重用细辛辨治窦性心动过缓

Treatment of Sinus Bradycardia by Large Doses of Asarum Based on Syndrome Differentiation

此文通过对细辛剂量相关文献的简要梳理,参考古今医家临床使用细辛经验并结合现代药理学研究与个人实践体会,总结出:细辛在“复方、汤剂煎煮时”可重用,而在“单用、为末时”应在3 g以下。窦性心动过缓属于中医学“心悸”范畴,其病机总属心肾阳虚。应用细辛类方治疗窦性心动过缓时,在汤剂中宜重用,煎煮时间不少于30 min,对于提升患者心率,效果确切。

Based on a brief review of the literature on the dose of Asarum,referring to the use Asarum experience of ancient and mod⁃ern clinicians,combined with modern pharmacological research and personal experience,it is concluded that Asarum can be used a large dose in the decocting of compound and decoction,while it should be less than 3 g in the single and powder use.Sinus bradycar⁃dia belongs to the category of palpitation disease in traditional Chinese medicine,its pathogenesis is the deficiency of heart and kidney yang.When Asarum formula is used to treat sinus bradycardia,it should be used a large dose in decoction,and the decocting time should be at least half an hour,which has a definite effect on improving the heart rate of sinus bradycardia.