基于“肺朝百脉主治节”理论论治缓慢性心律失常

Treatment of Bradyarrhythmia Based on the Theory of “The Lungs Governing the Hundred Vessels and Regulating Rhythm”

摘要: 缓慢性心律失常(Bradyarrhythmia)是临床常见的心律失常类型，常伴随心悸、头晕、乏力等症状，严重影响患者生活质量。现代医学治疗以药物和心脏起搏器为主，但存在不良反应和并发症风险。缓慢性心律失常与“肺朝百脉”和“肺主治节”功能密切相关。肺通过调节气血运行和呼吸节律，辅助心脏推动血液循环，维持心律稳定。肺气失调可导致气血津液运行失常，影响心脏功能，进而诱发心律失常。临床治疗中应以调“肺”朝“脉”、调“肺”使“治”为主要原则，达到以肺疗心、心肺同补的目的，从而通达气血，恢复心肺功能，恢复心脏之节律，从而治疗缓慢性心律失常。

Abstract: Bradyarrhythmia is a clinically common type of arrhythmia, often accompanied by symptoms such as palpitations, dizziness, and fatigue, which significantly impact patients’ quality of life. Modern medical treatments primarily involve medications and pacemakers, but these approaches carry risks of adverse effects and complications. Bradyarrhythmia is closely related to the functions of “the lungs governing the hundred vessels” and “the lungs regulating rhythm” in traditional Chinese medicine. The lungs assist the heart in promoting blood circulation and maintaining stable heart rhythm by regulating the movement of qi and blood as well as respiratory rhythm. Dysfunction of lung qi can lead to abnormalities in the movement of qi, blood, and body fluids, affecting cardiac function and thereby inducing arrhythmias. In clinical treatment, the primary principles should be to regulate the “lungs” to govern the “vessels” and to regulate the “lungs” to restore “rhythm”, aiming to treat the heart through the lungs and simultaneously nourish both the heart and lungs. This approach facilitates the smooth flow of qi and blood, restores cardiopulmonary function, and reinstates the heart’s rhythm, thereby effectively treating bradyarrhythmia.