刘建设运用加减炙甘草汤治疗期前收缩经验

Experience by Professor LIU Jianshe in Treating Premature Systole with Modified Zhigancao Decoction(加减炙甘草汤)

期前收缩是一种以心脏异位起搏为特征的功能性疾病,也是一种常见的心律失常疾病,严重时可引起心脏器质性改变。该病属于中医学心悸范畴。刘建设教授认为其病机多为本虚标实,以虚为主,虚者多为气阴不足,实者则为痰火扰心;该病多属于心,与肺脾二脏密切相关。刘建设临证多年,善于运用经方炙甘草汤加减治疗期前收缩,该病病机特点与炙甘草汤的功效主治相符合。依据心之生理病理精准化裁,同时结合现代药理知识,灵活运用加减炙甘草汤,疗效良好。

Premature systole is a functional disease characterized by ectopic cardiac pacing,and also is the most common arrhythmia disease.It can cause organic heart disease in severe cases.This disease belongs to the category of palpitation in traditional Chinese medicine.According to Professor LIU Jianshe,the disease mechanism is usually deficient root and excessive branch,with deficiency being dominant.Deficiency is mostly qi and yin deficiency,while excess is usually phlegm and fire disturbing heart.This disease mostly involves heart and also is closely related to lung and spleen.Professor LIU has worked in clinic for many years,and is good at using the classical formula Zhigancao Decoction(炙甘草汤)to treat premature systole.The disease mechanism,more deficiency and less excess,is consistent with the indication of Zhigancao Decoction.Based on the physiology and pathology of the heart,combined with modern pharmacological knowledge,Professor LIU flexibly applies modified Zhigancao Decoction,and achieved excellent effect in clinic.