Syndrome Differentiation and Treatment of Atrial Fibrillation based on the Holistic View of "Spleen-Vessels-Heart-Spirit"

DU Yihang; DUAN Chenglin; ZHU Xueping; LYU Meng; CHEN Jiafan; WEI Yi; HU Yuanhui

doi:10.13288/j.11-2166/r.2025.01.014

您当前的位置：

首页 >

文章列表页 >

Syndrome Differentiation and Treatment of Atrial Fibrillation based on the Holistic View of "Spleen-Vessels-Heart-Spirit"

更新时间：2024-12-31

- Syndrome Differentiation and Treatment of Atrial Fibrillation based on the Holistic View of "Spleen-Vessels-Heart-Spirit"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 1, Pages: 89-92(2025)
- 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.2025.01.014
  CLC：
- Received：28 May 2024，
  
  Revised：2024-07-15，
  
  Published：02 January 2025
- 稿件说明：
移动端阅览
杜宜航,段城林,朱雪萍等.从“脾-脉-心-神”一体观辨治心房颤动[J].中医杂志,2025,66(01):89-92.

DU Yihang,DUAN Chenglin,ZHU Xueping,et al.Syndrome Differentiation and Treatment of Atrial Fibrillation based on the Holistic View of "Spleen-Vessels-Heart-Spirit"[J].Journal of Traditional Chinese Medicine,2025,66(01):89-92.
杜宜航,段城林,朱雪萍等.从“脾-脉-心-神”一体观辨治心房颤动[J].中医杂志,2025,66(01):89-92. DOI： 10.13288/j.11-2166/r.2025.01.014.

DU Yihang,DUAN Chenglin,ZHU Xueping,et al.Syndrome Differentiation and Treatment of Atrial Fibrillation based on the Holistic View of "Spleen-Vessels-Heart-Spirit"[J].Journal of Traditional Chinese Medicine,2025,66(01):89-92. DOI： 10.13288/j.11-2166/r.2025.01.014.

摘要

从“脾-脉-心-神”一体观探讨心房颤动的病机演变过程，提出脾失健运、血脉失和为其病起之端；痰瘀伏络、心体受损为其病成之基；心神不明、形神失调是其病进之因。针对疾病不同时期的病机变化特点，提出早期治疗以复运中焦、清利血脉为主，方用异功散加减；病情进展期以祛瘀化痰、养心保脉，方用自拟礞石通脉汤加减，而宁心定悸、调神安神则应贯穿其中，方用自拟甲枣宁脉汤或参英定悸汤加减。临床施治着眼于心房颤动整体病程，分期施治，从而实现对其早期干预和整体调治。

Abstract

Based on the holistic view of "spleen-vessels-heart-spirit" system， this article explores the pathogenesis and progression of atrial fibrillation. It is proposed that the onset of atrial fibrillation is due to failure of the spleen to transport and disharmony of blood vessels； phlegm and blood stasis obstructing the collaterals and damage to the heart structure are the basis of its pathogenesis； the unclear mind and disorder of body and spirit are the causes of its progression. Based on the characteristics of pathological changes in different stages of the disease， it is proposed that early treatment should focus on restoring the middle

jiao

， clearing and promoting blood vessels， using modified

Yigong Powder

（异功散）； during the p

rogression of the disease， treatment should remove blood stasis and phlegm， nourish heart and protect the pulse， using self-prescribed modified

Mengshi Tongmai Decoction

（礞石通脉汤）； meanwhile， calming mind and stabilizing palpitations， and regulating spirit should be sequentially incorporated， with self-prescribed

Jiazao Ningmai Decoction

（甲枣宁脉汤） or

Shenying Dingji Decoction

（参英定悸汤） and modified as appropriate. Clinical treatment should focus on the whole disease course of atrial fibrillation， implementing stage-based treatments to enable early intervention and holistic regulation.

关键词

Keywords

references

中华医学会老年医学分会心血管学组，中国老年保健医学研究会老年心血管病分会 . 老年心房颤动诊治中国专家共识（2024）［J］. 中华心律失常学杂志， 2024 ， 28 （ 2 ）： 103 - 124 .

中华医学会心电生理和起搏分会，中国医师协会心律学专业委员会，中国房颤中心联盟心房颤动防治专家工作委员会 . 心房颤动：目前的认识和治疗建议（2021）［J］. 中华心律失常学杂志， 2022 ， 26 （ 1 ）： 15 - 88 .

JOGLAR JA ， CHUNG MK ， ARMBRUSTER AL ， et al . 2023 ACC/AHA/ACCP/HRS guideline for the diagnosis and management of atrial fibrillation： a report of the American college of cardiology/American heart association joint committee on clinical practice guidelines ［J］. Circulation ， 2024 ， 149 （ 1 ）： e1 - e156 .

邓铁涛 . 心主神明论的科学性［J］. 新中医， 2003 ， 34 （ 3 ）： 15 - 16 .

张泽曦，牛柏寒，张宸玥，等 . 论“心主神明”与双心疾病的中医药治疗［J］. 上海中医药杂志， 2023 ， 57 （ 3 ）： 9 - 14 .

WANG A ， GREEN JB ， HALPERIN JL ， et al . Atrial fibrillation and diabetes mellitus： JACC review topic of the week ［J］. J Am Coll Cardiol ， 2019 ， 74 （ 8 ）： 1107 - 1115 .

FENG T ， MALMO V ， LAUGSAND LE ， et al . Symptoms of anxiety and depression and risk of atrial fibrillation-The HUNT study ［J］. Int J Cardiol ， 2020 ， 306 ： 95 - 100 . doi： 10.1016/j.ijcard.2019.11.107 http://dx.doi.org/10.1016/j.ijcard.2019.11.107 .

SERPYTIS R ， NAVICKAITE A ， SERPYTIENE E ， et al . Impact of atrial fibrillation on cognitive function， psychological distress， quality of life， and impulsiveness ［J］. Am J Med ， 2018 ， 131 （ 6 ）： 703 .

DU H ， YANG L ， HU Z ， et al . Anxiety is associated with higher recurrence of atrial fibrillation after catheter ablation： A meta-analysis ［J］. Clin Cardiol ， 2022 ， 45 （ 3 ）： 243 - 250 .

赵薇，陈芸霖，殷跃辉 . 焦虑与心房颤动相互作用的研究进展［J］. 心血管病学进展， 2021 ， 42 （ 2 ）： 123 - 127 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Treatment of Hyperthyroidism Combined with Atrial Fibrillation：from the Liver

Effects of Huoxue Wendan Formula （活血温胆方） on Myocardial Tissue Proteomics in Atrial Fibrillation Model Rats with Phlegm-Heat Stasis Obstruction Syndrome and Experimental Verification

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

Treatment Approach for Diabetes with Coronary Heart Disease Based on the Heart-Spleen-Kidney Triad Holistic Perspective

A Case of One-stop Procedure for Cryoballoon Ablation and Left Atrial Appendage Occlusion of Atrial Fibrillation Under Electroacupuncture Anesthesia

Related Author

XU Yao

ZHOU Yan

LI Hui

HAO Yifang

ZHANG Jintao

YAN Longmei

XING Yaxuan

ZHANG Jingchun

Related Institution

Xiyuan Hospital，China Academy of Chinese Medical Sciences

Graduate School，Beijing University of Chinese Medicine

Graduate School of Beijing University of Chinese Medicine

Xiyuan Hospital，China Academy of Chinese Medical Sciences

Henan Collaborative Innovation Centre for Integrated Chinese and Western Medicine Prevention and Treatment of Major Diseases

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰