Professor Zhang Mingxue's Experience In Treating Sinus Bradycardia With The Method Of "invigorating Qi And Nourishing Yin, Warming Yang And Resolving Phlegm"

Sinus bradycardia is one of the most common bradyarrhythmia.Western treatments are atropine,isoprenaline,aminophylline and pacemaker,but with uncertain long-term results and financial burden.Owing to poor compliance,it is limited in clinical application.Under the guidance of the theory of TCM,on the basis of the theory of “heart governing blood vessels”,this article summarizes the physiological basis of normal sinus rhythm and the pathological basis of sinus bradycardia.The pathogenesis is deficiency of qi,blood,yin and yang,and phlegm turbidity.Contraposing the pathological basis,tutor professor Zhang Mingxue sticks to the “palpitation,spiritlessness,fatigue,chilly sensation and cold limbs,dry mouth and vexation,pale complexion,etc” main clinical manifestation and treats sinus bradycardia with the method of supplementing qi,nourishing yin and warming yang,dissolving phlegm.Selecting ShengMai powder,MaHuang FuZi XiXin decoction and GuaLou XieBai BanXia decoction,consisting the basic prescription of Ginseng,Radix Astragali,Radix Ophiopogonis,Schisandra,Herba Ephedrae,Asarum,Pinellia ternate,Trichosanthes and XieBai,with addition and subtraction,it achieves good therapeutic effect.The paper summarizes the experience of tutor professor Zhang Mingxue in the treatment of sinus bradycardia with the method of supplementing qi,nourishing yin and warming yang,dissolving phlegm,and it analyses two cases of treatment of sinus bradycardia.