Article(id=1307269544163172615, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1307269516371719010, articleNumber=null, orderNo=null, doi=10.19664/j.cnki.1002-2392.260117, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1760025600000, receivedDateStr=2025-10-10, revisedDate=1773676800000, revisedDateStr=2026-03-17, acceptedDate=null, acceptedDateStr=null, onlineDate=1789606947222, onlineDateStr=2026-09-17, pubDate=1781884800000, pubDateStr=2026-06-20, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1789606947222, onlineIssueDateStr=2026-09-17, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1789606947222, creator=13701087609, updateTime=1789606947222, updator=13701087609, issue=Issue{id=1307269516371719010, tenantId=1146029695717560320, journalId=1302318977290174537, year='2026', volume='54', issue='6', pageStart='1', pageEnd='126', issueExtLink='null', onlineDate='null', pubDate='1781884800000', pubDateStr='2026-06-20', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1789606940596, creator='13701087609', updateTime=1789606940596, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=43, endPage=47, ext={EN=ArticleExt(id=1307269544360304904, articleId=1307269544163172615, tenantId=1146029695717560320, journalId=1302318977290174537, language=EN, title=Treatment of Atrial Fibrillation Based on Chen Shiduo's "Yin Fire-Yang Fire" Theory, columnId=null, journalTitle=Acta Chinese Medicine and Pharmacology, columnName=null, runingTitle=null, highlight=null, articleAbstract=

Based on the physician Chen Shiduo's theory of "yang-fire and yin-fire in Qing Dynasty," this paper proposes a new perspective for treating atrial fibrillation (AF) from the concept of "pericardial fire. "The article points out that modern AF treatment has limitations such as bleeding risks from anticoagulation, side effects of medications, and high recurrence rates after interventional procedures. Furthermore, in the treatment of heart fire, traditional Chinese medicine (TCM) conventionally focuses on clearing heart fire, relatively neglecting the pathogenesis of the pericardium. Chen Shiduo believed that pericardial fire is a type of "yin-fire," characterized by a slow nature and a tendency to rise upward. It often arises from deficiency of heart qi and depletion of kidney water, leading to floating ministerial fire and stirring of deficient yang, which manifests as palpitations. The treatment emphasizes that "ministerial fire should be tonified, not drained," advocating for methods such as strongly tonifying heart qi, enriching kidney yin to restrain yang, or soothing liver qi to extinguish the flame, thereby returning the ministerial fire to its proper place, rather than simply clearing and draining it. The paper presents a clinical case of AF treated with a modified formula based on Chen's Guipi Decoction and Liuwei Dihuang Pills, demonstrating the clinical reasoning and therapeutic efficacy guided by this theory. This reflects TCM's holistic principle of "treating the root cause" and provides a new theoretical reference for the integrated treatment of AF with Chinese and Western medicine.

, authors=Xiaoyang ZHANG¹, Siyao WANG², Chengjia LI¹, Rui ZHANG^{3, *}, authorsList=Xiaoyang ZHANG, Siyao WANG, Chengjia LI, Rui ZHANG, authorCompany=null, correspAuthors=Rui ZHANG, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1307269544741986569, articleId=1307269544163172615, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=基于陈士铎“阴火-阳火”理论论治房颤, columnId=1303760928365892493, journalTitle=中医药学报, columnName=临证体会, runingTitle=null, highlight=null, articleAbstract=

本文基于清代医家陈士铎“阳火-阴火”理论，提出从“心包火”论治心房颤动（房颤）的新视角。文章指出，现代房颤治疗存在抗凝出血、药物副作用及介入治疗复发率高等局限，且对于心中火的治疗，中医传统辨治多侧重清心火，相对忽视心包病机。陈士铎认为心包之火属阴火，其性缓而亲上，常因心气衰惫、肾水亏虚致相火浮越、虚阳扰动，发为心悸。治疗上强调“相火宜补不宜泻”，主张通过大补心气、滋肾涵阳或疏肝折焰等方法，而非简单清泻，使相火归位。文中以陈氏归脾汤合六味地黄丸加减治疗房颤验案为例，展示了该理论指导下的临证思路与疗效，体现了中医治病求本的整体观，为中西医结合防治房颤提供了新的理论参考。

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张晓阳（2000-），男，硕士研究生，研究方向：中医内科学。

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