浅论五脏六腑皆令人心悸  

A Brief Discussion on Five Viscera and Six Bowels Causing Palpitations

作　　者：蔡群杰 吴彬澜 郭进建(指导)[3] CAI Qunjie;WU Binlan;GUO Jinjian(Instructor)

机构地区：[1]福建中医药大学,福建福州350003 [2]福建中医药大学附属第三人民医院,福建福州350108 [3]福建中医药大学附属第二人民医院,福建福州350003

出　　处：《新中医》2022年第24期193-196,共4页New Chinese Medicine

基　　金：福建省科学技术厅自然科学基金面上项目(2020J01248)。

摘　　要：心悸虽不离于心,亦不止于心,其与五脏六腑均密切相关。心悸多由七情所伤、饮食失节、体虚劳倦等因素导致心之阴阳气血不足、心神失养,或邪阻心脉、心神被扰所致。心为五脏六腑之大主,其他脏腑失调如肝气郁滞、脾虚生痰、肾阳亏虚、肺失通调、胆气虚怯等均致心神导致心悸,故五脏六腑令人心悸。重视其他脏腑对心悸的影响,不拘泥于心之为病,宜因脏腑不同,证型不同,各立方药,随证治之。Although palpitations are not separated from the heart, they are not only related to the heart,but also closely related to the five viscera and six bowels. Palpitations are mostly caused by damage due to the seven emotions,improper diet,physical asthenia,fatigue and other factors,which lead to the deficiency of yin,yang,qi and blood of the heart,mind dystrophy,or pathogen obstruction of the heart vessel, harassment in the heart spirit. The heart is the main body of the five viscera and six bowels.Disorders of the other viscera and bowels,such as constraint and stagnation of liver qi,phlegm production due to spleen deficiency,kidney yang depletion,dysregulation of the lung,and asthenia of gallbladder,can influence the heart spirit and so as to cause palpitations,and therefore the five viscera and six bowels can cause palpitations. The influence of the other viscera and bowels on palpitations should be paid attention to, rather than only stick to the heart. Palpitations should be treated with different prescriptions and medicines according to different viscera and bowels and different syndrome types.

关 键 词：心悸 五脏六腑 病因病机 证治方药 

分 类 号：R249[医药卫生—中医临床基础] R256.21[医药卫生—中医学]