翁维良教授治疗频发室性早搏临证经验

WENG Weiliang's clinical experience in the treatment of frequent ventricular premature beat syndrome

关键词:  室性早搏  临证验案  翁维良

Key words:  ventricular premature beat  clinical medical case  WENG Weiliang

摘要:

室性早搏是一种常见的心律失常，频发的室性早搏加重心脏负担，影响患者的正常生活。通过分析全国名老中医翁维良教授治疗心肌梗死心肌损伤后室性早搏以及频发室性早搏两则医案，探索翁教授遣方用药的辨证思路，总结归纳翁教授治疗室性早搏的核心处方为：太子参、党参、黄芪、刺五加、白术以益气活血，丹参、赤芍、三棱、莪术以活血化瘀，川芎、延胡索、郁金、陈皮以理气活血，苦参、甘松以稳定心率，同时予麦门冬、玄参、酸枣仁、合欢皮以养阴安神等。从两则医案的分析归纳中可见翁教授在临床治疗中“以通为补，通补兼施，因时制宜，审因辨证”的学术理念。

Abstract:

Ventricular premature beat is a common arrhythmia,and frequently premature ventricular beats increase the burden on the heart,affect the patient's normal life. Through the analysis of the national famous Chinese medicine doctor WENG Weiliang treatment of two medical cases,including ventricular premature beat after myocardial infarction and frequently ventricular premature beats,to explore the dialectical thinking of Professor WENG's medication. The core prescription for the treatment of premature ventricular beat of Professor WENG Weiliang is summarized. Pseudostellariae Radix, Salviae Miltiorrhizae Radix et Rhizoma, Astragali Radix, Radix et Caulis Acanthopanacis Santicosi, Atractylodis Macrocephalae Rhizoma are used to replenish qi and activate blood circulation. Salviae Miltiorrhizae Radix et Rhizoma, Paeoniae Radix Rubra, Sparganii Rhizoma, Curcumae Rhizoma are used to activate blood circulation and remove stasis. Chuanxiong Rhizoma, Corydalis Rhizoma, Curcumae Radix, Citri Reticulatae Pericarpium are used to regulate qi and activate blood circulation. Sophorae Flavescentis Radix and Radix et Rhizoma Nardostachyos are used to stabilize the heart rate. Meanwhile, Ophiopogonis Radix, Scrophulariae Raix, Ziziphi Spinosae Semen, Cortex Albiziae are used to nourish yin and calm the mind. From the analysis and induction of two medical cases, it can be seen that Professor WENG's academic concept in clinical treatment is "to dredge to benefit, dredge and supplement simultaneously, adjust measures according to the time, and examine the cause and syndrome differentiation".