现代中医临床2024，Vol.31Issue(4)：87-90,4.DOI:10.3969/j.issn.2095-6606.2024.04.017
基于络风内动学说辨治房颤射频消融术后复发
Differentiation of recurrence of atrial fibrillation after radiofrequency ablation based on theory of internal stirring of collateral vessels wind
摘要
Abstract
Atrial fibrillation(AF)is the most common arrhythmia in clinical practice.The recurrence of atrial fibrillation,atrial flutter,and atrial tachycardia in patients after radiofrequency catheter ablation(RFCA)can be categorized under the TCM diagnoses of xinji(palpitations),jingji(palpitations due to fright),and zhengzhong(severe palpitations).The core pathogenesis of RFCA postoperative recurrence is the internal stirring of collateral vessels wind,which includes three main aspects:the deficiency of heart-spirit leading to internal wind,the generation of wind from fire-heat and depletion of heart qi and yin,and the triggering of internal wind by external wind.The key treatment strategies for postoperative recurrence of RFCA involve calming internal wind and tonifying the collaterals,which include nourishing and tonifying the heart,eliminating stasis and calming wind,clearing heat and calming wind,boosting qi and nourishing yin,and dispelling external wind to pacify internal wind.This paper discusses these treatment principles through a clinical case study.关键词
络风内动/房颤/射频导管消融/复发/辨证论治Key words
endogenous collateral wind/atrial fibrillation/radiofrequency catheter ablation/recurrence/differentiation of symptoms and treatment分类
医药卫生引用本文复制引用
臧琰,吴正波,谢连娣..基于络风内动学说辨治房颤射频消融术后复发[J].现代中医临床,2024,31(4):87-90,4.基金项目
国家自然科学基金青年基金项目(No.81102573) （No.81102573）
