi and phlegm,and the method of removing Yang and resolving stasis.The prescription was simple,the medication was flexible,and the clinical effect was significant.In this paper,syndrome differentiation and treatment of frequent atrial premature contractions with deficiency and excess was analyzed,hoping to provide guidance for the clinical treatment of such diseases.A case is attached at the end of the article for reference.
作者
胡哲恺
冯玲
HU Zhekai;FENG Ling(Beijing University of Chinese Medicine Graduate School,Beijing 100029,China;China Academy of Chinese Medical Sciences Guang’anmen Hospital,Beijng 100053,China)
出处
《辽宁中医杂志》
CAS
2021年第7期67-69,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然基金委员会资助项目(81774128)
国家重点研发计划项目(2019YFC1708404)
关键词
频发性房性期前收缩
虚实夹杂
标本兼治
frequent atrial premature contractions
mixture of deficiency and excess
treating both manifestation and root cause of disease
