从脾论治心悸的临床体会

Clinical experience for treating palpitations

心悸是临床常见的心血管系统疾病,严重危害患者的身体健康,因此研究心悸有着重大的现实意义。从中医学角度来说,心悸其病位在心,而心和其他四脏关系密切,其中心为火,脾为土,火生土,心脾乃母子关系,因此心和脾是紧密联系的,心病则脾亦病,而脾病也影响心的功能。心为君主之官,主血,而脾为气血生化之源,同时有统血的功效,因此当脾气虚时则气血生化不足,难以布达周身,心血必然受到影响,心血不足,心失所养,最终心脾两虚发为心悸。脾主运化,水湿壅滞时,上凌于心,两者更不能单独分开论治,因此从脾论治心悸是有理论依据的。

Palpitation is a common clinical cardiovascular disease causing a very serious impact. From TCM point of view, palpitations come from the heart disease, also connected with the spleen, and spleen also affects the function of the heart. Therefore, both spleen and heart are significant for palpitations.