基于“损其心者,调其营卫”理论探讨心悸的辨证论治  

Discussion on syndrome differentiation and treatment of palpitation based on the theory of ‘regulating ying and wei for those who damage their heart’

作　　者：史海蛟 周宇石[1] 张明雪[1] SHI Hai-jiao;ZHOU Yu-shi;ZHANG Ming-xue(Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China)

机构地区：[1]辽宁中医药大学,沈阳110032 [2]辽宁中医药大学附属医院,沈阳110032

出　　处：《中华中医药杂志》2022年第9期5181-5184,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划项目(No.2017YFC1700400,No.2017YFC1700401);辽宁省特聘教授滚动支持项目(No.辽教函[2018]35号);沈阳市科学技术计划项目(No.21-174-9-08)。

摘　　要：“损其心者,调其营卫”理论起源于《难经》,为从调和营卫角度对心悸进行辨证论治的理论依据。张仲景认为营卫之气为气血阴阳之根本,其起源于中焦脾胃,为水谷精微所化生,可充养心脉,滋养心阴化生心阳,以养心安神。营卫之气循行于胸中,资助宗气发挥其贯心脉而行气血的生理功能,以影响心主血脉、藏神生理功能的正常发挥,参与调节心脏的节律。营卫失调,则会影响心气血阴阳的化生,导致心失所养的病理改变,从而发生心脏搏动、节律异常,发为心悸。临证之时,可通过调和营卫之气以调整心气血阴阳之平衡,使心神得以安养。The theory of ‘regulating ying and wei for those who damage their heart’ originated from Classic of Difficulties and is the theoretical basis for syndrome differentiation and treatment of palpitations from the perspective of regulating yin and wei. ZHANG Zhong-jing believes that the qi of ying and wei is the root of qi, blood, yin and yang. It originates from the spleen and stomach in the middle energizer and is generated by the essence of drink and food. It can nourish the heart, nourish the heart yin and generate the heart yang, so as to nourish the heart and calm the mind. The qi of ying and wei circulates in the chest, supporting zongqi to play its physiological function of running through the heart and blood, so as to affect the normal play of the physiological function of the heart governing the blood and storing the spirit, and participate in regulating the rhythm of the heart. The imbalance of ying and wei will affect the metaplasia of yin and yang of heart qi and blood, resulting in the pathological changes of heart loss, resulting in abnormal heart beat and rhythm, which can be called palpitation. At the time of clinical syndrome, you can adjust the balance of heart qi, blood, yin and yang by adjusting the qi of ying and wei, so that mind can be well nourished.

关 键 词：营气 卫气 营卫失调 经方 心悸 

分 类 号：R256.21[医药卫生—中医内科学]