张振宇基于“水火既济”理论治疗冠心病心律失常经验

Experience of Zhang Zhenyu in Treating Coronary Heart Disease with Arrhythmia Based on the Theory of “Coordination between Water and Fire”

摘要: 总结张振宇主任医师运用“水火既济”之法治疗冠心病心律失常诸症的经验。张振宇主任医师以心与肾乃人体阴阳之根本立论，水火既济则精血互生、精神互用、君相安位，彼此关系互为因果、层层递进、如环无端。水火不济表现为心火与肾水的偏亢或偏衰所导致的失制、肾阳与心阳先后不足所造成的不温以及心阴与肾阴上下不济所形成的不润。在“水火既济”理论的指导下以定心汤养心气、补心血作为基础方，辩证合用四君子汤、生脉饮、丹参饮、真武汤等方剂治疗本病疗效满意，可为临床治疗此类疾病提供一些思路。

Abstract: To summarize the experience of Chief Physician Zhang Zhenyu in treating various symptoms of arrhythmia in coronary heart disease by applying the method of “coordination between water and fire”. Chief Physician Zhang Zhenyu based his theory on the idea that the heart and the kidney are the foundation of yin and yang in the human body. When water and fire are in harmony, essence and blood generate each other, spirit and vitality interact, and the monarch and minister (the heart and the kidney in traditional Chinese medicine theory) are in their proper positions. Their relationship is mutually causal, progressive, and endless like a cycle. The disharmony between water and fire is manifested as the loss of control caused by the hyperactivity or hypofunction of heart fire and kidney water, the lack of warmth due to the successive deficiency of kidney yang and heart yang, and the lack of moistening resulting from the disharmony between heart yin and kidney yin. Under the guidance of the theory of “coordination between water and fire”, Dingxin Decoction is used to nourish heart qi and replenish heart blood as the basic formula. By dialectically combining it with prescriptions such as Sijunzi Decoction, Shengmai Drink, Danshen Drink, and Zhenwu Decoction, satisfactory curative effects can be achieved in treating this disease, which can provide some ideas for the clinical treatment of such diseases.