Exploring the Prevention and Treatment Strategies for Post-Radiofrequency Ablation Recurrence of Arrhythmia Based on the "Qi-blood-meridians" System
10.13288/j.11-2166/r.2025.08.014
- VernacularTitle:“气-血-脉络”体系下的心律失常射频消融术后复发防治思路探微
- Author:
Yongyuan CAI
1
;
Ting LIU
2
;
Mengran LI
3
;
Zhongmin YAN
3
;
Tianfu NIU
2
Author Information
1. Guang'anmen Hospital，China Academy of Chinese Medical Sciences，Beijing，100053
2. Shanxi Province Hospital of Traditional Chinese Medicine
3. Shanxi Institute of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
arrhythmia;
post-radiofrequency ablation recurrence;
qi and blood;
meridians
- From:
Journal of Traditional Chinese Medicine
2025;66(8):841-845
- CountryChina
- Language:Chinese
-
Abstract:
Based on the "Qi-blood-meridians" system， it is proposed that recurrence after radiofrequency ablation （RFA） for arrhythmia originates from damage to the heart and injury to the meridians caused by thermal burns. Disorder of qi movement， blood obstruction and heat constraint are the prerequisites for recurrence， while internal consumption of deficient qi， yin damage and scarce blood are key factors in frequent episodes. Latent pathogen of both phlegm and stasis， along with condensation of pathogenic yin， is the main cause of disease progression. Accordingly， self-made Tong Xin Beverage （通心饮） with 18 herbs is used throughout the postoperative intervention process to nourish the heart， unblock the meridians， restore vessels in balance of yin and yang. Self-made Qingxin Dingji Decoction （清心定悸汤） can be used to promote qi movement， diffuse stagnation， relieve heat and activate blood circulation so as to facilitate early recovery. Self-made Peiben Yangxin Decoction （培本养心汤） can boost qi and nourish yin， harmonize the ying （营） level and nourish blood， thereby improving long-term prognosis. In addition， Shiwei Wendan Decoction combined （十味温胆汤） with Taoren Honghua Decoction （桃仁红花煎） resolves phlegm， dissipates masses， removes stasis， and softens hardness， which can be used to prevent disease aggravation. These approaches aim to provide ideas and references for clinical practice.
