腹部动悸类症状探微

Exploration the serial symptoms of abdominal throbbing

心悸一症人多知之,然腹部动悸类症状人们多知之不详,虽然后者也是临床并不少见的症状。从现代病理生理学看,腹部动悸类症状可分为心源性和非心源性两类,前者主要来源于心脏的搏动,包括来自腹部大动脉的搏动和由肝脏传导的心血管搏动;后者主要由胃肠平滑肌或腹壁肌肉跳动产生。中医学对腹部动悸类症状有较详细的论述,认为其病机可分为心病致悸、水饮致悸、肝风内动、胃肠壅实、肾气内动等方面,各宜采用相应的治法,辨证施治。

Although palpitation and abdominal throbbing are both the clinically common symptoms, palpitation is familiar to most people, but people do not know much about abdominal throbbing. From the perspective of modern physical and pathological knowledge, serial symptoms of abdominal throbbing can be divided into cardiogenic and non-cardiogenic factors. The former is mainly caused by the heart beat including the pulsating of large arteries in abdomen and the pulsating by cardiovascular pulsation conducted by the liver. The latter is occurred due to the throbbing of gastrointestinal smooth muscle and abdominal wall muscle. Traditional Chinese medicine has the relatively detailed discussion on the serial symptoms of abdominal throbbing and considers that the pathogenesis of abdominal throbbing can be classified into types of the throbbing caused by heart deficiency, the throbbing caused by water and fluid retention, liver wind stirring up internally, stomach excess and counter flow of kidney qi, which should be treated with the proper method accordingly based on syndrome differentiation.