郭维琴运用形神一体观治疗心律失常经验

Clinical Experience of GUO Weiqin in Treatment of Arrhythmia Using Holism of Body And Spirit

形神一体观是中医的重要思想观念。形指人体构成形体的物质,神指包括人的精神、意识、思维和情志等在内的生理活动。形神一体观强调人体是形与神的统一体,形与神在生理状态下相辅相成,在疾病状态下相互影响。气在形与神的统一中起到媒介的作用,通过气机与气化协调形与神之间的关系。在疾病的治疗过程中,形、神与气应当兼顾。郭维琴教授认为,心气虚为心律失常的发病之本,瘀阻心脉是其基本病理变化,营阴亏虚,神不守舍,是心律失常发病的病机。在治疗心律失常时,郭维琴教授运用形神一体观,针对心律失常的病因病机,从形、神和气三方面综合调治,提出了益气活血安神的基本治疗原则,并拟定了基本用药,临证过程中根据患者的病情灵活加减,取得了良好的疗效。

The holism of body and spirit is a significant ideology of traditional Chinese medicine.The body means the substance that constitutes the human body,and the spirit refers to a series of physiological activities including mind,consciousness,thought,emotion,etc.The holism of body and spirit emphasizes the unity of body and spirit.They complement each other in physiological status,and influence each other in disease state.Qi plays as a medium in the unity of body and spirit,coordinating the relationship by means of Qi movement and Qi transformation.Body,spirit and Qi should all be taken into account when treating disease.Professor GUO Weiqin believes that heart Qi deficiency is the root cause of arrhythmia,blood stasis blocking heart channel is the basic pathological changes,and failure of keeping spirit due to Ying-Yin deficiency is the pathogenesis.In view of the etiology and pathogenesis of arrhythmia,from the comprehensive treatment of body,spirit and Qi,professor GUO Weiqin put forward the basic treatment principles of boosting Qi,invigorating blood and calming spirit,and formulated the basic herbal medication,using the holism of body and spirit.And in the treatment of arrhythmia,professor GUO Weiqin has achieved good curative effect by flexibly adjusting medication in the treatment process.