脏腑气血阴阳亏虚、心神失养 心悸老治不好，请高人指点一下妙招，谢谢
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2\uff0e\u996e\u98df\u52b3\u5026 \u55dc\u98df\u818f\u7cb1\u539a\u5473\uff0c\u714e\u70b8\u7099\u640f\uff0c\u8574\u70ed\u5316\u706b\u751f\u75f0\uff0c\u6216\u4f24\u813e\u6ecb\u751f\u75f0\u6d4a\uff0c\u75f0\u706b\u6270\u5fc3\u800c\u81f4\u5fc3\u60b8\u3002
3\uff0e\u4e03\u60c5\u6240\u4f24
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4\uff0e\u611f\u53d7\u5916\u90aa
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5\uff0e\u836f\u7269\u4e2d\u6bd2
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2\uff0e\u4f34\u6709\u80f8\u95f7\u4e0d\u9002\uff0c\u6613\u6fc0\u52a8\uff0c\u5fc3\u70e6\uff0c\u5c11\u5bd0\u591a\u6c57\uff0c\u98a4\u6296\uff0c\u4e4f\u529b\uff0c\u5934\u6655\u7b49\u3002\u4e2d\u8001\u5e74\u53d1\u4f5c\u9891\u7e41\u8005\uff0c\u53ef\u4f34\u6709\u5fc3\u80f8\u75bc\u75db\uff0c\u751a\u81f3\u5598\u4fc3\uff0c\u80a2\u51b7\u6c57\u51fa\uff0c\u6216\u89c1\u6655\u53a5\u3002
3\uff0e\u53d1\u4f5c\u5e38\u7531\u60c5\u5fd7\u523a\u6fc0\u3001\u60ca\u6050\u3001\u7d27\u5f20\u3001\u52b3\u5026\u8fc7\u5ea6\u3001\u996e\u9152\u9971\u98df\u7b49\u56e0\u7d20\u800c\u8bf1\u53d1\u3002
4\uff0e\u53ef\u89c1\u6709\u8109\u8c61\u6570\u3001\u75be\u3001\u4fc3\u3001\u7ed3\u3001\u4ee3\u3001\u6c89\u3001\u8fdf\u7b49\u53d8\u5316\u3002
5\uff0e\u6d4b\u8840\u538b\u3001X\u7ebf\u80f8\u90e8\u6444\u7247\u53ca\u5fc3\u7535\u56fe\u7b49\u68c0\u67e5\u6709\u52a9\u4e8e\u660e\u786e\u8bca\u65ad\u3002
\u3010\u9274\u522b\u8bca\u65ad\u3011
1\uff0e\u771f\u5fc3\u75db
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2\uff0e\u5954\u8c5a
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3\uff0e\u5351\u558b
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\u3010\u8fa8\u8bc1\u8981\u70b9\u3011
1\uff0e\u5206\u6e05\u865a\u5b9e
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2\uff0e\u8fa8\u660e\u60ca\u60b8\u6014\u5fe1
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3\uff0e\u8be6\u8fa8\u8109\u8c61\u53d8\u5316
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4\uff0e\u7ed3\u5408\u8fa8\u75c5\u8fa8\u8bc1
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1\uff0e\u5fc3\u865a\u80c6\u602f
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\u3000\u3000\u3010\u75c5\u56e0\u75c5\u673a\u3011
\u3000\u30001\uff0e\u4f53\u8d28\u865a\u5f31 \u7980\u8d4b\u4e0d\u8db3\uff0c\u7d20\u4f53\u865a\u5f31\uff0c\u6216\u4e45\u75c5\u5931\u517b\uff0c\u52b3\u6b32\u8fc7\u5ea6\uff0c\u6c14\u8840\u9634\u9633\u4e8f\u865a\uff0c\u4ee5\u81f4\u5fc3\u5931\u6240\u517b\uff0c\u53d1\u4e3a\u5fc3\u60b8\u3002
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\u3000\u30003\uff0e\u4e03\u60c5\u6240\u4f24
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\u3000\u30004\uff0e\u611f\u53d7\u5916\u90aa
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\u3000\u30005\uff0e\u836f\u7269\u4e2d\u6bd2
\u3000\u3000\u836f\u7269\u8fc7\u91cf\u6216\u6bd2\u6027\u8f83\u5267\uff0c\u635f\u53ca\u4e8e\u5fc3\uff0c\u5f15\u8d77\u5fc3\u60b8\uff0c\u5982\u9644\u5b50\u3001\u4e4c\u5934\uff0c\u6216\u897f\u836f\u9511\u5242\u3001\u6d0b\u5730\u9ec4\u3001\u594e\u5c3c\u4e01\u3001\u80be\u4e0a\u817a\u7d20\u3001\u963f\u6258\u54c1\u7b49\uff0c\u5f53\u7528\u836f\u8fc7\u91cf\u6216\u4e0d\u5f53\u65f6\uff0c\u5747\u80fd\u5f15\u53d1\u5fc3\u52a8\u60b8\u3001\u8109\u7ed3\u4ee3\u4e00\u7c7b\u8bc1\u5019\u3002
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\u3000\u3000\u3010\u8bca\u65ad\u3011
\u3000\u30001\uff0e\u81ea\u89c9\u5fc3\u614c\u4e0d\u5b89\uff0c\u5fc3\u8df3\u5267\u70c8\u3002\u795e\u60c5\u7d27\u5f20\uff0c\u4e0d\u80fd\u81ea\u4e3b\uff0c\u5fc3\u640f\u6216\u5feb\u901f\uff0c\u6216\u7f13\u6162\uff0c\u6216\u5fc3\u8df3\u8fc7\u91cd\uff0c\u6216\u5ffd\u8df3\u5ffd\u6b62\uff0c\u5448\u9635\u53d1\u6027\u6216\u6301\u7eed\u4e0d\u6b62\u3002
\u3000\u30002\uff0e\u4f34\u6709\u80f8\u95f7\u4e0d\u9002\uff0c\u6613\u6fc0\u52a8\uff0c\u5fc3\u70e6\uff0c\u5c11\u5bd0\u591a\u6c57\uff0c\u98a4\u6296\uff0c\u4e4f\u529b\uff0c\u5934\u6655\u7b49\u3002\u4e2d\u8001\u5e74\u53d1\u4f5c\u9891\u7e41\u8005\uff0c\u53ef\u4f34\u6709\u5fc3\u80f8\u75bc\u75db\uff0c\u751a\u81f3\u5598\u4fc3\uff0c\u80a2\u51b7\u6c57\u51fa\uff0c\u6216\u89c1\u6655\u53a5\u3002
\u3000\u30003\uff0e\u53d1\u4f5c\u5e38\u7531\u60c5\u5fd7\u523a\u6fc0\u3001\u60ca\u6050\u3001\u7d27\u5f20\u3001\u52b3\u5026\u8fc7\u5ea6\u3001\u996e\u9152\u9971\u98df\u7b49\u56e0\u7d20\u800c\u8bf1\u53d1\u3002
\u3000\u30004\uff0e\u53ef\u89c1\u6709\u8109\u8c61\u6570\u3001\u75be\u3001\u4fc3\u3001\u7ed3\u3001\u4ee3\u3001\u6c89\u3001\u8fdf\u7b49\u53d8\u5316\u3002
\u3000\u30005\uff0e\u6d4b\u8840\u538b\u3001X\u7ebf\u80f8\u90e8\u6444\u7247\u53ca\u5fc3\u7535\u56fe\u7b49\u68c0\u67e5\u6709\u52a9\u4e8e\u660e\u786e\u8bca\u65ad\u3002
\u3000\u3000\u3010\u9274\u522b\u8bca\u65ad\u3011
\u3000\u30001\uff0e\u771f\u5fc3\u75db
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\u3000\u30002\uff0e\u5954\u8c5a
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\u3000\u30003\uff0e\u8be6\u8fa8\u8109\u8c61\u53d8\u5316
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\u3000\u3000\u3010\u8fa8\u8bc1\u65bd\u6cbb\u3011
\u3000\u30001\uff0e\u5fc3\u865a\u80c6\u602f
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1．心虚胆怯
[症状] 心悸，善惊易恐，坐卧不安，少寐多恶梦，舌苔薄白或如常，脉象细数或虚弦。
[证机概要] 气血亏损，心虚胆怯 ，心神失养，神摇不安。
[治法] 镇惊定志，养心安神。
[方药] 安神定志丸加琥珀、磁石、朱砂治之。方中龙齿、琥珀、磁石以镇惊宁心，茯神、菖蒲、远志以安神定志，人参补益心气。
若惊悸心胆虚怯可重用人参，加黄芪、炙甘草以补益心气，心阴不足加柏子仁、五味子、酸枣仁以养心安神收敛心气。
若兼心气郁结，精神抑郁，加柴胡、郁金、合欢皮以疏肝解郁。
若气虚夹瘀，加丹参、川芎、红花。
2．心血不足
[症状] 心悸气短，头晕目眩，失眠健忘，面色不华，倦怠无力，舌质淡红，脉象细弱。
[证机概要]心血不足，不能养心，心神不宁。
[治法] 补血养心，益气安神。
[方药] 以归脾汤加减，方中以当归，龙眼肉补养心血；用人参、黄芪、白术、炙甘草益气健脾，以资生血之源；酸枣仁、茯神、远志安神定志，再辅木香行气，使之补而不滞。
如见心动悸而脉结代者，乃气虚血少，血不养心之故，宜用炙甘草汤益气养血，滋阴复脉，方中炙甘草甘温复脉，以利心气，人参、大枣补气益胃；桂枝、生姜辛温通阳；地黄、阿胶、麦冬、麻仁为伍，滋阴补血，以养心阴，诸药配合，能使气血充盈，则心动悸而脉结代之症可解。
若热病后期，损及心阴而致心悸者，则用生脉散以益气养阴。本方人参补益元气；麦冬养阴，五味子收敛耗散之心气，三药合用，有益气养阴补心之功。
3．阴虚火旺
[症状] 心悸易惊，心烦少寐，头晕目眩，手足心热，耳鸣腰酸，舌质红，少苔或无苔，脉象细数。
[证机概要]肝肾阴虚，水不济火，心火内动，扰动心神。 [治法] 滋阴清火，养心安神。
[方药] 用天王补心丹合朱砂安神丸。前方滋阴养血，补心安神；后方清心降火，重镇安神。
若阴虚而火不旺者，可用天王补心丹加减。方中生地、玄参、麦冬、天冬清热；当归、丹参养心；人参补益心气；朱砂、茯苓、远志、枣仁、柏子仁安养心神；五味子收敛心气之耗散；桔梗引药上行，以通心气。
若见虚烦咽燥，口干口苦等热象较著者，可用朱砂安神丸主之。方中朱砂重镇安神；当归、生地养血滋阴；黄连清热泻火；诸药为伍，有泻心火，养心阴，补心血，宁心神四种功效，为治疗心神不安，烦躁心悸的常用方药。 ”
如阴虚火旺而兼见五心烦热、梦遗腰酸者，乃阴虚相火妄动之故。可用知拍地黄丸以滋阴降火。
4．心阳不振
[症状] 心悸不安，胸闷气短，面色苍白，形寒肢冷，舌质淡白，脉象虚弱或沉细数而无力。
[证机概要]心阳虚衰，无以温养心神。
[治法] 温补心阳，安神定悸。
[方药] 用桂枝甘草龙骨牡蛎汤合参附汤加减。方中桂枝、甘草温补心阳；龙骨、牡蛎安神定悸。可加人参、附子以温阳益气。
上方可加黄芪、麦冬；夹淤血者，加丹参、赤勺、川芎、红花。若心阳不振，心动过缓，酌加炙麻黄、补骨脂，重用桂枝。
5．水饮凌心
[症状] 心悸眩晕，胸脘痞满，渴不欲饮，小便短少，或下肢浮肿，形寒胶冷，恶心吐涎，舌苔白滑，脉象弦滑。
[证机概要]脾肾阳虚，水液内停，上凌于心，扰乱心神。
[治法] 振奋心阳，化气行水，宁心安神。
[方药]苓桂术甘汤加减。方中茯苓淡渗利水；桂枝、甘草通阳化气；白术健脾去湿。如水饮上逆，恶心呕吐者，加半夏、陈皮、生姜之品以和胃降逆。
如肾阳虚衰不能制水，水气凌心（心功能不全），症见心悸，阵发性夜间咳喘，不能平卧，小便不利，浮肿较甚者，宜用真武汤加减，以温阳行水。
6．瘀阻心脉
[症状] 心悸不安，胸闷不舒，心痛时作，痛如针刺，或见唇甲青紫，舌质紫暗或有瘀斑，脉涩或结代。
[证机概要]血瘀气滞，心脉痹阻，心阳被遏，心失所养。
[治法] 活血化瘀，理气通络。
[方药] 桃仁红花煎合桂枝甘草龙骨牡蛎汤加减，方中桃仁、红花、丹参、赤芍、川芎活血化瘀；延胡索、香附、青皮理气通脉；生地、当归养血和血。桂枝、甘草以通阳气；龙骨、牡蛎以镇心神，诸药合用，使心络通畅，则悸痛自止。
7．痰火扰心
[症状]心悸时发时止，受惊易作，胸闷烦躁，失眠多梦，舌苔黄腻，脉象滑数。
[证机概要]痰热内扰，心神不安。
[治法] 清热化痰，宁心安神。
[方药] 黄连温胆汤加减：黄连、山栀苦寒泻火，清心除烦；半夏、陈皮、竹茹、栝楼、胆南星清化痰热；枳实下气消痰；远志、菖蒲、生龙骨、生牡蛎宁心安神。
中医实践技能图解-第2篇-第1章 中医内科常见病-第24节 郁证03心神失养证（脏燥）、心脾两虚证、心肾阴虚证的诊断方法
按虚劳治疗啊可用养心汤为基础方辩证施治。加减药物。对失眠、心慌心悸等都有一定效果。但是必须要让医师开哦。别自己照方子乱抓药吃。
益气养血安神，人参归脾丸
吃中药啊 补心丹
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