张伯礼教授基于“湿浊痰饮类病”学说辨治阵发性心房颤动临证经验

Experience of professor ZHANG Boli in treating paroxysmal atrial fibrillation based on the theory of "damp-turbidity and phlegm-rheum type of diseases"

关键词:  阵发性心房颤动  湿浊  痰饮  临床经验  张伯礼

Key words:  paroxysmal atrial fibrillation  damp-turbidity  phlegm-rheum  clinical experience  ZHANG Boli

摘要:

心房颤动是较为常见的心律失常，多以心慌、胸闷、乏力等症为主，目前西医治疗方案仍存在术后复发率高、抗凝治疗出血风险等问题。张伯礼教授基于“湿浊痰饮类病”学说，提出“水不行亦可为瘀”，临床上阵发性房颤患者以阳气亏虚为本，痰瘀互结为标，治疗强调辨其标本虚实、分清祛邪与扶正之主次，祛邪当早，痰瘀兼治，扶正防复，临床疗效显著。

Abstract:

Atrial fibrillation is a common cardiac arrhythmia,characterized by symptoms such as palpitations,chest tightness,and fatigue. Current Western medical treatment regimens still have problems such as high recurrence rates after surgery and bleeding risks during anticoagulation therapy. Based on the theory of "damp-turbidity and phlegm-rheum type of diseases",professor ZHANG Boli proposed that "water retention can also cause blood stasis." In clinical practice,patients with paroxysmal atrial fibrillation are considered to have a type of yang qi deficiency as the root cause and blood stasis and phlegm intertwined as the main manifestation. On treatment it emphasizes differentiating the the root and the manifestation,identifying the deficiency and excess,distinguishing the main task of eliminating pathogens from the secondary task of supporting the body's resistance,removing pathogens as early as possible,treating blood stasis and phlegm simultaneously,and supporting the body's resistance to prevent recurrence. The clinical efficacy is remarkable.