张珍玉从燮理阴阳辨治心悸探析

张珍玉提出治疗心悸应"勿执养心安神,唯务燮理阴阳"的学术观点,认为饮食劳倦、体质虚弱、七情六淫以及痰饮瘀血等均可导致气血阴阳亏损,心失所养、心脉不畅而发为心悸,其病位在心,与肝、脾、肺、肾四脏密切相关。实证治以祛痰化饮、清火行瘀,使邪去正安,心神得宁;虚证治以补气养血、滋阴温阳,以补气血之不足,调阴阳之盛衰,常应用炙甘草汤加减燮理心之阴阳。

ZHANG Zhenyu Treating Palpitation from Regulating Yin and Yang

ZHANG Zhenyu proposed that the treatment of palpitation should "not only be concentrated on nourishing the heart and tranquilizing the mind but also regulate yin and yang". It is believed that improper diet,overwork,physical weakness,seven emotional changes,six exogenous pathogenic factors,phlegm,fluid retention and blood stasis can lead to deficiency of qi,blood,yin and yang,heart failure to be nourished,inhibited circulation in the heart and vessels causing palpitation which is located in the heart and has close relationship with the liver,spleen,lung and kidney. The excess syndrome should be treated by eliminating phlegm,resolving fluid retention and blood stasis,clearing inner fire and the heart spirit is maintained when the pathogenic factors are removed. The deficiency syndrome should be treated by nourishing qi,nourishing blood,enriching yin and warming yang to supplement qi and blood and regulate yin and yang,often using Zhigancao Decoction to regulate heart yin and yang.