The Treatment of Recurrence after Catheter Ablation of Atrial Fibrillation from the Perspective of “Stasis Generating Deficiency”

LI Mingxuan; LI Hongdian; LIU Hongxu; XING Wenlong; LAI Xiaolei

doi:10.13288/j.11-2166/r.2023.19.017

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The Treatment of Recurrence after Catheter Ablation of Atrial Fibrillation from the Perspective of “Stasis Generating Deficiency”

更新时间：2023-09-26

- The Treatment of Recurrence after Catheter Ablation of Atrial Fibrillation from the Perspective of “Stasis Generating Deficiency”
- Journal of Traditional Chinese Medicine Vol. 64, Issue 19, Pages: 2041-2044(2023)
- 作者机构：
  
  1.首都医科大学附属北京中医医院，北京市东城区美术馆后街23号，100010
  2.北京中医药大学
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.19.017
  CLC：
- Received：22 March 2023，
  
  Revised：2023-05-10，
  
  Published：02 October 2023
- 稿件说明：
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李明轩,李红典,刘红旭等.从“瘀结生虚”论治心房颤动导管消融术后复发[J].中医杂志,2023,64(19):2041-2044.

LI Mingxuan,LI Hongdian,LIU Hongxu,et al.The Treatment of Recurrence after Catheter Ablation of Atrial Fibrillation from the Perspective of “Stasis Generating Deficiency”[J].Journal of Traditional Chinese Medicine,2023,64(19):2041-2044.
李明轩,李红典,刘红旭等.从“瘀结生虚”论治心房颤动导管消融术后复发[J].中医杂志,2023,64(19):2041-2044. DOI： 10.13288/j.11-2166/r.2023.19.017.

LI Mingxuan,LI Hongdian,LIU Hongxu,et al.The Treatment of Recurrence after Catheter Ablation of Atrial Fibrillation from the Perspective of “Stasis Generating Deficiency”[J].Journal of Traditional Chinese Medicine,2023,64(19):2041-2044. DOI： 10.13288/j.11-2166/r.2023.19.017.

摘要

认为“瘀结生虚”是心房颤动导管消融术后复发的重要病机。消融术后以血瘀为主，同时蕴结痰火、气滞、水饮等多种病邪，导致脏腑虚损，心失所养，应重视血瘀结合诸多实邪导致脏腑虚损在房颤导管消融术后复发中的重要地位。提出消融术前应化瘀与补虚并重，注重宁心化瘀、调补内虚以预防术后房颤复发；消融术后房颤复发则应重视化瘀祛邪、调脉补虚，重点关注瘀结痰火、瘀结气滞、瘀结水饮等实性病邪，并兼顾脏腑虚损之象，分别治以化瘀祛痰、降火通脉兼调补心脾，化瘀行滞、通畅气血兼补肺益气，祛瘀化饮、温阳活血兼固本养心为法，达标本同治之目的。

Abstract

“Stasis generating deficiency” is considered to be an important pathogenesis of recurrence after catheter ablation of atrial fibrillation （AF）. Blood stasis is commonly seen after ablation together with various pathogens such as phlegm-fire，

stagnation and retained fluid， and will lead to depletion of

zang

（脏腑） organs and then the failure of the nourishment of the heart. Therefore， it is advised to emphasize on the importance of considering

zang

organs depletion caused by blood stasis and various excess pathogens in dealing with the recurrence after catheter ablation. The method of dissolving stasis and supplementing deficiency simultaneously has been proposed before catheter ablation， and it is critical to calm heart and dissolve stasis， regulate and supplement internal deficiency so as to prevent the postoperative recurrence of AF. For recurrence of AF after ablation， attention should be paid to dissolving stasis and dispelling pathogens， regulating vessels and supplementing deficiency， as well as the excess pathogens such as stasis binding and phlegm fire， stasis binding and

stagnation， stasis binding and retained fluid， and the depletion of

zang

organs should be considered. Accordingly， the method of dissolving stasis and dispelling phlegm， subduing fire and unblocking vessels， regulating and supplementing heart and spleen； dissolving stasis and move stagnation， unblocking

and blood， supplementing lung and boosting

； dispelling stasis and dissolving rheum， warming

yang

and activating blood， consolidating the root and nourishing heart can be used respectively， so as to treat both the root and the branch simultaneously.

关键词

Keywords

references

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