心悸
Palpitation
Palpitation
Definition
Palpitation 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
Cause of Disease and Pathomechanism
Palpitation 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.
Palpitation
Analyses of pathological conditions
心虚胆怯 ( timidity due to heart-deficiency )
心血不足( insufficiency of heart blood )
阴虚火旺( flaring of fire due to yin-asthenia )
心阳不振( inactivation of heart-yang )
水饮凌心( fluid retention invading heart )
心血瘀阻( stasis of heart blood )
Palpitation
Analyses of pathological conditions
Timidity due to heart-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.
Insufficiency of heart blood
心悸,头晕,面色不华,倦怠乏力,舌质淡红,脉象细弱.
Palpitation
Analyses of pathological conditions
Flaring of fire due to yin-asthenia
心悸不宁,心烦少寐,头晕目眩,手足心热,腰酸耳鸣,舌质红,少苔或无苔,脉象细数.
Inactivation of heart-yang
心悸不安,胸闷气短,面色苍白,形寒肢冷,舌质淡白,脉象虚弱或沉细而数.
Palpitation
Analyses of pathological conditions
Fluid retention invading heart
心悸,眩晕,胸脘痞满,形寒肢冷,小便短少;或下肢浮肿,渴不欲饮,恶心吐涎,舌苔白滑,脉弦滑.
Stasis of heart blood
心悸不安,胸闷不舒,心痛时作,或见唇甲青紫,舌质暗或有瘀斑,脉涩或结代.
Palpitation
Problems of patients
Palpitation
心输出量减少
恐惧
活动无耐力

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