Palpitations are symptoms in which the patient feels throbbing in the heart or even is unable to do it independently. Palpitations can occur due to abnormalities in the heart beat rate or rhythm for any reason. The theory of heart and spleen was used to guide the syndrome differentiation and treatment of this disease, and good results were achieved in long-term practice.
Heart-spleen correlation theory
The close relationship between the spleen, stomach and heart is mainly reflected in the following three aspects. First of all, from the perspective of the meridians, there is a strong connection between the spleen, stomach and heart. It is mentioned in "Lingshu Meridians": "The veins of the spleen and feet are ...... of Taiyin."Those who support it, return to the stomach, don't go to the diaphragm, and focus on the heart. This sentence describes the meridian relationship between the spleen, stomach and heart. Although the spleen and stomach are in the middle and the heart is in the upper focus, which seems to be not connected to each other, in fact, they are closely connected through the branches, meridians, and tendons of the spleen and stomach, and the meridians and qi are interconnected and affect each other. Secondly, from the perspective of the five elements, the spleen and stomach belong to the earth, and the heart belongs to fire. In the relationship between the five elements, fire gives birth to earth, so there is a mother-child relationship between the heart and the spleen and stomach, which are closely related to each other. If there is a problem with the spleen and stomach, it may affect the function of the heart; Conversely, heart problems may also affect the spleen and stomach through the interdependent relationship of the five elements. Finally, from the perspective of gasification, it is mentioned in "Su Wen: Separate Treatise on Meridians": "Food qi enters the stomach, turbidity qi returns to the heart, and lewd essence is in the veins." This sentence illustrates the effect of the spleen and stomach on the heart during the process of vaporization. The spleen and stomach are the main organs of qi and blood, which are the source of qi and blood biochemistry. The profit and loss of the heart, blood and qi are actually determined by the rise and fall of the spleen. To sum up, the close relationship between the heart and spleen is a subsystem in the "Five Organs Related Theory". In the interrelationship between the heart and other viscera, the connection between the heart and spleen is of great significance in physiological function, pathological changes, and regulation. 
Pathogenesis of palpitations
Generations of physicians have had an in-depth understanding of the pathogenesis of palpitations. In the discourse of many doctors, "Danxi Heart Method: Palpitations and Anxiety" put forward the theory of palpitations, blame deficiency and phlegm, and emphasized the important role of deficiency and phlegm in the pathogenesis of palpitations. "The Criterion of Treatment: Palpitations and Fear" also believes that the cause of palpitations is not more than two kinds, one is void, and the other is drinking, and clearly points out that the main reason for palpitations is deficiency and drinking. "Jing Yue Quanshu: Panic and Panic" particularly emphasizes that anxiety is caused by yin deficiency and strain, and further reveals the relationship between palpitations and yin deficiency.
On the basis of inheriting the academic ideas of previous generations of doctors, modern Chinese medicine has established a theory based on the relationship between the heart and spleen, and believes that palpitations are a proof of the truth and the truth. Positive deficiency, including heart qi deficiency and heart yin deficiency, is the internal cause of this disease. Sputum and stasis are secondary factors, and they interact with each other to form a complex network of palpitations. In this network, qi deficiency, yin deficiency, phlegm turbidity, and blood stasis are the four main links, which affect each other and are cause and effect of each other.
In the investigation of hundreds of patients with palpitations, we found that most of the cases had symptoms of qi deficiency, such as palpitations, shortness of breath, chest tightness, good breathing, poor spirit, fat and tender tongue, tooth marks on the tongue, weak or weak pulse. Some patients also have a cloudy phlegm syndrome such as a cloudy tongue, a slippery pulse or drowsiness in the limbs, chest pain, or a sense of pressure. This shows that in Guangdong, due to the influence of geographical environment and climate, most patients with palpitations are mainly qi deficiency and phlegm turbidity.
From the point of view, modern lifestyle also has a significant impact on the pathogenesis of palpitations. With the improvement of living standards, people's dietary structure has undergone great changes, and bad eating habits such as excessive ointment and thick taste, excessive craving for tea and wine, and excessive fat and sweetness have become common phenomena. These factors lead to damage to the spleen and stomach, resulting in loss of movement. On the one hand, the damage to the spleen and stomach causes a lack of biochemical sources of qi, blood and fluid, resulting in a lack of heart qi, which in turn leads to palpitations. On the other hand, the spleen is mainly transported, and the spleen and stomach are damaged and the transport is sluggish, and it is easy to produce dampness and turbidity. The evil of dampness and turbidity violates the chest yang and closes the heart and veins, resulting in symptoms such as palpitations and chest tightness. At the same time, long-term phlegm turbidity can cause vein stasis, which makes the pathogenesis of palpitations more complicated.
In summary, palpitation pathogenesis is a complex process involving multiple factors and links. Positive deficiency and phlegm stasis are the root causes of this disease, and modern lifestyle and geographical environment are important influencing factors. In the case of palpitations, it is necessary to comprehensively consider these factors and adopt an individualized plan. At the same time, the prevention of heart palpitations also needs to start from many aspects, including lifestyle improvements, dietary changes and other measures.
**Method
Guided by the theory of heart and spleen, we use the method of regulating the spleen and protecting the heart, replenishing qi and removing phlegm in clinical practice** palpitations. The essence of palpitations lies in weakness, in which heart deficiency is the main factor, and the weakness of the whole body and the insufficient function and imbalance of the internal organs are the main factors behind it. The condition of heart qi deficiency is closely related to the spleen, and the heart qi deficiency is mainly manifested in the decline of the function of its main blood vessels. In order to improve this function, the nourishment of qi and blood is very important to the heart. The spleen, as the foundation of nurture, is the source of qi and blood biochemistry. The spleen lord ascends and can ascend to the clear yang, which is fundamentally beneficial to the qi and heart. Therefore, we emphasize that the tonic of heart qi should focus on strengthening the spleen. In addition, the health of the spleen and stomach prevents the accumulation of moisture, thereby reducing the formation of phlegm. This also lays the foundation for expectorant removal methods. The expectoration method is a common method for palpitations, which is mainly designed for standard treatment. Through phlegm removal, yang can be cleared, which is conducive to the recovery of heart yang. This also implies the meaning of tonic. Complements and general methods are the two indispensable principles of heart palpitations. In clinical application, we can flexibly use general and complementary methods according to the specific type of palpitations and the specific situation of the patient. You can make up for it first, or make up for it first, or you can make up more and make up less or make up more and less according to your condition, or even make up for one and one for you, and you can do it at the same time. Such a regimen needs to be weighed and selected by the doctor on a case-by-case basis. 
Clinical examination of the cause of the disease
(1) Coronary heart disease, palpitations
Coronary heart disease palpitations are the evidence of the deficiency of heart yin and yang, and the obstruction of phlegm and stasis, Guangdong is located in the humid land of the south, and it is common to have heart qi (yang) deficiency and phlegm. Qi is handsome for blood, and if the heart qi is insufficient, the blood circulation is out of balance, and phlegm and stasis disturb the heart, so the heart is scared, resulting in arrhythmia such as premature beats. The method of invigorating qi and reassuring, dissolving phlegm and stasis.
The selection method is to add or subtract warm bile soup. Addition and subtraction: Qi deficiency or even astragalus, atractylodes or Jilin ginseng; For those who are weak and cold, go to Zhuru, add cinnamon branches or cinnamon hearts; Those who have stasis, plus loss of laughter or the end of three sevens. It is mainly used for arrhythmia, qi deficiency and phlegm stasis.
Findings: palpitations, shortness of breath, chest tightness, good breathing, poor spirit, fat and tender tongue, tooth marks on the tongue, weak or weak pulse; or at the same time with a cloudy tongue, a slippery pulse or strings.
Rheumatic heart disease is based on the deficiency of the heart's yang qi (or heart yin), blood stasis, wind, phlegm and dampness; Heart disease is the mainstay, and diseases of other organs (spleen, kidney, liver, lungs) are the target. Chronic rheumatic heart disease is more common in people with yin and yang deficiency and stasis, the yin and yang qi and blood deficiency of the heart, stasis obstructs the heart pulse, and the heart is not nourished, so it is seen to be throbbing and restless. **It is advisable to treat the symptoms and symptoms at the same time, attack and supplement at the same time, and it is more necessary to regulate the spleen and stomach, regulate the spleen and protect the heart, and invigorate qi, remove phlegm and remove stasis. Choose the licorice soup plus or minus.
Indications:Rheumatic heart disease, yin and yang, and heart palpitations.
Witnesses:Heart palpitations, shortness of breath, dark complexion, poor spirit, fat and tender tongue, tooth marks on the tongue, weak or weak pulse or knotting.
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