基于“风火相煽”论治心悸  

Treatment of Palpitations Based on the Theory of "Wind and Fire Inciting Each Other"

作　　者：许韵 陈兴娟 肖璐[1] 吴怡茹 冯玲[1] XU Yun;CHEN Xingjuan;XIAO Lu;WU Yiru;FENG Ling(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijng,100053)

机构地区：[1]中国中医科学院广安门医院,北京市100053

出　　处：《中医杂志》2024年第15期1617-1620,共4页Journal of Traditional Chinese Medicine

基　　金：中国中医科学院科技创新工程(CI2021A03001);国家重点研发计划(2019YFC1708404);中央高水平中医医院临床研究和成果转化能力提升项目(HLCMHPP2023042)。

摘　　要：通过梳理风、火二气的生理特性,明晰风、火二气过而为邪,外风易袭,遇火更甚;火邪燔动,掀起内风;风火相煽而致心悸。从风火相煽角度出发,论述心悸的临床诊治思路,阐明风邪有内外之分,除外风时,选药亦需辨风邪兼杂特性;祛内风时,又当纳入平肝、滋阴、化痰之药。火邪有虚实之分、五脏之别,诊治时应当谨慎分辨用药,并谨防苦寒败胃,勿过投。另外注意不忘顾护心脏,察其所缺,补其气血阴阳之不足。以期为临床治疗提供借鉴。By combing the physiological characteristics of wind and fire,the article makes it clear that wind and fire are evils,and external wind is easy to attack and even worse when it encounters fire;burnt and moving fire evils set off internal winds;and the incitement of each other can lead to the occurrence of palpitations.From the perspective of the theory of"wind and fire inciting each other",the clinical diagnosis and treatment of palpitation is discussed,which clarifies that there is an internal and external distinction between wind and fire,and there is an internal and external distinction between the real and the imaginary,which should be carefully distinguished in the diagnosis and treatment of palpitation.In the treatment,wind medicine can be skillfully applied to drive away the wind evil to calm the internal and external,and it is also necessary to clearly identify the source of the fire evil and properly choose the corresponding treatment for the fire evil in order to extinguish the burnt fire.As the positive qi exists and the evil will not dry up,we should not forget to take care of the heart in the treatment.An example of a medical case is attached in order to provide new ideas for the clinical treatment of palpitation.

关 键 词：心悸 风火相煽 风邪 火邪 

分 类 号：R256.21[医药卫生—中医内科学]