张伯礼教授治疗窦性心动过缓治验分析

Experience of Professor ZHANG Boli in treating sinus bradycardia

关键词:  窦性心动过缓  心悸  中医药治疗  验案分析

Key words:  sinus bradycardia  palpitation  traditional Chinese medicine treatment  effective case analysis

摘要:

窦性心动过缓以心室率降低为主要特征，是临床上较为常见的心血管疾病之一。目前主要采用药物及起搏器治疗，存在较多不良反应和临床禁忌证。张伯礼教授指出临床上窦性心动过缓患者以阳气之虚滞为本，痰浊、水饮、瘀血之互结为标，临证强调审证求因，明辨寒热虚实，虚者宜补，滞者宜通，气阴同调，痰瘀并治，灵活配伍，增率复脉。毒副作用减小，不良反应较少，临床疗效确切。

Abstract:

Sinus bradycardia, primarily characterized by decreased ventricular rate, is one of the more common cardiovascular diseases in clinical practice. Currently, drug and pacemaker treatments are mainly used, but they have many side effects and clinical contraindications. Professor ZHANG Boli has indicated that in clinical cases of sinus bradycardia, the deficiency and stagnation of yang qi constitute the fundamental aspect, while the intermingling of phlegm turbidity, fluid retention, and blood stasis represent the secondary manifestations. In clinical practice, it is emphasized to carefully examine the symptoms to find the cause, clearly distinguish between cold and heat, deficiency and excess. For deficiency, tonification is appropriate; for stagnation, promoting circulation is suitable. Qi and yin should be regulated simultaneously, and phlegm and blood stasis should be treated concurrently. Flexible compatibility should be made to increase the heart rate and restore the pulse. This approach has mitigated toxic and side effects, reduced adverse reactions, and demonstrated definite clinical therapeutic effects.