From the perspective of TCM syndrome differentiation, what kind of disease does palpitation belong t

The occurrence of palpitations is often related to the weakness of the ordinary constitution, emotional injury, fatigue, sweating and evil spirits. Ordinary physique is not strong, the heart is weak, or the heart and blood are insufficient for a long time, or the anxiety is excessive, the heart and spleen are tired, so that the heart and mind are involuntary, and the heart palpitations; or kidney yin deficiency, water and fire are not good, false fire is reckless, disturbing the mind and causing illness; Or spleen and kidney yang deficiency, can not evaporate water, stop gathering for drinking, on the heart, heart yang is contained, heart pulse blockage, and the disease.

Western medicine believes that palpitations are a feeling of discomfort or palpitation in the precordial area that the patient can perceive the heartbeat, and the heart beats uncomfortably when the heart rate is fast, and the heart beats strongly when the heart rate is slow.

Traditional Chinese medicine believes that palpitations are the conscious rapid and strong heartbeat, accompanied by discomfort in the precordial area. It belongs to the category of "palpitation" and "stunned" in the medicine of the motherland. Classification and common diseases: There are many causes of palpitations, which can be generally seen in the following categories:

1. Cardiovascular diseases are common in various types of heart disease, such as myocarditis, cardiomyopathy, pericarditis, arrhythmia and hypertension.

2. Non-cardiovascular diseases are common in anemia, hypoglycemia, massive blood loss, high fever, hyperthyroidism and other diseases, as well as pleural effusion, pneumothorax, lung inflammation, atelectasis, ascites, intestinal obstruction, intestinal flatulence, etc.; Palpitations may also occur after administration of drugs such as epinephrine, isoproterenol, aminophylline, and atropine.

3. Autonomic nervous system (autonomic nervous) dysfunction of nerve factors is the most common, and palpitations can occur after neurasthenia, menopausal syndrome, panic or overexcitement, and strenuous exercise.

Syndrome differentiation and treatment of palpitations in traditional Chinese medicine.

1. Weak heart and timidity.

Governing the law, calming the mind, nourishing the mind and calming the nerves.

Prescription medicine tranquilizer pills plus or minus.

2. Lack of blood.

The treatment method nourishes the blood and nourishes the heart, nourishes the qi and calms the nerves.

The prescription medicine is added or subtracted from the spleen decoction.

3. Heart yin deficiency.

The law nourishes the yin and clears the fire, nourishes the heart and calms the nerves.

Prescription medicine: cinnabar soothing pills, and Tianwang tonifying heart pills, plus or minus.

4. Lack of impotence.

The treatment method warms and replenishes the heart and yang, calms the nerves and palpitations.

Prescription medicine: cinnamon branch, licorice, keel, licorice, oyster soup, ginseng with soup, plus or minus.

5. Cardiac stasis.

The treatment method activates blood circulation and dispels blood stasis, regulates qi and channels.

Prescription medicine Xuefu Zhuyu decoction plus or minus.

6. Drink water and drink Lingxin.

Treatment: Invigorate the heart and yang, turn qi into water prescriptions, add and subtract Ling Guishu sweet decoction.

05 TCM Internal Medicine 02 Heart Diseases 01 Heart Palpitations 02 Heart Deficiency and Timidity Syndrome and Heart Blood Insufficiency Syndrome.

Most arrhythmias, with palpitations as the main manifestation, fall into the category of "palpitations". Heart palpitations are related to the lack of qi and blood yin and yang in the heart, which is a deficiency syndrome, and is also mostly related to qi stagnation, blood stasis, phlegm turbidity, and fiery heat.

False palpitations, mostly accompanied by complexion, fatigue, dizziness, fatigue, sleep disturbance, mostly related to body deficiency, overwork, injury to the heart and spleen, qi and blood consumption related, Chinese medicine is most suitable for licorice soup, ginseng, jujube, licorice to nourish the heart and qi, regulate the spleen and stomach;Rehmannia rehmannia, Ejiao, and Ophiopogon nourish yin and blood, and nourish blood vessels;Cinnamon branches, ginger warm and yang through the blood. The use of the above drugs together can nourish qi, blood, yin and yang, which is most beneficial to the mind.

Licorice decoction is not only used for palpitations, but also for people with deficiency of yin, blood and yang qi in the body, lack of qi and blood, fatigue caused by malnutrition of the heart and limbs and meridians, dull complexion, thin body, restlessness at night, dry stool, and weak pulse.

For example, Tang Zonghai: "This recipe is a great medicine for blood tonic." Ginger, jujube, ginseng, grass in the scorched juice, cinnamon branches into the heart into the qi, change and red;However, the cinnamon branch can hurt the blood, so the raw land, wheat winter, and sesame seeds are moistened, so that the majestic qi of the cinnamon branch becomes soft, and the blood is produced without hurting the blood;and Ejiao lurks in the blood, so that it is transfused in the sea of blood and hidden in the liver.

Looking at this side together, the source of blood, the flow of blood, and the first party of true blood replenishment, can not be lightly discussed addition and subtraction. (Theory of Blood Evidence).

Cardiac neurosis, at its most severe, can be as painful as a person with a real heart attack. If the patient has atherosclerosis of the coronary arteries, it may also induce coronary artery spasm, which can lead to occlusion of blood vessels or plaque rupture, resulting in a true angina attack or acute myocardial infarction.

In other words, cardiac neurosis is a kind of "heart disease", and many patients will have the experience of being teased by bad hints before the onset of the disease. For example, if you find out that you have a "three-high hidden finger answer", or if you find plaque in your blood vessels, you start worrying about yourself getting sick all day long. Long-term excessive anxiety leads to the onset of cardiac neurosis.

Cardiac neurosis is a special type of neurosis, which is characterized by the dysfunction of the cardiovascular system, and can also be combined with other manifestations of neurosis. Patients have a variety of symptoms, including palpitations, pain in the precordial area, chest tightness, shortness of breath, dyspnea, dizziness, insomnia, and dreams.

Palpitations refer to the patient's conscious palpitations, anxiety, and even involuntary symptoms of a syndrome, which are generally episodic, and occur every time due to mood fluctuations or overwork, and are often accompanied by chest tightness, shortness of breath, insomnia, forgetfulness, dizziness, tinnitus and other symptoms. Mild cases are palpitations, and more severe cases are apprehension, which can be persistent.

Clinical manifestations: conscious abnormal heartbeat, nervousness, palpitation, or rapid, or slow, or beating too heavily, or sudden and stopping, paroxysmal or persistent incomprehension, involuntary.

According to the clinical characteristics of the disease, arrhythmias caused by various causes, such as tachycardia, bradycardia, premature contractions, etc

Atrial fibrillation or flutter, atrioventricular block, sick sinus syndrome, pre-excitation syndrome, cardiac insufficiency, myocarditis, some neuroses, etc., such as palpitations, are all within the scope of palpitations.

The simplest definition of palpitations is "you can feel your heart beating", you may feel a fast heartbeat, a slow heartbeat, a strong heartbeat, or you can feel the heart "stepping into the air", and it can be accompanied by chest discomfort, dizziness, wheezing and other symptoms, these are all symptoms of palpitations. Therefore, palpitations are a very subjective symptom that depends entirely on your own feelings, and if you feel any discomfort in your heartbeat, it can be defined as palpitations.

In fact, almost everyone has experienced an uncomfortable heartbeat, and people with a healthy heart can also feel heart palpitations. Strenuous exercise, emotional agitation, nervousness, stressful life, smoking and drinking, intake of strong tea or coffee, etc., can cause palpitations, which may be physiological palpitations, often due to the body's adaptation to the external environment or fluctuations in the body's own internal environment. However, palpitations may also be pathological manifestations, and recurrent, unprovoked palpitations must cause sufficient attention, because it is likely to be arrhythmia, Witt is a drug to prevent arrhythmias, it is recommended to do electrocardiogram examinations, as early as possible, so as not to cause serious arrhythmias, leading to irreversible consequences.

Of course, there are many other causes of palpitations, which can be seen in the following types of diseases

1. Cardiovascular diseases are common in various types of heart disease, such as myocarditis, cardiomyopathy, pericarditis, arrhythmia and hypertension.

2. Non-cardiovascular diseases are common in anemia, hypoglycemia, massive blood loss, high fever, hyperthyroidism and other diseases, as well as pleural effusion, pneumothorax, lung inflammation, atelectasis, ascites, intestinal obstruction, intestinal flatulence, etc.; It can also be seen in heart palpitations after the use of epinephrine, isoproterenol, aminophylline, atropine, and other drugs.

3. Autonomic nervous system (autonomic nervous) dysfunction of neurological factors is the most common, and palpitations can occur after neurasthenia, menopausal syndrome, panic or overexcitement, and strenuous exercise.

Palpitations are a distinct symptom of self-awareness. Most people don't feel their heart beating, but they can feel their heart beating when there is a change in heart rate, heart rate, and myocardial contractility. If you have structural heart disease or ventricular hypertrophy, the heart's beating can be enhanced.

With each increase in cardiac output, the patient may feel palpitations. Symptoms such as coronary arteriosclerotic heart disease, myocarditis, rheumatic fever, bacterial endocarditis, etc.

Cardiac neuresis caused by autonomic nervous dysfunction, palpitations is one of the common symptoms, and it mostly occurs in young people.

One is like being frightened, which is only for a while, and the other, like the seasons, is long-term, because of the lack of effort, and it will continue.

Panic - fear, palpitations - panic.

Pathological such as high fever, anemia, hyperthyroidism, hypoglycemia, hypoxia, pheochromocytoma, etc.

I also have palpitations, I don't know if it's .........

Answer]: C The syndrome differentiation of palpitations should first distinguish between the false and the real, and the person with the false evidence should eliminate the source and disturb the viscera qi, blood, yin, and yang, and the empirical person should distinguish between phlegm, drinking, stasis, and fire.

Summary. Kissing: The main points are: 1 Distinguish between palpitations and apprehension, 2 Distinguish between reality and falsehood, 3 Distinguish pulse signs, 4 Distinguish the condition.

Kissing: The main points are: 1 Distinguish between palpitations and apprehension, 2 Distinguish between reality and falsehood, 3 Distinguish pulse signs, 4 Distinguish the condition.

Extended information: 1 The onset of palpitations and apprehension is mostly related to emotions, which can be induced by sudden panic, worry, annoyance, anger, excessive sadness or excessive tension, and is mostly paroxysmal, although the disease comes quickly, the disease is mild, the empirical evidence is majority, the disease is shallow, and can be relieved by itself, and it is not as normal as usual. Anxiety is mostly caused by long-term illness and weakness, heart damage, no mental factors can also occur, often persistent palpitations, heart vigilance, can not self-control, aggravation after activity, the condition is more serious, each is empirical, or the deficiency is solid, although the disease comes gradually, the symptoms of visceral deficiency can also be seen when it does not occur.

Palpitations that do not heal for a long time can also cause apprehension. 2 The characteristics of the syndrome of distinguishing deficiency and solid heart palpitations are mostly a mixture of deficiency and reality, the deficiency refers to the deficiency of yin and yang in the viscera, qi and blood, and the real person mostly refers to the phlegm drinking, blood stasis, and fire evil. When differentiating the evidence, it is necessary to pay attention to distinguishing the amount of the virtual and the real to determine the best principle.

3 Pulse differentiation Observation of pulse changes is an important objective content in palpitation syndrome differentiation, and common abnormal pulses such as knotted pulse, substitute pulse, pulse, astringent pulse, and delayed pulse should be carefully experienced and grasped in clinical significance. Clinically, the history and symptoms should be combined to infer the pulse syndrome. It is generally believed that if the yang is prosperous, the number is yang heat, although the hand is full of pulses, it is fine and subtle, accompanied by the swelling of the face and limbs, and the movement is short of breath, the shape is cold and the limbs are cold, and the tongue is light, which is the sign of deficiency and cold.

Yin is prosperous, late and weak is deficiency, pulse is late, knot, generation, generally mostly deficiency and cold, in which the knot pulse represents qi and blood coagulation, and the generation pulse is often the deficiency of vitality and the decline of dirty qi. Those who have been sick for a long time and have a pulse-like string slippery finger are reversed, and those who are seriously ill and have a scattered and vague pulse are critically ill. 4 The clinical differentiation of palpitations should be combined with the diagnosis of the primary disease causing palpitations to improve the accuracy of syndrome differentiation, such as palpitations caused by functional arrhythmias, which often manifest as heart rate block palpitations, mostly due to heart deficiency and timidity, and heart shake; Coronary heart disease palpitations, mostly caused by qi deficiency and blood stasis, or obstruction of phlegm and stasis; palpitations caused by wind heart disease, mainly heart and pulse obstruction; Heart palpitations caused by viral myocarditis are mostly caused by the external invasion of evil poisons, and the internal treatment is reluctant, often showing qi and yin deficiency, and stasis obstructs the veins.