袁海波教授辨治缓慢性心律失常经验  

Experience Study of Professor Yuan Haibo in Treating Slow Arrhythmia

作　　者：祝珍珍 袁灿宇 

机构地区：[1]湖北中医药大学,湖北武汉430065 [2]河南省老干部康复医院,河南郑州450008

出　　处：《中医学报》2017年第12期2371-2373,共3页Acta Chinese Medicine

基　　金："十一五"国家科技支撑计划项目(2007BAI10B01-054);国家中医药管理局全国名老中医药专家袁海波教授传承工作室建设项目;2013年度河南省科技攻关计划项目(132102310229)

摘　　要：袁海波教授认为,缓慢性心律失常以心、脾、肾三脏阳气虚弱为根本病机,并在阳虚基础上产生气滞、湿阻、血瘀等病理产物和一系列的病机变化。临证可见心脾阳虚、心肾阳虚、心脾肾三阳俱虚等证型。治疗当以温脾阳、扶肾阳、养心阳为本病的基本治法,其中温阳三法首重温运脾阳,且要三阳共治。温阳同时不忘养阴、益气、理气、驱阴邪。袁海波教授创立的袁氏苏心醒方为治疗缓慢心律失常的基本方药,临证根据证候变化,灵活加减化裁。同时袁老提出"医嘱调护,实为无形之药"。认为用药之外的调护,在心脏病的治疗中同样重要。Professor Yuan Haibo points out that the basic pathogenesis of slow arrhythmia has heart-Yang deficiency,spleen-Yang deficiency and kidney-Yang deficiency. Then,causes pathological products which includes Qi stagnation,dampness resistance,blood stasis,and a series of pathogenesis changes. In clinical practice,there are three syndrome types referring to heart-spleen Yang deficiency,heart-kidney Yang deficiency and Yang deficiency in heart,spleen and kidney. It has basic treatment which are spleen-Yang warming heart-Yang raising and kidney-Yang cultivating. Spleen-Yang warming is in the top of treatment,of course,the other two are also important,meanwhile,it is valuable for treatment to nourish Yin,supplement Qi,regulate Qi and eliminate Yin pathogens. Professor Yuan Haibo applies YUAN-clan Suxinxing Prescription to slow arrhythmia and add or subtract herbs in the prescription according to the variation on syndrome. In addition,Professor Yuan has the idea that is ＂ medical advice,is actually an intangible drug＂ means it is also significant to take care outside of the medication in the treatment of heart disease.

关 键 词：缓慢性心律失常 温运脾阳法 苏心醒方 袁海波 名医经验 

分 类 号：R249.27[医药卫生—中医临床基础]