基于"少火生气"理论探析心悸的辨治思路OA

The disease location of palpitations is in the heart,typically characterized by deficiency syndromes in clinical practice.Spe-cifically,insufficiency of yang qi results in inadequate nourishment of the heart,leading to palpitations.The theory of"moderate fire generating qi"originates from the Yellow Emperor's Canon of Medicine(黄帝内经).Moderate fire pertains to yang,being an integral part of the physiological yang of the human body.Abundant moderate fire sustains bodily health,while deficient moderate fire predis-poses to disease.In the context of cardiac function,abundant moderate fire ensures sufficient qi and clarity of the heart-spirit;con-versely,deficient moderate fire directly contributes to qi deficiency and palpitations.Furthermore,pathogenic factors such as phlegm,blood stasis,and fluid retention can perturb the mind secondary to insufficient moderate fire.Additionally,spleen and kidney insuffi-ciency may further weaken moderate fire,thereby exacerbating palpitations.Based on this theoretical framework,the paper explores the pathological mechanisms of palpitations and proposes a treatment strategy emphasizing replenishment of moderate fire,alongside clear-ing excess pathogens,fortifying the spleen and kidney,and avoiding internal and external pathogenic factors.It aims to provide a valu-able reference for the clinical management of palpitations within traditional Chinese medicine(TCM)framework.