刘超峰主任从阳气变动论治心悸

Experience of Professor LIU Chao-feng in treating heart palpitations by Yang Qi changes

关键词:  心悸  阳气内动  风热  临床经验

Key words:  heart palpitations  Yang Qi changes  wind and heat  clinical experience

摘要:

刘超峰主任认为心为属阴而位阳之脏，其疾病的特性既可趋阴又可偏阳。心悸与胸痹虽有着相同的病理因素，但主症大不相同，是因为当兼夹属阳的风邪为患时，心病的病机发展便趋向于阳的特性，表现为运动活跃的心悸；当以属阴的寒邪痰浊为主时，便趋向于收引凝滞状态，即表现为胸痹心痛。刘超峰主任提出内风的形成首先由于病邪导致阳气郁滞化生内热，继而在内热的基础上阳气亢逆变动又生内风。热扰心神使躁动不安，风动心神致休作无常，风热相搏则发为心悸。治疗上提出治阳气为本，除风热为标，重在调理心肝，从而为心悸的诊疗提供了新思路。

Abstract:

Professor LIU Chao-feng considers that heart is belonged to Yin and located in Yang, so the characteristics of the disease can tend towards Yin or Yang. Although heart palpitations have pathological factors in common with chest stuffiness, the primary symptom is different. It is because when merging the wind belonged to Yang, the development of heart disease characteristics will tend to Yang which shows the form of the active heart palpitations. On the contrary, when cold coagulation and phlegm-turbidity belonged to Yin are primary, it will tend to Yin which shows the form of the congealed chest stuffiness. Professor LIU Chao-feng puts forward the stagnation of Yang Qi caused by pathological factors transforms into heat which makes heart-mind dysphoria firstly, then heat produces wind which makes paroxysm occasionally with the hyperactivity of Yang Qi, finally heat and wind lead to heart palpitations. This article also points out that the treatment of heart palpitations should focus on harmonizing heart and liver, when treating Yang Qi for pathogenesis, and to get rid of wind and heat for symptomatic.