Theoretical And Clinical Study On Treating Tachyarrhythmia With Dong-yuan Li's "Yin-Fire" Theory

Background:Arrhythmia is a clinical familiar disease,the sever degree may put the patient in danger of sudden death. At present TCM shows favorable clinic effect on part of tachyarrhythmia, however, it has some shortages such as single way in syndrome differentiation and treatment, losing contact between theory and practice, etc. This research conclude and summarize the clinic experience of syndrome differentiation and treatment of tachyarrhythmia system with"Yin-Fire"theory of the famous Climician in Jinyuan Dynasty Dongyuan Li. Hope to enrich the syndrome differentiation and treatment of tachyarrhythmia system and bring forth some new ideas in theory and practice of Chinese Traditional Madicine. Object: From theory and clinic, discuss the uses and principle of treating Tachyarrhythmia with Dong-yuan Li's"Yin-Fire"theory, and discuss the importance of treating tachyarrhythmia mainly with replenishing qi, clearing heat and nourishing yin, aim to provide new theory and clinical method for treatment . Methods: Through literature system reviewing and theory discussing, raising"Qi sinking due to deficiency in spleen and Yin-Fire arising in Vivo"is the important pathogenesis of arrhythmia, summarizing in system the different clinical methods of arrhythmia with the characteristic of Yin-Fire. Use the treatment—Replenishing Qi and Elevating Yang, Heat Purging Fire and Nourishing Yin. Use Ningxindingji Mixture to treat the premature beat patients resulted by coronary heart disease (Yin-Fire uprush type) and observe systemly, and compare with Shensongyangxin Capsule. Results: 1.The total effect rate of the Ningxindingji Mixture group in treating tachyarrhythmia was 89.13%, which was evidently higher than that of the control group of 60.87%(P<0.01). 2.The total effect rate of ameliorating symptom of the Ningxindingji Mixture group was 86.96%, which was obviously superior of that of the control group of 43.48%(P<0.01). 3.The curative group had remarkable effect upon improving myocardial ischemia, relaxing the anxiety and depression, improving HRV, decreasing NT-proBNP, improving cardiac function,etc. Conclusion: The method of treating Tachyarrhythmia with Dong-yuan Li's"Yin-Fire"theory is workable, and it is effective to treat the premature beat patients resulted by coronary heart disease (Yin-Fire uprush type) with Replenishing Qi and Elevating Yang, Heat Purging Fire and Nourishing Yin.