1心悸心悸Palpitation2PalpitationPalpitationPalpitationPalpitationDefinitionDefinitionPalpitation是指病人自觉心中悸动,惊慌不安,甚则不能自主为主要表现的一种病证
心悸包括惊悸和怔忡两方面,因惊而悸者谓之惊悸,时发时止,病情较轻;若无外因而悸者,谓之怔忡,发作无定时,病情较重
《金匮要略》首提惊悸《济生方》首提怔忡3CauseofDiseaseandPathomechanismCauseofDiseaseandPathomechanismPalpitation的病位在心,其发病与脾、肾、肝、肺四脏功能失调相关
本病为本虚标实,本为气血不足,阴阳亏损;标为气滞,血瘀,痰浊,水饮
PalpitationPalpitation4AnalysesofpathologicalconditionsAnalysesofpathologicalconditions心虚胆怯(timidityduetoheart-deficiency)心血不足(insufficiencyofheartblood)阴虚火旺(flaringoffireduetoyin-asthenia)心阳不振(inactivationofheart-yang)水饮凌心(fluidretentioninvadingheart)心血瘀阻(stasisofheartblood)PalpitationPalpitation5AnalysesofpathologicalconditionsAnalysesofpathologicalconditionsTimidityduetoheart-deficiency心悸,善惊易恐,坐卧不安,少寐多梦,舌苔薄白或如常,脉象动数或虚弦
Insufficiencyofheartblood心悸,头晕,面色不华,倦怠乏