时珍国医国药2026，Vol.37Issue(7)：1326-1330,5.DOI:10.70976/j.1008-0805.SZGYGY-2026-0718
基于"少火生气"理论探析心悸的辨治思路
Exploring the syndrome differentiation and treatment approaches for palpitations based on the theory of"moderate fire generating qi"in traditional Chinese medicine
摘要
Abstract
The disease location of palpitations is in the heart,typically characterized by deficiency syndromes in clinical practice.Spe-cifically,insufficiency of yang qi results in inadequate nourishment of the heart,leading to palpitations.The theory of"moderate fire generating qi"originates from the Yellow Emperor's Canon of Medicine(黄帝内经).Moderate fire pertains to yang,being an integral part of the physiological yang of the human body.Abundant moderate fire sustains bodily health,while deficient moderate fire predis-poses to disease.In the context of cardiac function,abundant moderate fire ensures sufficient qi and clarity of the heart-spirit;con-versely,deficient moderate fire directly contributes to qi deficiency and palpitations.Furthermore,pathogenic factors such as phlegm,blood stasis,and fluid retention can perturb the mind secondary to insufficient moderate fire.Additionally,spleen and kidney insuffi-ciency may further weaken moderate fire,thereby exacerbating palpitations.Based on this theoretical framework,the paper explores the pathological mechanisms of palpitations and proposes a treatment strategy emphasizing replenishment of moderate fire,alongside clear-ing excess pathogens,fortifying the spleen and kidney,and avoiding internal and external pathogenic factors.It aims to provide a valu-able reference for the clinical management of palpitations within traditional Chinese medicine(TCM)framework.关键词
少火生气/阳气/心悸/心律失常Key words
Moderate fire generating qi/Yang qi/Palpitations/Arrhythmia分类
医药卫生引用本文复制引用
刘宗一,张艳,崔洪宇..基于"少火生气"理论探析心悸的辨治思路[J].时珍国医国药,2026,37(7):1326-1330,5.基金项目
国家自然科学基金(82174241) （82174241）
全国名老中医药专家传承工作室建设项目(2022-304) （2022-304）
