张仲景辨治心悸探析  

Probe into Zhang Zhongjing's Treatment for Palpitation by Differentiating Syndromes

作　　者：刘应柯 

机构地区：[1]解放军153中心医院,河南郑州450042

出　　处：《河南中医》2005年第9期3-4,共2页Henan Traditional Chinese Medicine

摘　　要：探讨了张仲景对心悸的辨证论治及其临床意义:《伤寒论》首提“心悸”病名,开心悸病辨证论治之先河。将心悸病分为心气虚、心阳虚、阴阳两虚、阳虚水泛四证而施治。文中又论述了关于桂枝的应用及血瘀证问题。因心悸脉象复杂,故仲景对辨脉非常重视,脉证合参,避免误治。《伤寒论》对心悸的辨证论治理论,至今对临床仍具有重要的指导意义。The paper probes Zhang Zhongjing＇s treatment for palpitation by differentiating syrdromes and its clinical significance.Zhang Zhongjing first mentioned palpitation in Treatise on Febrile Disoases and treated the disease by differentiating syndromes for the first time.He divided the disease into four types：insufficiency of the hear qi,insufficiency of the beart-yang,deficiency of both yin and yang,and edema due to yang insufficiency.The application of Guizhi and blood stasis syndromes are also discussed in the paper.Because of the complicated pulse condition of palpitation,Zhang Zhongjing attached great importance to differentiation of pulse so as to avoid misdiagnosis.The theory of treatment for palpitation by differentiating syndromes in Trentise on Febrile Diseases has a singnificant clinical directive function.

关 键 词：张仲景 心悸 心气虚证 心阳虚证 阴阳两虚证 阳虚水泛证 

分 类 号：R222.29[医药卫生—中医基础理论]