基于“温三焦之阳,理气化痰通脉”法则论治房室传导阻滞

Treatment of atrioventricular block based on the principle of“warming the yang of the three jiao,regulating qi,resolving phlegm,and promoting meridians”

房室传导阻滞是发生在心房和心室之间的电激动传导异常,使心脏不能正常收缩和泵血,造成血流动力学不稳定并伴有明显临床症状。一般以心肌炎为主要病因。现代医学对房室传导阻滞的疗效有限、方法单一,而中医药的治疗效果显著、方法多样。阳虚脉阻为房室传导阻滞的主要病机,笔者以温阳通脉为法,扶助心、脾、肾三焦阳气,化痰祛瘀的同时兼顾梳理气机,取得良好疗效。

Atrioventricular block is an electrical conduction abnormality that occurs between the atrium and ventricle,causing the heart to be unable to contract and pump blood normally,resulting in hemodynamic instability and obvious clinical symptoms.Generally,myocarditis is the main cause.Modern medicine has limited therapeutic effects and single methods for atrioventricular block,while traditional Chinese medicine has significant therapeutic effects and diverse methods.Yang deficiency and pulse obstruction are the main pathogenesis of atrioventricular conduction block.The author uses the method of warming and unblocking the yang meridians to assist the yang qi of the heart,spleen,and kidney,while also regulating the qi mechanism,achieving good therapeutic effects.