YAN Zhipeng, QI Zhongwen, YANG Xiaoya, et al. Professor RUAN Shiyi′s Experience in Prevention and Treatment of Atrial Fibrillation Recurrence After Radiofrequency Ablation[J]. Journal of Traditional Chinese Medicine2021, 62(14): 1205-1209.
DOI:
YAN Zhipeng, QI Zhongwen, YANG Xiaoya, et al. Professor RUAN Shiyi′s Experience in Prevention and Treatment of Atrial Fibrillation Recurrence After Radiofrequency Ablation[J]. Journal of Traditional Chinese Medicine2021, 62(14): 1205-1209.DOI: 10.13288/j.11-2166/r.2021.14.003.
Professor RUAN Shiyi′s Experience in Prevention and Treatment of Atrial Fibrillation Recurrence After Radiofrequency Ablation
摘要
总结阮士怡教授防治射频消融术后心房颤动(房颤)复发的诊疗思路
认为射频消融术前后应分阶段诊治。术前患者以虚为主
心阳气虚为标
脾肾亏虚为本
在调护上注重平衡肾阴、肾阳
同时健运脾气
顾护脾肾令心阳得充
预防术后房颤复发;术后近期以痰瘀互结居多
阻遏心之脉络
导致脉律失调
在治疗上喜用咸寒之品软坚散结调脉律;术后远期则重视从基础疾病、生活方式等多方位调控房颤复发危险因素
在治疗上育心、保脉并举
维护心之本体和正常功用。
Abstract
This paper summarized professor RUAN Shiyi′s experience in prevention and treatment of atrial fibrillation recurrence after radiofrequency ablation. It is believed that staged diagnosis and treatment methods should be followed before and after radiofrequency ablation. Before the operation
the main manifestation of patients is deficiency syndrome
with heart yang qi deficiency as the branch and spleen-kidney depletion as the root. Therefore
kidney yin and kidney yang should be balanced
and spleen qi should be fortified
thereby preventing postoperative recurrence of atrial fibrillation by supplementing both spleen and kidney and nourishing heart yang. In the short-term period after the operation
binding of phlegm and stasis is most commonly seen
when vessels and collaterals of the heart are constrained leading to disharmony of pulse rhythm; herbs of salty and cold flavors are recommended to soften hardness and dissipate masses
thereby regulating pulse rhythms. In the late postoperative period
regulation of recurrence risk factors from multiple aspects such as controlling basic diseases and life styles is suggested; for treatment
both heart care and healthy pulse maintaining therapies should be applied so that the heart itself and its normal functions can work well.
Effect of Modified Zhigancao Granules (炙甘草汤加味颗粒) on Early Recurrence Following Radiofrequency Ablation in Patients with Atrial Fibrillation of Qi-Yin Deficiency Syndrome:A Randomized,Double-Blind,Placebo-Controlled Trial
Experience of WANG Jie in Treating Palpitation by Using the Method of Tonifying the Kidney and Invigorating Blood
New Discussion on Atrial Fibrillation Syndrome Differentiation and Treatment
Three Methods for Treating Insomnia Based on Syndrome Differentiation by RUAN Shiyi
Clinical Experience of Professor CUI Yinglin in Treating Pediatric Mitochondrial Encephalomyopathy Based on the Original Qi Theory
Related Author
HU Yucai
QIU Boyong
WEI Jingjing
LI Bin
XING Zuoying
PENG Huixia
ZHU Mingjun
WANG Yongxia
Related Institution
The First Affiliated Hospital of Henan University of Chinese Medicine
Henan Collaborative Innovation Centre for Integrated Chinese and Western Medicine Prevention and Treatment of Major Diseases
Eye Hospital,China Academy of Chinese Medical Sciences
中国中医科学院广安门医院
Guang’ anmen Hospital,China Academy of Chinese Medical Sciences