从“虚气留滞”论治心房颤动

Treatment of Atrial Fibrillation Based on the Theory of"Deficiency Qi Retention and Stagnation"

基于“虚气留滞”阐释心房颤动的病因病机并指导治疗。认为“虚气”为心房颤动发病之本,根据病位可分为上焦心肺之宗气亏虚、中焦脾胃之中气亏虚、下焦肾之元气亏虚;瘀血、痰湿、寒湿等邪气留滞为心房颤动的病理基础,诸邪或郁而化热,或寒湿停聚,留滞于心脉而发病。论治时以补虚通滞为基本原则,常用清凉补气调脉汤以补宗益气、理气通脉,清凉化湿调脉汤以建中化痰、燥湿通脉,滋养温化调脉汤以培元滋阴补阳、散寒通脉。

This paper explained the etiology and mechanism of atrial fibrillation based on the theory of"deficiency qi stagnation"for directing the treatment.It is believed that“deficiency qi”is the root of atrial fibrillation,which can be divided into deficiency of pectoral qi in heart and lungs of the upper jiao,deficiency of center qi in spleen and stomach of the middle jiao,and deficiency of original qi in kidney of the lower jiao,and stagnation of stasis,phlegm dampness,cold dampness and other pathogenic qi as the pathological basis of atrial fibrillation,which lead to the development of atrial fibrillation by constraint to heat,or stagnation of cold and dampness,or pathogens stagnation in heart and lung.The therapeutic principles is to supplement deficiency and remove stagnation,and Qingliang Buqi Tiaomai Decoction(清凉补气调脉汤)is often used to supplement the center and boost qi,rectify qi and unblock vessels;Qingliang Huashi Tiaomai Decoction(清凉化湿调脉汤)is often used to strengthen the middle and remove phlegm,dry dampness and unblock vessels;Ziyang Wenhua Tiaomai Decoction(滋养温化调脉汤)is often used to bank up original qi,supplement yin and tonify yang,dissipate cold and unblock vessels.