【摘要】 心律失常是指心脏节律或频率异常，导致心脏无法有效泵血，进而影响整体心脏功能的疾病，其发生可由多种因素引起。其病理机制与“玄府-气液-络脉”理论密切相关。从临床角度来看，心律失常的直接原因是玄府开阖失调，其中气液失和是关键因素，而络脉虚滞则是病程发展的根本原因。基于“玄府-气液-络脉”这一病机框架，中医治疗应着重于“开通玄府、宣通气液、补虚通络”的整体思路，灵活应用风药调畅玄府，采用活血化瘀和利水渗湿药物调畅气液，同时辅以补益药物以补虚通络，促使痰湿等有形之邪转化为无形之气，最终调和气血，恢复心脏功能，从而为心律失常的中医辨治提供新的思路。更多还原

【Abstract】 Arrhythmia refers to abnormal heart rhythm or frequency,which causes the heart unable to pump blood effectively,thus affecting the overall heart function.Its occurrence can be attributed to a variety of factors.The pathological mechanisms of arrhythmia are closely related to the “Xuanfu-Qiye-Luomai” framework.From a clinical perspective,the direct cause of arrhythmia is the disorder of Xuanfu opening and closing,where the imbalance of Qi and fluids is the key factor.Furthermore,the underlying cause of the disease’s progression lies in the deficiency and stagnation of the Luo vessels.Based on this “Xuanfu-Qiye-Luomai” pathogenesis model,traditional Chinese medicine(TCM)treatment should focus on the holistic principles of “opening the Xuanfu,regulating Qi and fluids,and nourishing the vessels”.This approach involves the flexible use of herbal medicines to regulate the Xuanfu,blood-activating and blood-stasis-eliminating herbs to balance Qi and fluids,along with tonifying agents to nourish and unblock the vessels.The goal is to transform tangible pathogenic factors,such as phlegm and dampness,into intangible Qi,thereby harmonizing the Qi and blood to restore heart function.This approach provides new insights into the TCM diagnosis and treatment of arrhythmia.更多还原