基于“心脾相关”论治快速性心律失常合并焦虑  

Discussion on the treatment of tachyarrhythmia combined with anxiety based on the theory of“heart-spleen correlation”

作　　者：王甜 田汶沅 冯玲[2] WANG Tian;TIAN Wenyuan;FENG Ling(Beijing University of Chinese Medicine,Beijing 100029,China;Guang’anmen Hospital China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院广安门医院,北京100053

出　　处：《陕西中医》2025年第4期504-507,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划项目(2019YFC1708404);国家卫健委科研课题(2022YB73);中国中医科学院科技创新工程项目(CI2021A03001)。

摘　　要：快速性心律失常合并焦虑为临床常见的双心疾病,中医“心脾相关”的理念对该疾病的治疗具有重大的指导意义。基于“心脾相关”理论,从心脾五行相生、气血相关、神志相合等理论出发,基于中医五行、藏象学说对快速性心律失常合并焦虑的病因病机进行探讨。提出气血失调是疾病发生发展的内在基础,痰、瘀、郁、火为快速性心律失常合并焦虑的主要病理因素。治疗上提倡心脾共治、气血同调,倡导因人制宜,为快速性心律失常合并焦虑提供新的辨证思路。The tachyarrhythmia combined with anxiety is a common dual cardiac disorder in clinical practice.The concept of“heart-spleen correlation”in traditional Chinese medicine has significant guiding significance for the treatment of this disease.This article,based on the theory of“heart-spleen correlation”to explores the etiology and pathogenesis of tachyarrhythmia combined with anxiety from the perspectives of the generation of heart and spleen in the five elements,the connection of qi and blood,and the harmony of spirit and will.It proposes that the imbalance of qi and blood is the intrinsic basis for the occurrence and development of the disease,with phlegm,stasis,stagnation,and heat being the main pathological factors of tachyarrhythmia combined with anxiety.In treatment,it advocates for the joint treatment of the heart and spleen,the coordination of qi and blood,and individualized approaches,providing new diagnostic and therapeutic strategies for tachyarrhythmia combined with anxiety.

关 键 词：快速性心律失常 室上性心动过速 室性心动过速 焦虑 心脾 气血 

分 类 号：R259[医药卫生—中西医结合]