天津中医药2025，Vol.42Issue(7)：823-828,6.DOI:10.11656/j.issn.1672-1519.2025.07.03
国医大师翁维良治疗儿童高度房室传导阻滞经验
Experience of treating pediatric high-grade atrioventricular block by master of traditional Chinese medicine WENG Weiliang
摘要
Abstract
Atrioventricular block(AVB)is a type of bradyarrhythmia,high-grade AVB,characterized by block at or below the His bundle,may progress to third-degree AVB and is associated with a poor prognosis.AVB is relatively rare in children,often asymptomatic and of unknown etiology,which complicates clinical management.Currently,parents of pediatric AVB patients exhibit low acceptance of conventional Western treatments.Traditional Chinese medicine(TCM),with its flexible therapeutic strategies and high safety profile,plays a significant role in such cases.Professor WENG Weiliang emphasizes that pediatric AVB treatment should account for the unique constitutional characteristics of children-described in TCM as"delicate visceral qi,immature yin and yang".Unlike adults,children require gentler and more balanced pharmacological interventions.Under the fundamental principle of warming yang and activating blood circulation,Professor WENG Weiliang tailors the treatment to the child's physiological needs.Once cardiac conduction shows significant improvement,he reduces the use of blood-activating herbs and shifts the focus to replenishing qi,nourishing yin,and warming yang to promote autonomous recovery of cardiac function.This paper presents the first documented case of high-grade AVB in a child successfully treated by Professor WENG Weiliang,aiming to provide insights for the clinical management of this condition.关键词
高度房室传导阻滞/儿童房室传导阻滞/温阳活血/缓慢性心律失常/翁维良Key words
high-grade atrioventricular block/pediatric atrioventricular block/warming yang and activating blood circulation/bradyarrhythmia/WENG Weiliang分类
医药卫生引用本文复制引用
李梦璇,张雪雪,赵梦杰,张菀桐,李秋艳,翁维良..国医大师翁维良治疗儿童高度房室传导阻滞经验[J].天津中医药,2025,42(7):823-828,6.基金项目
国家中医药管理局第四届国医大师传承工作室和第二届全国名中医传承工作室建设项目(翁维良国医大师传承工作室) （翁维良国医大师传承工作室）
北京中医药薪火传承"新3+3"工程项目——翁维良"三名"传承工作室 （）
北京中医药薪火传承"新3+3"工程项目——翁维良传人(李秋艳)传承工作站 （李秋艳）
中国中医科学院科技创新工程——国医大师翁维良学术经验传承研究. （）
