基于阴火论浅析快速型心律失常的辨证论治

The Analysis of Differentiation and Treatment of Tachyarrhythmia Based on the Theory of Yin Fire

“阴火论”是由补土派医家李东垣基于其内伤脾胃学说提出的一种中医“火邪致病”的学术思想。脾胃为后天之本,内伤脾胃,百病由生,火热病亦然。本文从脾胃引出阴火,继而对阴火与快速性心律失常进行探讨,得出阴火内生是快速性心律失常的根本病因,脾虚、火旺为其最基本的病理机制。治则为益气升阳、泻火养阴,内涵复杂,方药多变。基于“阴火”理论对快速性心律失常进行辨治,当认识到脾胃是心悸病进行过程中的枢纽,应以调和脾胃为治疗之本。

“Yin fire theory” is a kind of academic thought of TCM “fire evil causes disease” put forward by Li Dongyuan, a doctor of Butu School, based on his theory of internal injury to the spleen and stomach. Spleen and stomach for the acquired this, internal damage to the spleen and stomach, all diseases from birth, fire disease is also. This paper introduces Yin fire from the spleen and stomach, and then discusses Yin fire and tachyarrhythmia. It is concluded that Yin fire endogenous is the fundamental cause of tachyarrhythmia, and spleen deficiency and fire excess are its basic pathological mecha-nism. The treatment is to nourish qi and promote yang, relieve fire and nourish yin, the connotation is complex, and the prescription is changeable. Based on the theory of Yin fire, the treatment of tachyarrhythmia should be based on the harmonization of the spleen and stomach, which is the key point in the process of palpitation.