基于“伏寒”理论论治室性期前收缩

Based on the “Latent Cold” Theory in the Treatment of Ventricular Premature Contractions

摘要: 室性早搏(PVC)是一种常见的心律失常，临床上表现为心悸、短气、胸闷等症状。近年来，随着中医学理论的深入研究，伏寒理论逐渐被应用于心脏疾病的诊断与治疗中。“伏寒”作为潜藏体内的始动因素，其凝滞、伤阳之性，是导致心脉不通、心阳不振，进而引发心中悸动不安(室早)的核心病机之一。因此，深入探析伏寒理论与室性早搏的内在联系，不仅有助于阐明其发病机制，更能为中西医结合防治该病开拓新的临床路径与研究方向。

Abstract: Ventricular premature beats (PVCs) are a common form of cardiac arrhythmia, clinically manifested as palpitations, shortness of breath, and chest tightness. In recent years, with in-depth research into Traditional Chinese Medicine (TCM) theory, the “Latent Cold” theory has been increasingly applied in the diagnosis and treatment of heart diseases. As a hidden initiating factor within the body, “Latent Cold”, with its properties of congelation and Yang impairment, is considered one of the core pathogenesis leading to obstruction of the heart vessels and debilitation of Heart-Yang, thereby triggering restless palpitations (i.e., PVCs). Therefore, a thorough exploration of the intrinsic relationship between the Latent Cold theory and ventricular premature beats will not only help clarify its pathogenesis but also open up new clinical pathways and research directions for the integrated prevention and treatment of this condition using both Chinese and Western medicine.