《诊断学》课程教学资源（PPT课件讲稿）心悸 Palpitation

心悸 Palpitation

1 心悸 Palpitation

Palpitation y Definition Palpitation是指病人白觉心由悸动惊慌不安,甚 则不能自主为主《金匮要略》首提惊悸悸包括惊悸 和怔忡两方面,因惊而悸者谓之惊悸,时发时止 病情较轻;若无外因而悻遇之怔忡,发作无定 时,病情较重。 《济生方》首提怔忡

2 Palpitation Definition Palpitation 是指病人自觉心中悸动，惊慌不安，甚 则不能自主为主要表现的一种病证。心悸包括惊悸 和怔忡两方面，因惊而悸者谓之惊悸，时发时止， 病情较轻；若无外因而悸者，谓之怔忡，发作无定 时，病情较重。 《金匮要略》首提惊悸 《济生方》首提怔忡

Palpitation 数 Cause of disease and Pathomechanism Palpitation的病位在心,其发病与脾、肾、 肝、肺四脏功能失调相关。本病为本虚标实, 本为气血不足,阴阳亏损;标为气灣血瘀, 痰浊,水饮

3 Cause of Disease and Pathomechanism Palpitation 的病位在心，其发病与脾、肾、 肝、肺四脏功能失调相关。本病为本虚标实， 本为气血不足，阴阳亏损；标为气滞，血瘀， 痰浊，水饮。 Palpitation

Palpitation y Analyses of pathological conditions 普心虚胆怯( timidity due to heart-deficiency) 心血不足( insufficiency of heart blood) 阴虚火旺( ring offire due to yin- asthenia) 心阳不振( inactivation of heart-yang) 水饮凌心( lid retention invading heart) 心血瘀阻( stasis of heart blood

4 Analyses of pathological conditions 心虚胆怯 ( timidity due to heart-deficiency ) 心血不足( insufficiency of heart blood ) 阴虚火旺( flaring of fire due to yin-asthenia ) 心阳不振( inactivation of heart-yang ) 水饮凌心( fluid retention invading heart ) 心血瘀阻( stasis of heart blood ) Palpitation

Palpitation y Analyses of pathological conditions y Timidity due to heart-deficiency 心悸,善惊易恐,坐卧不安,少寐多梦, 舌苔薄白或如常,脉象动数或虚弦 y Insufficiency of heart blood 心悸,头晕,面色不华,倦怠乏力,舌 质淡红,脉象细弱

5 Analyses of pathological conditions Timidity due to heart-deficiency 心悸，善惊易恐，坐卧不安，少寐多梦， 舌苔薄白或如常，脉象动数或虚弦。 Insufficiency of heart blood 心悸，头晕，面色不华，倦怠乏力，舌 质淡红，脉象细弱。 Palpitation

Palpitation y Analyses of pathological conditions y Flaring offire due to yin-asthenia 心悸不宁,心烦少寐,头曼目眩,手足 心热,腰酸耳鸣,舌质红,少荟或无苔,脉 象细数。 y Inactivation of heart-yang 心悸不安,胸闷气短,面色苍白,形寒 肢冷,舌质淡白,脉象虚弱或沉细而数

6 Analyses of pathological conditions Flaring of fire due to yin-asthenia 心悸不宁，心烦少寐，头晕目眩，手足 心热，腰酸耳鸣，舌质红，少苔或无苔，脉 象细数。 Inactivation of heart-yang 心悸不安，胸闷气短，面色苍白，形寒 肢冷，舌质淡白，脉象虚弱或沉细而数。 Palpitation

Palpitation y Analyses of pathological conditions y Fluid retention invading heart 心悸,眩曼,胸脘痞滿,形寒胶冷,小 便短少;或下肢浮肿,渴不欲饮,恶心吐涎 舌苔白滑,脉弦滑。 a Stasis of heart blood 悸不安,胸闷不舒,心痛时作,或见 唇甲青紫,舌质暗或有瘀斑,脉涩或结代

7 Analyses of pathological conditions Fluid retention invading heart 心悸，眩晕，胸脘痞满，形寒肢冷，小 便短少；或下肢浮肿，渴不欲饮，恶心吐涎， 舌苔白滑，脉弦滑。 Stasis of heart blood 心悸不安，胸闷不舒，心痛时作，或见 唇甲青紫，舌质暗或有瘀斑，脉涩或结代。 Palpitation

Palpitation y Problems of patients 普心输出量减少 恐惧 活动无耐力 当睡眠形态紊乱 Nursing goa/s 彎知识缺之 潜在并发症

8 Problems of patients Palpitation 心输出量减少 恐惧 活动无耐力 睡眠形态紊乱 知识缺乏 潜在并发症 Nursing goals

Palpitation y Nursing interventions y Timidity due to heart-deficiency Principle of nursing:镇惊定志,养心安神 Life care Dietary care Entirety nursing Drugs care Other nursing methods

9 Nursing interventions Timidity due to heart-deficiency Principle of nursing：镇惊定志，养心安神 Entirety nursing Life care: Dietary care: Drugs care: Other nursing methods: Palpitation

Palpitation y Nursing interventions y Insufficiency of heart blood Principle of nursin:补血养心,益气安神 Life care Entirety nursing Diet care D Drugs care g Other nursing methods

10 Nursing interventions Insufficiency of heart blood Principle of nursing：补血养心，益气安神 Entirety nursing Life care: Diet care: Drugs care: Other nursing methods: Palpitation