Exploring the Prevention and Treatment Strategies for Post-Radiofrequency Ablation Recurrence of Arrhythmia Based on the "<italic style="font-style: italic">Qi</italic>-blood-meridians" System

CAI Yongyuan; LIU Ting; LI Mengran; YAN Zhongmin; NIU Tianfu

doi:10.13288/j.11-2166/r.2025.08.014

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Exploring the Prevention and Treatment Strategies for Post-Radiofrequency Ablation Recurrence of Arrhythmia Based on the "Qi-blood-meridians" System

更新时间：2025-04-14

- Exploring the Prevention and Treatment Strategies for Post-Radiofrequency Ablation Recurrence of Arrhythmia Based on the "Qi-blood-meridians" System
- Journal of Traditional Chinese Medicine Vol. 66, Issue 8, Pages: 841-845(2025)
- 作者机构：
  
  1.中国中医科学院广安门医院，北京市西城区北线阁5号，100053
  2.山西省中医院
  3.山西省中医药研究院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.08.014
  CLC：
- Received：20 July 2024，
  
  Revised：2024-12-12，
  
  Published：17 April 2025
- 稿件说明：
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蔡泳源,刘婷,李梦然等.“气-血-脉络”体系下的心律失常射频消融术后复发防治思路探微[J].中医杂志,2025,66(08):841-845.

CAI Yongyuan,LIU Ting,LI Mengran,et al.Exploring the Prevention and Treatment Strategies for Post-Radiofrequency Ablation Recurrence of Arrhythmia Based on the "Qi-blood-meridians" System[J].Journal of Traditional Chinese Medicine,2025,66(08):841-845.
蔡泳源,刘婷,李梦然等.“气-血-脉络”体系下的心律失常射频消融术后复发防治思路探微[J].中医杂志,2025,66(08):841-845. DOI： 10.13288/j.11-2166/r.2025.08.014.

CAI Yongyuan,LIU Ting,LI Mengran,et al.Exploring the Prevention and Treatment Strategies for Post-Radiofrequency Ablation Recurrence of Arrhythmia Based on the "Qi-blood-meridians" System[J].Journal of Traditional Chinese Medicine,2025,66(08):841-845. DOI： 10.13288/j.11-2166/r.2025.08.014.

摘要

在“气-血-脉络”体系下，指出心律失常射频消融术后复发是以心体受灼、脉络伤损为发病之本，气机失调、血阻热郁为复发前提，虚气内耗、阴伤血少则是病情频发的关键因素，痰瘀兼伏、阴邪凝结为病势恶化的主要原因。基于此，运用自拟十八味通心饮养心通脉复络、适其阴阳，贯彻术后干预全程；自拟清心定悸汤行气宣滞、透热运血，促进早期恢复；自拟培本养心汤益气养阴、和营补血，改善远期预后；十味温胆汤合桃仁红花煎豁痰散结、逐瘀软坚，阻截病势加重，以期为临床工作提供思路。

Abstract

Based on the "

-blood-meridians" system， it is proposed that recurrence after radiofrequency ablation （RFA） for arrhythmia originates from damage to the heart and injury to the meridians caused by thermal burns. Disorder of

movement， blood obstruction and heat constraint are the prerequisites for recurrence， while internal consumption of deficient

，

yin

damage and scarce blood are key factors in frequent episodes. Latent pathogen of both phlegm and stasis， along with condensation of pathogenic

yin

， is the main cause of disease progression. Accordingly， self-made

Tong Xin Beverage

（通心饮） with 18 herbs is used throughout the postoperative intervention process to nourish the heart， unblock the meridians， restore vessels in balance of

yin

and

yang

. Self-made

Qingxin Dingji Decoction

（清心定悸汤） can be used to promote

ovement， diffuse stagnation， relieve heat and activate blood circulation so as to facilitate early recovery. Self-made

Peiben Yangxin Decoction

（培本养心汤） can boost

and nourish

yin

， harmonize the

ying

（营） level and nourish blood， thereby improving long-term prognosis. In addition，

Shiwei Wendan Decoction combined

（十味温胆汤） with

Taoren Honghua Decoction

（桃仁红花煎） resolves phlegm， dissipates masses， removes stasis， and softens hardness， which can be used to prevent disease aggravation. These approaches aim to provide ideas and references for clinical practice.

关键词

Keywords

references

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⁰

Exploring the Prevention and Treatment Strategies for Post-Radiofrequency Ablation Recurrence of Arrhythmia Based on the "Qi-blood-meridians" System

DOI：10.13288/j.11-2166/r.2025.08.014

摘要

Abstract

关键词

Keywords

references