中医药诊治室性早搏研究进展  

Research Progress of Chinese Medicine in the Diagnosis and Treatment of Premature Ventricular Contractions

作　　者：黄一婷 曾建斌[2] Huang Yiting;Zeng Jianbin(Jiangxi University of Chinese Medicine,Nanchang 330004,China;The Hospital Affiliated to Jiangxi University of Chinese Medicine,Nanchang 330006,China)

机构地区：[1]江西中医药大学,江西南昌330004 [2]江西中医药大学附属医院,江西南昌330006

出　　处：《亚太传统医药》2025年第1期223-227,共5页Asia-Pacific Traditional Medicine

基　　金：国家中医药管理局高水平中医药重点学科建设项目(zyyzdxk-2023113);江西省中医药管理局科技计划(2022B117)。

摘　　要：室性早搏是最常见的心律失常之一,患者可有心悸、胸闷、乏力、心跳停搏感,甚至黑矇晕厥、诱发心绞痛,严重者发生心源性猝死。通过查阅、整理与分析中医药诊治室性早搏的文献,可将其归属于中医学“心悸”“惊悸”“怔忡”等范畴,室性早搏病位在心,与肾、肝、脾、肺关系密切,病机不外乎虚实两端,气血阴阳亏虚,心失所养;痰饮瘀火扰心,心神不宁。室性早搏的分型虽尚未统一,但主要可分为气阴两虚证、肝郁气滞证、气阴两虚夹瘀证、气血两虚证等。中医药治疗室性早搏采用口服中药为主,针刺、揿针、穴位贴敷等中医特色疗法为辅,使其阴平阳秘,心神安宁。Premature ventricular contractions are one of the most common cardiac arrhythmias,and patients may experience palpitations,chest tightness,fatigue,a feeling of cardiac arrest,or even blackout and fainting,induced angina pectoris,and in severe cases,sudden cardiac death.By reviewing,organizing and analyzing the literature on the treatment of premature ventricular contractions in Chinese medicine,it can be attributed to the categories of“palpitation”,“palpitating with fear”and“continuous palpitation”.Premature ventricular contractions are located in the heart and are closely related to the kidney,liver,spleen and lung.The mechanism of the disease is no more than the two ends of the spectrum:deficiency of qi,blood,yin and yang,loss of nourishment for the heart,phlegm,fluid retention,blood stasis and fire disturbing the heart,and restlessness of the heart spirit.Although the classification of premature ventricular contractions has not been standardized,it can be mainly divided into deficiency of both qi and yin,stagnation of liver qi,qi and yin deficiency with stasis,deficiency of both qi and blood,etc.Chinese medicine treatment is based on oral Chinese medicine,supplemented by other traditional Chinese medicine specialties such as acupuncture,press needle,and acupoint application,so that balancing Yin and Yang,making the mind and spirit peaceful.

关 键 词：室性早搏 中医药 心悸 

分 类 号：R256.2[医药卫生—中医内科学]