上海中医药大学：《中医护理学》课程教学资源（PPT课件）心悸 Palpitation、胸痹 Chest blockage、眩昂（Dizziness、Vertigo）

心悸 Palpitation

1 Palpitation

Palpitation Definition Palpitation 是指病人白说心中悸动，惊慌不安， 甚则不能自主为 《金匮要略》首提惊悸 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；若无外因而悸谓之怔忡，发作无定 时，病情较重。 《济生方》首提怔忡

2 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 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

3 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 Analyses of pathological conditions 鳢心虚胆怯（timidity due to heart-deficiency) 曾心血不足(insufficiency of heart blood) 阴虚火旺(flaring offire 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)

4 心虚胆怯 ( timidity due to heart-deficiency ) 心血不足( insuf iciency 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 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

5 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。 Insuf iciency 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 Analyses of pathological conditions Flaring offire 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。 s 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 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 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，渴不欲欧，恶吐涎 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

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

8 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

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

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

10 Insuf iciency 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