Treatment of Paroxysmal Atrial Fibrillation by Deficiency-Excess Pattern Identification Based on “Palpitations Caused by Wind Pathogen”

DU Yihang; WEI Yi; CHAI Ruoning; DUAN Chenglin; ZHU Xueping; LYU Meng; CHEN Zizhen; HU Yuanhui

doi:10.13288/j.11-2166/r.2024.07.015

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Treatment of Paroxysmal Atrial Fibrillation by Deficiency-Excess Pattern Identification Based on “Palpitations Caused by Wind Pathogen”

更新时间：2024-04-09

- Treatment of Paroxysmal Atrial Fibrillation by Deficiency-Excess Pattern Identification Based on “Palpitations Caused by Wind Pathogen”
- Journal of Traditional Chinese Medicine Vol. 65, Issue 7, Pages: 750-754(2024)
- 作者机构：
  
  中国中医科学院广安门医院，北京市西城区北线阁5号，100053
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.07.015
  CLC：
- Received：29 November 2023，
  
  Revised：2024-01-29，
  
  Published：02 April 2024
- 稿件说明：
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杜宜航,魏艺,柴若宁等.基于“风邪致悸”分虚实论治阵发性心房颤动[J].中医杂志,2024,65(07):750-754.

DU Yihang,WEI Yi,CHAI Ruoning,et al.Treatment of Paroxysmal Atrial Fibrillation by Deficiency-Excess Pattern Identification Based on “Palpitations Caused by Wind Pathogen”[J].Journal of Traditional Chinese Medicine,2024,65(07):750-754.
杜宜航,魏艺,柴若宁等.基于“风邪致悸”分虚实论治阵发性心房颤动[J].中医杂志,2024,65(07):750-754. DOI： 10.13288/j.11-2166/r.2024.07.015.

DU Yihang,WEI Yi,CHAI Ruoning,et al.Treatment of Paroxysmal Atrial Fibrillation by Deficiency-Excess Pattern Identification Based on “Palpitations Caused by Wind Pathogen”[J].Journal of Traditional Chinese Medicine,2024,65(07):750-754. DOI： 10.13288/j.11-2166/r.2024.07.015.

摘要

阵发性心房颤动可归属于中医学心悸、怔忡范畴，其发病具有急、变、动的特点，与风邪致病特点相近。认为风邪内动贯穿本病全程，“因风而动”是其直接病机。风邪致悸有虚实之分，急性发作期以实风致病为主，热盛动风者，治以清肝熄风，方以自拟羚夏清肝汤加减；血瘀生风者，治以祛瘀止风，方以自拟延丹理脉汤加减；痰热蕴风者，治以化痰祛风，方以自拟连蒌胆星汤加减。迁延恢复期则以虚风多见，阴虚风动者，治以养阴熄风，方以自拟枣芍珍珠汤加减；脾虚生风者，治以健脾宁风，方以自拟参英定悸汤加减。临床用药紧扣风邪特点，权衡虚实之变，随证化裁，和调脏腑气血，以达熄风止颤之功。

Abstract

Paroxysmal atrial fibrillation can be attributed to the category of xinji （palpitations） and zhangchong （severe palpitations） in traditional Chinese medicine， and its onset has the characteristics of urgency， change， and movement， which is similar to the characteristics of diseases induced by wind pathogen. It is believed that the internal movement of wind pathogen runs through the whole course of this disease， and palpitations due to wind as the direct pathogenesis. Palpitations caused by wind pathogen showed different characteristics of deficiency and excess pattern. In the acute exacerbation period， excess wind is the main cause of disease. For excessive heat generating wind， the treatment is to clear the liver and extinguish wind by self-modified

Lingxia Qinggan Decoction

（羚夏清肝汤）； for blood stasis generating wind， the treatment is to remove blood stasis and stop wind by self-modified

Yandan Limai Decoction

（延丹理脉汤）； for phlegm-heat accumulation with wind， the treatment is to dissolve phlegm and eliminate wind by self-modified

Lianlou Danxing Decoction

（连蒌胆星汤）. In the prolonged recovery period， deficiency wind is more common. For stirring of wind due to yin deficiency， the treatment is to nourish yin and extinguish wind by self-modified

Zaoshao Zhenzhu Deoction

（枣芍珍珠汤）； for spleen deficiency generating wind， the treatment is to strengthen spleen and nourish wind by self-modified

Shenying Dingji Deoction

（参英定悸汤）. Clinical prescriptions closely follow the characteristics of wind， weigh the changes of deficiency and excess， tailor with the patterns， and regulate

and blood of the

zang

organs， in order to extinguish wind and arrest convulsion.

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references

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