李飞泽以症为纲辨治心悸经验介绍
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R249

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国家中医药管理局李飞泽全国名老中医专家传承工作室项目(国中医药人教函〔2022〕75号);第七批全国老中医药专家学术经验继 承工作指导老师及继承人项目(国中医药人教函〔2022〕76号);浙江省中医药科技计划项目(2023ZF190)


Introduction of LI Feize's Experience in Treating Palpitations Based on "Symptoms Being the Principle" by Syndrome Differentiation
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    摘要:

    总结介绍李飞泽教授以症为纲辨治心悸的临床经验。李飞泽教授主张将心悸分为心搏有余、心搏 不足、心搏平数三大症。心搏有余,病机多为水火不济、心阳偏亢、心阴不足;治宜注重益阴。心搏不足,病 机多为阴阳失调、心阳不足、心阴偏盛;治宜注重温阳。心搏平数,病机多为阴阳基本调和,心搏有序,但因 气血运行失常,心气紊乱而觉心悸,多为自觉症状;治宜注重调气。此外,在辨治心悸的过程中,仍需重视详 辨阴阳;对于久病顽症,尚宜治虚、瘀、痰;通络可用虫类药,调气可用花类药。

    Abstract:

    Abstract:The authors are to summarizes Professor LI Feize's clinical experience in treating palpitations based on "symptoms being the principle" by syndrome differentiation. Professor LI advocates that palpitations are embodied by three major symptoms, including excessive heartbeats, insufficient heartbeats,and average number of heartbeats. The pathogenesis of excessive heartbeats lies in water-fire imbalance, hyperactive heart yang, and insufficient heart yin; the treatment should pay attention to benefiting yin. The pathogenesis of insufficient heartbeats is mostly yin-yang imbalance,insufficient heart yang,and excessive heart yin;the treatment should pay attention to warming yang. The pathogenesis of normal number of heartbeats is usually that there is a basic harmony of yin and yang,and the heart beats are orderly,but the palpitations are caused by the abnormal movement of qi and blood and the disorder of heart qi,most of which are subjective symptoms;the treatment should focus on regulating qi. In addition, it is necessary to distinguish yin and yang in the process of syndrome differentiation and treatment of palpitations;for chronic diseases lasting for a long time,it is appropriate to treat deficiency,blood stasis and phlegm; worm medicinals can be used for unblocking collaterals, and flower medicinals for regulating qi.

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赵金伟,郑萍红,指导:李飞泽.李飞泽以症为纲辨治心悸经验介绍[J].新中医,2024,56(18):218-222

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  • 在线发布日期: 2024-09-27
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