姚淮芳教授运用枣仁稳律汤从心肝治疗室性期前收缩经验总结

Professor YAO Huaifang’s experience for treating premature ventricular contraction with the Zaoren Wenlüdecoction based on heart and liver

室性期前收缩可见于正常人及各种心脏病患者,多由电解质紊乱,精神因素,过量烟、酒、咖啡等诱发,近几年临床发病率逐渐升高。西医治疗室性早搏优点颇多,但同时存在许多缺陷,如治疗费用高昂、长期应用西药造成的严重不良反应、介入后再狭窄、药物耐受等。姚淮芳教授认为室性期前收缩病位在心,其发病与肝失疏泄、心神失养、瘀血阻滞有着密切的关系,总结多年临床经验提出从心肝论治,疏肝、养肝血以宁心神,兼活血化瘀之法,运用自拟方枣仁稳律汤治疗室性期前收缩临床疗效显著。现总结其临床经验如下,并附典型案例。

Premature ventricular contraction can be seen in normal people and various patients with heart disease,mostly caused by electrolyte disorder,mental factors,excessive smoke,alcohol,coffee,etc.,and the clinical incidence has gradually increased in recent years.There are many advantages in treating ventricular premature beat in Western medicine,but there are many defects,such as high treatment costs,serious adverse reactions caused by long-term application of Western medicine,restenosis after intervention,drug tolerance and so on.Professor YAO Huaifang believes that the disease of premature ventricular contraction was at heart,and its onset was closely related to liver losing conveyance and dispersion,malnutrition of heart spirit,static blood obstruction and stagnation.Based on many years of clinical experience,the idea of treating based on heart and liver was put forward;the therapies of dispersing stagnated liver-Qi(肝气),replying blood and nourishing liver,calming heart and spirit,and promoting blood circulation for removing blood stasis were proposed;the Zaoren Wenlüdecoction(枣仁稳律汤)has a significant clinical effect on premature ventricular contraction.