基于“虚气留滞”理论论治室性早搏

Treatment of ventricular premature beat based on the theory of“stagnation of deficiency-qi”

“虚气留滞”首见于成无己《伤寒明理论》。结合有关文献研究认为,室性早搏基本病机为“虚气留滞”。“虚气”指气血阴阳亏虚,为发病之本;“留滞”指因虚导致气血津液代谢障碍而出现瘀血、痰饮水湿、气滞等邪气留滞,为发病之标。临床基于“补虚”、“通滞”两大基本法则,运用益气养阴、温补阳气之法补其虚,以活血化瘀、化痰祛湿、疏肝理气之法通其滞。

"Stagnation of deficiency-qi"was first seen in Cheng Wu-ji's Concise Exposition on Cold Pathogenic Diseases.According to the study on related literatures,it is believed that the basic pathogenesis of ventricular premature beats is"stagnation of deficiency-qi"."Deficiency-qi"refers to yin and yang deficiency of both qi and blood,which is the origin of the disease;"Stagnation"refers to the metabolism disorders of qi,blood and body fluid due to deficiency,so as to lead to stagnation of pathogenic factors such as blood stasis,retention of phlegm and fluids and retention of water-damp,qi stagnation,etc.which are the manifestations of the disease.Clinically,based on the two basic major principles of"tonifying deficiency"and"dredging stagnation",the methods of supplementing qi and nourishing yin as well as warming and nourishing yang-qi can be used for invigorating for deficiency,while the methods of promoting blood circulation and removing blood stasis,resolving phlegm and eliminating dampness,soothing the liver and regulating qi can be used for dredging stagnation.