[1]陈 琛,王玉玲,沈子焕,等.基于“冲脉为病,逆气里急”探讨心房颤动辨治思路[J].陕西中医,2024,(5):662-665.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.020]
　CHEN Chen,WANG Yuling,SHEN Zihuan,et al.Discussion on the differentiation and treatment of atrial fibrillation based on “chong channel disease leading to adverse and urgent qi”[J].,2024,(5):662-665.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.020]
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基于“冲脉为病,逆气里急”探讨心房颤动辨治思路
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年5期
页码:
662-665
栏目:
学术探讨
出版日期:
2024-05-05

文章信息/Info

Title:
Discussion on the differentiation and treatment of atrial fibrillation based on “chong channel disease leading to adverse and urgent qi”
作者:
陈 琛1; 王玉玲1; 2; 沈子焕1; 2; 焦林珂1; 2; 丁 帆1; 2; 崔向宁1; 2
(1.中国中医科学院广安门医院,北京 100053; 2.北京中医药大学,北京 100029)
Author(s):
CHEN Chen; WANG Yuling; SHEN Zihuan; JIAO Linke; DING Fan; CUI Xiangning
(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
关键词:
心悸;  冲脉;  心房颤动;  中医病因病机;  辨证论治;  自主神经系统
Keywords:
Palpitation;  Atrial fibrillation;  Chong channel;  Traditional Chinese medicine etiology and pathogenesis;  Treatment based on syndrome differentiation;  Autonomic nervous system
分类号:
R 541.75
DOI:
DOI:10.3969/j.issn.1000-7369.2024.05.020
文献标志码:
A
摘要:
心房颤动(AF)是临床常见的心律失常疾病,以起病突然、发展迅速、反复发作为特点,是临床治疗的难题。基于《黄帝内经》“冲脉为病,逆气里急”理论,结合现代医学对自主神经调控AF作用机制的认识,提出“冲脉为病,逆气里急”是AF的核心病机,而阳明失阖,冲脉为病为AF的发病基础; 升降不前,逆气里急是AF的发病诱因。治疗方面,重视自主神经介导的AF的人群患病特点,以“冲脉不治,取之阳明”贯穿始终,针对迷走神经介导型AF以通降阳明为主,畅顺阳明阖降之势; 交感神经介导型AF以通补阳明为主,恢复阳明阖降之力。以期充实AF从冲脉论治的理论依据,为其临床研究和治疗提供更多新的思路。
Abstract:
Atrial fibrillation is a common clinical arrhythmia disease,which is characterized by sudden onset,rapid development and repeated onset,leading to the increase of disability rate and death risk of patients,and is a difficult problem in clinical treatment.Based on the theory of “Chong channel disease leading to adverse and urgent qi”,and the relationship between “Yangming is close” and the regulation of autonomic nervous system,this paper proposes that “Chong channel disease leading to adverse and urgent qi” is the core pathogenesis of atrial fibrillation.And Yangming is closed and the damaged Chong channel is the cause of atrial fibrillation,and combine the pathological mechanism of atrial fibrillation,and discuss the core pathogenesis and the treatment mechanism of atrial fibrillation.In terms of treatment,attention should be paid to the characteristics of atrial fibrillation,and “Chong channel is damaged,take the Yangming treated” throughout.For the vagal atrial fibrillation,smooth Yangming and the sympathetic atrial fibrillation can restore the force of Yangming.In order to enrich the theoretical basis of the treatment of atrial fibrillation from Chong channel,and provide more new ideas for its clinical research and treatment.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助面上项目(81973842)
更新日期/Last Update: 2024-05-09