Syndrome and treatment of palpitations in Records of Chinese Medicine with Reference to Western Medicine

Huaqin WU; Bai DU; Yuanhui HU

doi:10.3969/j.issn.2095-6606.2022.03.017

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Syndrome and treatment of palpitations in Records of Chinese Medicine with Reference to Western Medicine

更新时间：2022-06-02

- Syndrome and treatment of palpitations in Records of Chinese Medicine with Reference to Western Medicine
- Modern Chinese Clinical Medicine Vol. 29, Issue 3, Pages: 73-76(2022)
- 作者机构：
  
  中国中医科学院广安门医院　北京　100053
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2022.03.017
  CLC： R256.21
- Published：30 May 2022，
  
  Received：01 August 2020，
- 稿件说明：
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Huaqin WU, Bai DU, Yuanhui HU. Syndrome and treatment of palpitations in Records of Chinese Medicine with Reference to Western Medicine. [J]. Modern Chinese Clinical Medicine 29(3):73-76(2022)
DOI：

Huaqin WU, Bai DU, Yuanhui HU. Syndrome and treatment of palpitations in Records of Chinese Medicine with Reference to Western Medicine. [J]. Modern Chinese Clinical Medicine 29(3):73-76(2022) DOI： 10.3969/j.issn.2095-6606.2022.03.017.

摘要

近代名医张锡纯学验颇丰、贯通中西，所著《医学衷中参西录》一书中心病治法部分详细论述了心悸、怔忡的辨治思路。从阳明胃热、肝气亢盛、痰热内扰、心血瘀阻、心血亏虚、大气下陷、肾阴亏虚、阳虚饮停8个方面对心悸进行分证论治。主张心体虚弱是心悸的主要病机，心脏气血不足是发病的根本，治疗强调补益气血为先。认为心悸病位在心，与脾胃、肝、肾密切相关，病位虽异，但总以气机失调为纲，治疗上注重调畅气机。治法精准，方药详尽，对临床具有重要指导意义。

Abstract

Zhang Xichun

a famous doctor in modern times

had a wealth of academic experience and a thorough understanding of China and the West. His book

Records of Chinese Medicine with Reference to Western Medicine

elaborated on the differentiation and treatment of heart palpitations and

zhēng chōng

(severe palpitations). He mainly discussed palpitations from eight aspects: stomach heat in Yangming

hyperactivity of liver qi

internal disturbance of phlegm heat

heart-blood stasis

heart-blood deficiency

pectoral qi collapse

kidney-yin deficiency

and yang-deficiency fluid retention. Zhang argued that a weakened heart was the core pathogenesis

and lack of heart qi and blood was the root of the disease. He proposed the priority of treatment should be given to replenishing qi and blood. He held that the the affected area of palpitations was in the heart

but it was closely related to the spleen

stomach

liver

and kidneys. Despite disease locations

disordered qi activities were the basic disease mechanism. The treatment should focuse on qi regulation. Precise treatment and detailed prescriptions listed in the book are still of important guiding significance for clinical practice.

关键词

《医学衷中参西录》张锡纯心悸证治经验

Keywords

Records of Chinese Medicine with Reference to Western MedicineZhang Xichunpalpitationexperience of diagnosis and treatment

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