从瘀热搏结辨治心悸

邹冲; 方祝元

doi:10.14148/j.issn.1672-0482.2022.0162

从瘀热搏结辨治心悸

doi: 10.14148/j.issn.1672-0482.2022.0162

邹冲,
方祝元^,

南京中医药大学附属医院，江苏南京 210029

基金项目:

江苏省中医药管理局国家中医临床研究基地开放课题 JD2019SZ01

南京中医药大学中医学优势学科三期项目开放课题 ZYX03KF072

详细信息

作者简介:
邹冲, 男, 副主任中医师，E-mail: yfy105@njucm.edu.cn

通讯作者:
方祝元, 男, 教授, 主任中医师, 博士生导师, 主要从事心系疾病的研究, E-mail: fangzhuyuan@njucm.edu.cn

中图分类号: R256.21
计量
- 文章访问数: 273
- HTML全文浏览量: 163
- PDF下载量: 32
- 被引次数: 0
出版历程
- 收稿日期: 2021-07-21
- 网络出版日期: 2022-03-01
- 发布日期: 2022-02-10

Differentiation Treatment of Palpitations from Contention and Binding between Heat and Stasis

ZOU Chong,
FANG Zhu-yuan^,

The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, China

摘要

摘要: 从瘀热搏结病机及临证遣方用药总结首届岐黄学者方祝元教授辨治心悸的学术经验。方教授认为瘀热搏结是心悸的病机关键之一，治疗上应以化瘀清热为要，同时兼顾气阴、脏腑并治。以此学术思想指导心悸的临证治疗，取得了较好的疗效。
- 心悸 /
- 瘀热搏结 /
- 化瘀清热 /
- 名医经验
Abstract: The academic experience of Professor Fang Zhuyuan (the first Qi Huang scholar) is summarized in terms of the arrhythmia pathogenesis of contention and binding between heat and stasis syndrome combined with the prescriptions and medicines used in the clinical treatment. Professor Fang believes that contention and binding between heat and stasis is one of the keys to the pathogenesis of palpitations. Thus, the treatment should be based on dissolving stasis and clearing heat, while taking into account treating both qi and yin, as well as zang-fu organs. In addition, the treatment of palpitations guided by this academic thought has achieved satisfying therapeutic effects.
- palpitations /
- contention and binding between heat and stasis /
- dissolving stasis and clearing heat /
- experience of distinguished doctors

HTML全文

参考文献(20)

[1]	马灿娥. 心律失常中西医药物治疗研究进展分析[J]. 中西医结合心血管病电子杂志, 2020, 8(28): 32-33. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXJH202028021.htm MA CE. Research progress analysis of arrhythmias in the treatment of Chinese and western medicines[J]. Cardiovasc Dis Electron J Integr Tradit Chin West Med, 2020, 8(28): 32-33. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXJH202028021.htm
[2]	姜瑞雪, 朱文锋, 马作峰. 心悸辨证分型及证素分布的文献研究[J]. 中华中医药学刊, 2008, 26(1): 184-186. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS200801081.htm JIANG RX, ZHU WF, MA ZF. Literature research about typing of syndrome differentiation and distribution of syndrome factors of palpitation[J]. Chin Arch Tradit Chin Med, 2008, 26(1): 184-186. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS200801081.htm
[3]	唐蜀华, 蒋卫民. "瘀热"病机理论的形成及临床意义: 周仲瑛国医大师"瘀热"相关学术经验发微之一[J]. 江苏中医药, 2014, 46(4): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-JSZY201404002.htm TANG SH, JIANG WM. The formation and clinical significance of the theory of "stagnation-heat"mechanism: Based on the academic experiences subtleties of Zhou Zhongying, who is a master of Traditional Chinese Medicine[J]. Jiangsu J Tradit Chin Med, 2014, 46(4): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-JSZY201404002.htm
[4]	王清任. 医林改错[M]. 北京: 人民卫生出版社, 1991: 28. WANG QR. Correction of Errors in Medical Works[M]. Beijing: People's medical publishing house, 1991: 28.
[5]	唐宗海. 血证论[M]. 上海: 上海人民出版社, 1977: 7. TANG ZH. Treatise on Blood Syndromes[M]. Shanghai: Shanghai people's publishing house, 1977: 7.
[6]	周仲瑛, 吴勉华, 周学平. 瘀热相搏证中医辨治指南[J]. 中华中医药杂志, 2010, 25(9): 1411-1414. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201009022.htm ZHOU ZY, WU MH, ZHOU XP. Guide to TCM syndrome differentiation and treatment of stasis-heat syndrome[J]. China J Tradit Chin Med Pharm, 2010, 25(9): 1411-1414. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201009022.htm
[7]	赵菁, 王欣彤, 张思奇, 等. 方祝元教授从瘀热搏结论治冠心病[J]. 西部中医药, 2017, 30(9): 61-63. doi: 10.3969/j.issn.1004-6852.2017.09.017 ZHAO J, WANG XT, ZHANG SQ, et al. On professor Fang Zhuyuan's treatment for coronary heart disease from stagnation-heat fighting and binding[J]. West J Tradit Chin Med, 2017, 30(9): 61-63. doi: 10.3969/j.issn.1004-6852.2017.09.017
[8]	严用和. 济生方[M]. 北京: 中国中医药出版社, 2007: 77. YAN YH. Formulas to Aid the Living[M]. Beijing: China traditional Chinese medicine press, 2007: 77.
[9]	王肯堂. 证治准绳[M]. 北京: 人民卫生出版社, 1991: 480. WANG KT. Standards for Diagnosis and Treatment[M]. Beijing: People's medical publishing house, 1991: 480.
[10]	ZHENG Q, FENG Y, XU DS, et al. Influence of sulfation on anti-myocardial ischemic activity of Ophiopogon japonicus polysaccharide[J]. J Asian Nat Prod Res, 2009, 11(4): 306-321. doi: 10.1080/10286020902727363
[11]	刘琳. 生脉散正交实验抗心律失常作用研究[J]. 黑龙江医药, 2008, 21(6): 15-17. https://www.cnki.com.cn/Article/CJFDTOTAL-HJYY200806011.htm LIU L. Study on the effect of Shengmaisan on arrhythmia through othorgonal experiment[J]. Heilongjiang Med J, 2008, 21(6): 15-17. https://www.cnki.com.cn/Article/CJFDTOTAL-HJYY200806011.htm
[12]	张锡纯. 医学衷中参西录[M]. 北京: 中国医药科技出版社, 2011: 222. ZHANG XC. Records of Chinese Medicine with Reference to Western Medicine[M]. Beijing: Chinese medicine science and technology press, 2011: 222.
[13]	滑寿. 诊家枢要[M]. 上海: 上海卫生出版社, 1958: 12, 25. HUA S. The Pivot of Pulse-Taking[M]. Shanghai: Shanghai medical publishing house, 1958: 12, 25.
[14]	吴谦. 医宗金鉴[M]. 北京: 人民卫生出版社, 1963: 899. WU Q. Golden Mirror of the Medical Tradition[M]. Beijing: People's medical publishing house, 1963: 899.
[15]	灵枢经[M]. 南京: 江苏凤凰美术出版社, 2015: 390, 286, 331. The Spiritual Pivot[M]. Nanjing: Jiangsu phoenix art press, 2015: 390, 286, 331.
[16]	李东垣. 脾胃论[M]. 北京: 中国医药科技出版社, 2017: 79. LI DY. Treatise on the Spleen and Stomach[M]. Beijing: Chinese medicine science and technology press, 2017: 79.
[17]	马子霖, 赵外荣, 周忠焱, 等. "双心同调"理论防治高血压病的探讨[J]. 上海中医药大学学报, 2019, 33(5): 8-11. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZD201905003.htm MA ZL, ZHAO WR, ZHOU ZY, et al. Discussion on prevention and treatment of hypertension based on theory of "simultaneously regulation on psycho-cardiology"[J]. Acad J Shanghai Univ Tradit Chin Med, 2019, 33(5): 8-11. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZD201905003.htm
[18]	沈金鳌. 杂病源流犀烛[M]. 北京: 人民卫生出版社, 2006: 149-162. SHEN JA. Incisive Light on the Source of Miscellaneous Disease[M]. Beijing: People's medical publishing house, 2006: 149-162.
[19]	杨磊, 李棣华. 合欢皮化学成分与药理活性及毒理学研究进展[J]. 中国中西医结合外科杂志, 2019, 25(6): 1061-1064. doi: 10.3969/j.issn.1007-6948.2019.06.046 YANG L, LI DH. Research progress on chemical composition, pharmacological activity and toxicology on bark of Albizzia julibrissin[J]. Chin J Surg Integr Tradit West Med, 2019, 25(6): 1061-1064. doi: 10.3969/j.issn.1007-6948.2019.06.046
[20]	南笑珂, 张鲁, 罗琳, 等. 中药甘松化学成分与药理作用的研究进展[J]. 中国现代中药, 2018, 20(10): 1312-1318. https://www.cnki.com.cn/Article/CJFDTOTAL-YJXX201810027.htm NAN XK, ZHANG L, LUO L, et al. Advances in research on chemical constituents and pharmacological effects of Nardostachys jatamansi DC[J]. Mod Chin Med, 2018, 20(10): 1312-1318. https://www.cnki.com.cn/Article/CJFDTOTAL-YJXX201810027.htm