|
|
Wang Qingguo’s experience in treating palpitation based on the combination of “disease, syndrome, and symptom” |
LI Ting1 TANG Xuechun2 SUN Zijin2 OUYANG Huan2 CHENG Fafeng2 WANG Qingguo2 |
1.Department of Nephrology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China;
2.Beijing University of Chinese Medicine, Beijing 100029, China
|
|
|
Abstract Palpitation is one of the common clinical diseases, which seriously affects the physical and mental health and interferes with the life and work of patients. Meanwhile, traditional Chinese medicine treatment plays a particular therapeutic role. Professor Wang Qingguo, who has been conducting medical practice for more than 50 years and has rich clinical experience, recommends the diagnosis and treatment strategy by organically combining “disease, syndrome, and symptom”, so that doctors could grasp the main contradiction of palpitation, predict the trend of the disease evolution and use targeted drugs to minimize the patient’s suffering. This article introduces Professor Wang Qingguo’s understanding of the etiology and pathogenesis of palpitation and summarizes his academic thinking and commonly used prescriptions from three aspects: combining Chinese and Western medicine to identify the disease, identifying the syndrome and choosing the therapy based on the outline of deficiency and excess, and adjusting the medication prescription to restore the heart rhythm according to the symptoms. Besides, a typical clinical case is also attached for reference.
|
|
|
|
|
[1] 张伯礼,吴勉华.中医内科学[M].北京:人民卫生出版社,2012.
[2] 赵梦竹,王恒和.中医药防治缓慢性心律失常的临床研究进展[J].中西医结合心脑血管病杂志,2021,19(13):2172-2174.
[3] 吕玲,李霖,李明玥,等.中医药治疗慢性心力衰竭评价指标应用现状分析[J].天津中医药,2022,39(1):123-130.
[4] 刘渡舟.试论心悸的证治[J].贵阳中医学院学报,1983(2):1-5.
[5] 杨超,冯灿,符德玉.金元四大家论治心悸病理论及临床应用探析[J].世界临床药物,2020,41(11):910-914.
[6] 张红林.血府逐瘀汤异病同治临证应用举隅[J].西部中医药,2013,26(5):84-86.
[7] 王庆国,王雪茜,刘敏.经方现代拓展应用的原则与方法[J].中医杂志,2017,58(5):380-383.
[8] 张杼惠,刘建和,曹蛟,等.程丑夫基于“阴病治阳”理论辨治病态窦房结综合征经验[J].中国中医药信息杂志,33(5):1221-1222.
[9] 刘敏,闫军堂,郭少英,等.王庆国运用麻黄细辛附子汤经验[J].中医杂志,2012,53(9):790-791.
[10] 戚瑜清,张双,雷超芳,等.王庆国教授治疗扩张型心肌病合并心力衰竭验案一则[J].天津中医药大学学报,2019, 38(2):161-163.
[11] 刘超,甘佳乐,冯丽丽.中医药治疗冠心病痰瘀互结证研究进展[J].内蒙古中医药,2021,40(8):163-164,168.
[12] 刘美含,李晓宁,王亦帆,等.张丽梅辨治心悸临床经验撷英[J].中国医药导报,2022,19(6):143-146.
[13] 宋佳,傅延龄.刘渡舟教授对伤寒学派若干问题的再认识[J].西部中医药,2019,32(8):32-35.
[14] 任自文,刘鸿艳.心律失常的药物治疗进展研究[J].天津医药,2016,44(8):932-934.
[15] 闫军堂,刘敏,赵伟鹏,等.王庆国教授治疗更年期综合征经验[J].北京中医药大学学报,2011,34(6):421-423.
[16] 任北大,谭令,程发峰,等.王庆国辨治失眠经验[J].中医学报,2019,34(9):1885-1888.
[17] 南笑珂,张鲁,罗琳,等.中药甘松化学成分与药理作用的研究进展[J].中国现代中药,2018,20(10):1312- 1318.
[18] 张钟媛.苦参的化学成分和药理作用研究进展[J].云南中医中药杂志,2015,36(6):104-106.
[19] 周静,许一凡.柏子仁化学成分与药理活性研究进展[J].化学研究,2019,30(4):429-433.
[20] 赵莹莹,侯平.麻黄附子细辛汤中有效成分治疗缓慢性心律失常机制研究进展[J].辽宁中医药大学学报,2015, 17(3):70-73.
[21] 陈聪爱,王雪茜,程发峰,等.王庆国教授临证运用附子经验总结[J].现代中医临床,2021,28(1):36-39,43.
[22] 马雪宁,杨素清,张君成,等.苦参药理作用的研究进展[J].辽宁中医药大学学报,2023,25(1):152-156.
[23] 郭延秀,席少阳,马毅,等.鬼箭羽化学成分及药理活性研究进展[J].中国现代应用药学,2021,38(18):2305- 2316. |
|
|
|