中医学视角下中青年心悸病防治浅识  

Discussion on Prevention and Treatment of Heart Palpitation in Young and Middle-Aged People from Perspective of Traditional Chinese Medicine

作　　者：杨洁[1,2] 张倩[2] 杨传华[2] 王世军[1] YANG Jie;ZHANg Qian;WANG Shijun;YANG Chuanhua(Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,Shandong,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250011

出　　处：《辽宁中医杂志》2023年第7期54-58,共5页Liaoning Journal of Traditional Chinese Medicine

基　　金：泰山学者岗位建设资金资助项目(tsqn202211352);山东省中医药科技发展计划项目(2019-0095)。

摘　　要：心悸病为以心慌为主要特征的心血管常见疾病之一,以老年人群发病居多,其他诸年龄人群亦可见之。随着社会节奏的不断加快,生活方式的变迁,作为社会主要生力军的中青年面临的工作与生活压力逐年攀升。加之,人们健康意识的逐年提升,中青年心悸病的发病率亦有逐年上升之趋势,心律失常50岁以下人群占37%,且猝死成人中,心律失常占80%以上,对中青年的身心产生较大负面影响。中青年人群中发生的心悸病多无冠心病、心绞痛等心脏相关的基础疾病,且发病多呈现阵发性、功能性,现代医学多采用调律或调率的对症措施,虽然可使其症状短时间改善,却无法毕其功于一役,传统医学以往受大多数患者对心悸病认识片面的影响,多表现为病发、病重而疗疾的特点,而“防病于未然”的理念受病因病机庞杂而难以入手的影响受到弱化,极大的增加了患者的痛苦与负担。近年来,随着传统医学预防性研究的不断深入,笔者以中医基础理论为指导,结合多年临床工作实践,总结发现,中青年心悸虽有轻重缓急之异,病因病机繁杂不一,然多因“情劳”“食劳”“形劳”“神劳”“房劳”等扰动机体气机升降出入,诱发各脏腑组织或为实、或为虚,各脏腑组织功能紊乱,气血生化循行异常,终至劳心动神而悸。初多扰功能,寻其因去之可机体自调而愈;进而动器质,寻因去之兼少假以益气温养、滋阴清热、健脾化痰、行气活血等药石适时予之亦可大为改观。因此,作者认为,中青年心悸病当以“防大于治”为指导,精确把握“情劳”“食劳”“形劳”“神劳”“房劳”的病因特性,及时、精准的从错综复杂的病因中抓取真是病因并去之,对降低中青年心悸病的发生率大有裨益,故简而言之。Palpitation is one of the common cardiovascular diseases with palpitation as the main feature.With the accelerating pace of society and the change of life style,the middle-aged and young people,as the main fresh force of society,are facing the increasing pressure from work and life year by year.In addition,with the improvement of people's health awareness year by year,the incidence of palpitation among young and middle-aged people is also increasing year by year.37% of people under 50 years old suffer from arrhythmia,and more than 80% of adults die of sudden death suffer from arrhythmia,which has a great negative impact on the physical and mental health of young and middle-aged people.The occurrence of heart palpitations among middle-aged and young people is mostly without basic heart related diseases such as coronary heart disease and angina pectoris,and the onset is often paroxysmal and functional.Modern medicine often adopts symptomatic measures such as rhythm regulation or rate regulation.Although it can improve its symptoms in a short period of time,it cannot achieve its goal.Traditional Chinese medicine has been influenced by the one-sided understanding of heart palpitations by most patients in the past,and is often characterized by the onset,severity and treatment of the disease.The concept of“preventing diseases before onset”has been weakened due to the complex pathogenesis of the disease,which greatly increases the pain and burden of patients.In recent years,with the deepening of the traditional preventive medicine research,the author guided by the basic theory of TCM,combined with years of clinical practice,and has found that although middle-aged and young heart palpitations patients have different priorities,the etiology and pathogenesis is differ.The factors like“emotion fatigue”,“improper diet”,“body fatigue”,“spirit fatigue”and“sexual life fatigue”disturb the Qi activity,and then induce abnormal movement of Qi and blood of Zang-Fu organs,eventually leading to palpitations.At

关 键 词：心悸病 中青年 病因病机 防治 

分 类 号：R256.21[医药卫生—中医内科学]