《血证论》辨治心房颤动的思想探讨  

Discussion on the Ideas of Differentiating and Treating Atrial Fibrillation Based on Xuezheng

作　　者：丁宇坤 李思聪 王显[3] Lun Ding Yunkun;Li Sichong;Wang Xian(Fengtai Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100700,China)

机构地区：[1]北京市丰台中西医结合医院,北京100700 [2]北京大学,北京100191 [3]北京中医药大学心血管病研究所,北京100700

出　　处：《中国中医急症》2024年第12期2206-2208,2215,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(82274326);2022年度北京中医药“十四五”重点专科项目(BJZKBC0002)。

摘　　要：清代唐宗海所著《血证论》具有独特的血证理论和治疗法则,书中提出心悸与“心火不足,血不养心”关系最为密切;“血火同病论”“治血四法”及“水火气血互生互用论”等创新理论为心房颤动提供了详细的治疗方法。本研究探索《血证论》中“治血四法”“惊悸”及“怔忡”等多篇内容,总结得出了活血、宁血、补血、化痰及通络为辨治本病的主要思路。Xuezheng Lun(Treatise on Blood Disorders)written by Tang Zonghai of the Qing Dynasty presents unique theories and treatment principles for blood disorders.Xuezheng Lun emphasizes the close relationship be⁃tween palpitations and“insufficient heart fire and lack of blood nourishment to the heart.”Innovative theories such as the“theory of blood and fire co-morbidity,”the“four methods of treating blood disorders,”and the“the⁃ory of mutual generation and utilization of water,fire,qi,and blood”provide detailed methods for treating these conditions.This paper explores multiple sections of Xuezheng Lun,including the“Four Methods of Treating Blood Disorders”“Palpitations”and“Persistent Palpitations”summarizing the main therapeutic strategies of promoting blood circulation,calming blood,replenishing blood,resolving phlegm,and unblocking meridians for differentiating and treating atrial fibrillation.

关 键 词：心房颤动 《血证论》 治血四法 理气化痰 祛风通络 

分 类 号：R541.75[医药卫生—心血管疾病]