基于“大气下陷”理论探讨病态窦房结综合征的病机及治疗  

The Pathogenesis and Treatment of Sick Sinus Syndrome based on the Theory of"Subsidence of Pectoral Qi"

作　　者：曹琼雯 赵明旺 王凤儒[2] CAO Qiongwen;ZHAO Mingwang;WANG Fengru(Heilongjiang University of Chinese Medicine,Heilongjiang Harbin 150040,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《中医药临床杂志》2024年第10期1854-1858,共5页Clinical Journal of Traditional Chinese Medicine

摘　　要：病态窦房结综合征是以心率减慢、运动耐力下降、多种重要器官供血不足等症状为临床特征表现的综合征,目前尚未有特效药物对其进行治疗。“大气下陷”理论由中国近代中西医汇通学派代表人物张锡纯提出,大气主周身气血运行,司呼吸与心跳,与心肺的关系尤为密切。若大气虚陷则心肺的正常功能失于维续,出现气短、心悸、乏力等病理表现。文章基于“大气下陷”理论阐述病态窦房结综合征的病机及治疗,认为大气耗损,助运失司为发病基础,瘀血停滞,斡旋受阻为关键环节,大气虚陷,心无附丽为核心病机,大气衰散,阴阳失维为病重表现。治疗时以益气升阳举陷为基本治则,同时根据“大气”的生理特点以及病情发展的不同阶段给予相应的治法,健补中州以生大气之源,温阳化瘀以畅大气之行,轻灵升举以复大气之位,燮理阴阳以固大气之本。Sick Sinus Syndrome is a syndrome characterized by slow heart rate,decreased exercise tolerance,and insufficient blood supply to multiple important organs.There is no specific drug to treat it.The theory of“atmosphere collapse”was proposed by ZHANG Xichun,a representative of the modern Chinese and Western medicine school.Atmosphere controls the circulation of Qi and blood throughout the body,controls breathing and heartbeat,and is particularly closely related to the heart and lungs.If the atmosphere collapses,the normal function of the heart and lungs will not be maintained,and pathological manifestations such as shortness of breath,palpitations,and fatigue will occur.Based on the theory of“atmosphere collapse”,this article explains the pathogenesis and treatment of sick sinus syndrome.It is believed that atmospheric depletion and dysfunction of transportation are the basis of the disease,blood stasis and obstruction of mediation are the key links,atmospheric collapse and lack of heart attachment are the core pathogenesis,and atmospheric decay and loss of Yin and Yang are the serious manifestations of the disease.The basic principle of treatment is to replenish Qi,raise yang and lift the sunken.At the same time,according to the physiological characteristics of“Qi”and the different stages of the disease,corresponding treatment methods are given,such as strengthening the Zhongzhou to generate the source of Qi,warming Yang and removing blood stasis to promote the flow of Qi,lifting lightly to restore the position of Qi,and regulating Yin and Yang to consolidate the foundation of Qi.

关 键 词：大气下陷 病态窦房结综合征 益气升阳举陷法 升陷汤 

分 类 号：R541.74[医药卫生—心血管疾病]