李平教授从“心风”立论治疗心房颤动
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摘要
心房颤动简称房颤,是一种常见的快速心律失常,是指规则有序的心房电活动的丧失,代之以快速无序的颤动波。风性主动,"动"为风象。李平教授认为大凡临床上所见的颤震、瞤动等症状皆属风动之象,故心房颤动亦属风象,为"心风"。根据多年的临床经验,李平教授从"心风"立论治疗房颤,"心风"包含外风和内风,房颤患者的基础疾病中有"心虚"(心系疾病)的特征,则外风易中、内风易生,内外合邪最易致病。房颤的证素为风、瘀、痰、火,"风为百病之长",风邪兼并瘀痰、火邪,导致了房颤的发生发展。中医古籍中关于"风邪"的认识与虫相关,风邪属无形之虫。虫类药,如全蝎、蜈蚣、地龙、僵蚕等入土善行,李平教授善用虫类药以入心搜风,往往获得较好的临床疗效。
Atrial fibrillation(AF) is an abnormal heart rhythm,referring to the loss of regular atrial electric activity,characterized by rapid irregular vibration wave. Wind dominates movement in TCM. Prof. Li Ping believes that the trembling and twitching in clinic are the signs of wind. AF is the sign of heart wind. According to the rich clinical experiences,Prof. Li treated AF in reference to heart wind which includes external wind and internal wind. Heart deficiency is the basic disorder of AF patients,which is apt to be invaded by the external wind and to produce internal wind. AF results due to the interaction of the internal wind and external wind. Wind,stasis,phlegm and fire are the syndrome elements of AF. Wind is the leading cause of various disorders. Wind,combined with stasis,phlegm and fire,leads to AF. In TCM ancient literatures,insects are related to the recognition of pathogenic wind. It is viewed that the pathogenic wind is invisible insect.Hence,the insect medicines are commonly used in the treatment,which act on heart and eliminate wind,such as scorpio,centipede,earthworm and silkworm. The satisfactory clinical effects are achieved.
Atrial fibrillation(AF) is an abnormal heart rhythm,referring to the loss of regular atrial electric activity,characterized by rapid irregular vibration wave. Wind dominates movement in TCM. Prof. Li Ping believes that the trembling and twitching in clinic are the signs of wind. AF is the sign of heart wind. According to the rich clinical experiences,Prof. Li treated AF in reference to heart wind which includes external wind and internal wind. Heart deficiency is the basic disorder of AF patients,which is apt to be invaded by the external wind and to produce internal wind. AF results due to the interaction of the internal wind and external wind. Wind,stasis,phlegm and fire are the syndrome elements of AF. Wind is the leading cause of various disorders. Wind,combined with stasis,phlegm and fire,leads to AF. In TCM ancient literatures,insects are related to the recognition of pathogenic wind. It is viewed that the pathogenic wind is invisible insect.Hence,the insect medicines are commonly used in the treatment,which act on heart and eliminate wind,such as scorpio,centipede,earthworm and silkworm. The satisfactory clinical effects are achieved.
引文
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[5]李雯斌.虫类中药抗动脉粥样硬化的作用机制概述[J].浙江中医杂志,2017,52(2):154-155.
[6]李嫦玲,周知午.全蝎粉对华法林在人体内血药浓度和抗凝血功能的影响[J].湖南中医杂志,2011,27(3):136-137.
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[9]张汉忠,董明华,张汉贞.水蛭活性物质体外抗凝及纤溶活性的研究[J].湖北中医学院学报,2002,4(2):31-32.
[2]顾春英.房颤发生机制的研究进展[J].内蒙古医学杂志,2010,42(4):443-446.
[3]Allessie MA,Lammers WJ,Bonke IM,et al.Intra-atrial reentry as a mechanism for atrial flutter induced by acetylcholine and rapid pacing in the dog[J].Circulation,1984,70(1):123-135.
[4]冯玲,尹伊艰,苏凤哲,等.从“纳化”谈路志正教授调理脾胃法的学术思想[J].世界中西医结合杂志,2012,7(3):190-194.
[5]李雯斌.虫类中药抗动脉粥样硬化的作用机制概述[J].浙江中医杂志,2017,52(2):154-155.
[6]李嫦玲,周知午.全蝎粉对华法林在人体内血药浓度和抗凝血功能的影响[J].湖南中医杂志,2011,27(3):136-137.
[7]代龙,张红.蜈蚣不同提取工艺抗凝血及溶栓作用的比较研究[J].中华中医药学刊,2009,27(8):1777-1779.
[8]刘亚明,郭继龙,刘必旺,等.中药地龙的活性成分及药理作用研究进展[J].山西中医,2011,27(3):44-45.
[9]张汉忠,董明华,张汉贞.水蛭活性物质体外抗凝及纤溶活性的研究[J].湖北中医学院学报,2002,4(2):31-32.