黄连温胆汤加减治疗痰火瘀阻型快速性心律失常

摘要

心悸在临床实践诊疗中发现,长期使用西药抗心律失常治疗,往往效果不佳,用药过程中出现的不良反应较多,并且抗心律失常药本身也是导致心律失常很重要的因素之一.从对证型的统计与分析来看痰火瘀阻型的心悸在临床心律失常患者中越发常见,黄连温胆汤加减具有清热化痰,宁心安神;活血化瘀,理气通络;清化湿热,和胃舒脾等功效,治疗痰火瘀阻型快速性心律失常效果显著.药理研究发现,黄连温胆汤加减通过改变心脏传导及调节血脂、抗血小板聚集、降血压等多方面的药理作用控制多种病因所致心律失常(痰火瘀阻型)的发生发展,优势远远超过单独使用抗心律失常的西药.%Palpitation found in clinical practice,the long-term used of anti-arrhythmic medicine treatment is often ineffective,and can cause more adverse reactions.At the same time,the anti-arrhythmic medicine is also one of the many factors which result in various diseases of arrhythmia.In terms of statistical analysis,the phlegm-heat palpitation is becoming increasingly commonplace.The modified Huanglian Wendan decoction has the effects of removing heat-phlegm and calming the nerves for the treatment,promoting blood circulation for removing blood stasis and dredging the collaterals,clearing damp heat and harmonizing spleen and stomach,which has significant curative effects in treatment of the phlegm-heat and blood-stasis palpitation.In pharmacological research,Huanglian Wendan decotion can control of the occurrence and development of arrhythmia by the pharmacological action of changes in heart conduction regulation of blood lipid,anti platelet aggregation and blood pressure,which is superior to the use of anti arrhythmia drugs alone.