Research On The Syndrome And Treatment Of Bradyarythmia By TCM Compound Prescription

Object:To study the syndrome patterns of bradyarrythmia (BA)in TCM and the characteristics of relevant prescription, which altogether contribute to the exploration of the etiology and compatibility law of BA and the provision of literature reference for clinical research and drug development of TCM.Method:retrieving286TCM essays with322prescriptions involved on clinical treatment of BA in recent two decades through Chinese Biomedical Literature Database、VIPCJFD and Tsinghua Tongfang Periodical database. Use Microsoft access to create data tables, and then type in "Chinese herbal compound analysis" software to build syndrome、drugs、prescription name、frequently-used tailoring drugs database for statistical analysis.Results:(1)characteristics of syndrome patterns:there are23BA syndrome patterns in TCM,of which the top five ones are as follows:yang deficiency of heart and kidney, heart yang deficiency, heart yang deficiency accompanied with blood stasis, and deficiency of qi and yin.(2)herb features:the top ten herb species for BA treatment:tonic ones、exterior-relieving ones、blood-activating and stasis-resolving ones、warm ones、qi-activating ones、astringent ones、heat-clearing ones、 phlegm-expelling ones、cough and asthma-relieving ones、damp-clearing ones、and tranquilizer ones; the top ten frequently-used key herbs:aconite、licorice、astragalus、 cassia twig、salvia、ginseng、Asarum、ephedra、Radix、Angelica; the common basic prescriptions for BA:shen fu decoction、mahuang fuzi xixin decoction、sheng mai powder、yang exhaustion-relieving decoction、and baoyuan decoction; the frequently-used tailoring herbs:Breit,Semen、scallion white、tuckahoe、Salvia、 Radix、safflower、Chuanxiong、astragalus.Conclusion:(1) yang deficiency of heart and kidney、heart yang deficiency are the most common syndrome patterns of BA, from which we can see that yang deficiency is core pattern while other related accompanying syndrome should not be ignored; the treatment for BA should be focused on warming yangqi based on syndrome differentiation.(2) the selection of warming herbs、tonics、 circulation-activating herbs and qi-regulating herbs for the treatment of BA is the basic compatibility law in TCM, and at the same time such herbs as heat-clearing herbs、tranquilizers and astringent herbs are also chosen when the syndrome is complicated.