从肝风心火相煽辨治阵发性心房颤动

Identification and Treatment of Paroxysmal Atrial Fibrillation from Mutual Fanning of Liver Wind and Heart Fire

总结全国老中医药专家学术经验继承工作指导老师董其美阵发性心房颤动“肝风为使、心火为源、风火相煽”病机理论及临证辨治经验,认为肝肾亏虚、郁火和虚火内生是房颤起病之源,内风引动、风火相煽、挟痰挟瘀、戗犯心脑是房颤发作及其中风变证的病机关键,提出滋阴息风、泻火镇悸的关键治法,以此学术思想指导房颤的临床治疗,取得了较好的疗效。

Through summarizing the pathogenesis of paroxysmal atrial fibrillation in which"liver wind is the trigger,heart fire is the source,and wind and fire fan each other"combined with the experience in identifying and treating its related clinical syndromes,Dong Qimei,the instructor of the inheritance of academic experience of well-known veteran traditional Chinese medicine experts,concludes that liver and kidney deficiency,internal growth of stagnated fire and deficiency fire are the sources of atrial fibrillation.In addition,she also believes that the stirring of internal wind,mutual fanning of internal wind and fire,the carry of phlegm and stasis,as well as the violation of the heart and brain are the key to its pathogenesis.The core treatment method of nourishing yin and restraining wind,draining fire and subduing palpitations are proposed,and this academic thought guides the clinical treatment of atrial fibrillation with good efficacy.