通讯作者: 嵇克刚, jikegang@126.com

DOI：10.12201/bmr.202602.00003

Feasibility of the Method of Benefiting Qi, Warming Yang and Stabilizing Palpitation in Treating Palpitations

• 摘要：心悸是临床常见病证,其病机的关键在于心之气血阴阳失衡。本文立足于中医藏象与气血理论,系统探讨“益气温阳定悸”法治疗心悸的理论内涵与临床可行性。认为心气亏虚、心阳不振是心悸发生的根本病机,由此导致鼓动无力、温煦失职、神不守舍,发为悸动不安。益气温阳定悸法以“气为血之帅”、“阳主温煦”及“心藏神”为理论核心,通过益心气以复其鼓动之能,温心阳以助其温运之力,佐以宁神之品使神有所归,标本同治。现代药理研究证实,该法核心药物如黄芪、桂枝、炙甘草等具有强心、改善冠脉循环、调节自主神经功能及抗心律失常等多重作用,与中医理论高度契合。本文通过梳理该法的理论源流、病机认识、组方思路及现代研究,并结合典型医案加以佐证,旨在为临床应用益气温阳定悸法治疗心悸,特别是证属心气虚兼阳虚者,提供充分的理论与实践依据。

  关键词： 益气温阳; 定悸; 心悸; 病机; 中医药治疗; 可行性

   

  Abstract: Palpitation is a common clinical symptom, and its pathogenesis lies in the imbalance of qi, blood, yin and yang of the heart. Based on the theory of visceral manifestation and qi-blood in traditional Chinese medicine (TCM), this paper systematically discusses the theoretical connotation and clinical feasibility of the method of Benefiting Qi, Warming Yang and Stabilizing Palpitation in treating palpitations. It is believed that deficiency of heart qi and weakness of heart yang are the fundamental pathogenesis of palpitations, leading to weak propulsion, failure of warming, and restlessness of the spirit, resulting in palpitations. The method takes qi as the commander of blood, yang governing warming, and the heart storing the spirit as its theoretical core, aiming to restore the propelling function by benefiting heart qi, assist the warming and moving function by warming heart yang, and calm the spirit with sedative herbs to achieve both root and branch treatment. Modern pharmacological studies have confirmed that the core drugs of this method, such as Astragalus, Cinnamon Twig, and Honey-fried Licorice, have multiple effects including cardiotonic, improving coronary circulation, regulating autonomic nerve function, and anti-arrhythmia, which are highly consistent with TCM theory. By reviewing the theoretical origin, understanding of pathogenesis, formula composition, and modern research of this method, and supporting it with typical medical cases, this paper aims to provide sufficient theoretical and practical basis for the clinical application of the method of Benefiting Qi, Warming Yang and Stabilizing Palpitation in treating palpitations, especially those with heart qi deficiency accompanied by yang deficiency.

  Key words: Benefiting qi and warming yang; Stabilizing palpitation; Palpitations; Pathogenesis; Traditional Chinese medicine treatment; Feasibility.

  提交时间：2026-02-03

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2026-01-27	10.12201/bmr.202602.00003V1	下载

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