李平教授治疗快速性心律失常合并失眠的临床经验
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(1. 北京中医药大学研究生院,北京 100029;2. 北京中医药大学第三附属医院,北京 100029)

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郝千莹(1997-),女,在读硕士研究生,研究方向:中医药防治心血管疾病。

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基金项目: 国家自然科学基金项目(81960852)


Clinical Experience of Professor Li Ping in the Treatment of Tachyarrhythmias Combined with Insomnia
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(1. Graduate School of Beijing University of Chinese Medicine, Beijing 100029, China;2. The Third Affiliated Hospital, Beijing University of Chinese Medicine , Beijing 100029, China)

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    摘要:

    快速性心律失常与失眠常共病,二者互为因果。针对快速性心律失常合并失眠,李平教授提出在病机上:心之气阴不足是病机基础,心风内动是病机关键,心神不安是病机转归;在诊断上:临证注重望舌,结合超声心动微观辨证;在治疗上:补心气、养心阴为治疗基础,熄心风是治疗关键,擅用三虫、三甲,安心神是治疗转归关键,酸枣仁、首乌藤、刺五加、合欢花用药剂量较大。李平教授运用中医取象比类思维提出的“心风论”,结合辅助检查进行微观辨证的思想都是当代中医药创新的智慧结晶。

    Abstract:

    Tachyarrhythmia and insomnia are often co-morbid, and they are mutually causal. For tachyarrhythmia combined with insomnia, protessor Li Ping proposed that in terms of pathogenesis, deficiency of heart Qi and Yin is the basis of the pathogenesis, internal movement of heart Wind is the key to the pathogenesis, and disturbance of the mind is the key to the regression of the pathogenesis; in terms of diagnosis, the clinical evidence focuses on looking at the tongue, combined with echocardiographic microscopic identification; in terms of treatment, replenishing heart Qi and nourishing heart Yin is the basis of the treatment; quenching heart Wind is the key to the treatment, excelling in the use of three Chongs and three Jias; tranquilizing the mind is the key to the treatment of regression, and Suanzaoren(Ziziphi Spinosae Semen), Shouwuteng (Polygni Multiflori Caulis), Ciwujia (Acanthopanax senticosus) and Hehuanhua (Albiziae Flos) are used in larger doses. Protessor Li Ping‘s theory of "heart Wind" and the idea of microscopic identification with auxiliary examinations are the crystallization of the wisdom of contemporary TCM innovation.

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  • 收稿日期:2022-12-19
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  • 在线发布日期: 2023-04-25
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