| 引用本文:高嘉良1，陈光1,2，何浩强1,2，董艳1，王阶1.怔忡脏腑辨证的内涵与体会[J].世界中医药,2017,(03):. |
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| 怔忡脏腑辨证的内涵与体会 |
| Connotation and Experience on Treatment of Palpitation Based on Syndrome Differentiation of Zang-fu Viscera |
| 投稿时间：2016-08-08 |
| DOI：10.3969/j.issn.1673-7202.2017.03.009 |
| 中文关键词: 怔忡 脏腑辨证 心 五神 |
| English Keywords:Palpitation Syndrome differentiation of zang-fu viscera Heart Five-spirits |
| 基金项目:中国中医科学院博士研究生创新人才培养基金项目（编号：CX201603）；证候类中药新药疗效评价方法研究（编号：201207009） |
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| 中文摘要: |
| 心律失常是心血管的重要疾病，是多发疾病，也是常见伴发疾病。其中，心悸是其临床常见症状，而怔忡是心悸的一种类型。中医药治疗心悸历史悠久，方法独特，疗效良好。本文立足脏腑辨治怔忡，分别从以肺论治、以肝论治、以脾胃论治、以肾论治、以胆论治5个方面，梳理主要古代文献及医家相关论治怔忡的机制与治法，并认为在治疗怔忡中，应先补养心脏，再根据各脏腑病症及变证，或以清热，或以温阳，或以调神，或以化痰活血之类，治疗中不必泥执古书，因病情而随证治之。 |
| English Summary: |
| Arrhythmia is common, which is an important cardiovascular disease and a usual disease associated with others. Palpitation is a clinical symptom. TCM used unique methods to treat palpitation with a long history and good clinical effect. Based on the syndrome differentiation of zang-fu viscera, this paper discusses the mechanism and therapy on the palpitation from 5 aspects according to main Chinese ancient literatures, treating from the lung, the liver, the spleen and stomach, the kidney and the gall bladder. And in the treatment of palpitation, nourishing the heart should be the first, and according to the syndrome differentiation of zang-fu viscera choose therapy of clearing heat, warming Yang, activating blood circulation or resolving phlegm and others. The treatment should be based on syndrome differentiation rather that theories of the book. |
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