Professor SHU Qijin's Clinical Insights into the Treatment of Palpitations Induced by Antitumor Therapy
10.16466/j.issn1005-5509.2025.07.009
- VernacularTitle:舒琦瑾教授诊治抗肿瘤治疗所致心悸临证探微
- Author:
Hongcong QIAN
1
;
Fangmin ZHAO
;
Shuling CHEN
Author Information
1. 浙江中医药大学第一临床医学院 杭州 310053
- Publication Type:Journal Article
- Keywords:
palpitation;
antitumor therapy;
cardio-oncology;
cardiovascular toxicity;
Qi and Yin deficiency;
medical records;
experience of famous doctors;
SHU Qijin
- From:
Journal of Zhejiang Chinese Medical University
2025;49(7):856-861
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To summarize Professor SHU Qijin's clinical experience in the diagnosis and treatment of palpitations induced by antitumor therapy.[Methods]Through outpatient apprenticeship,it systematically collected and analyzed clinical cases in which Professor SHU managed palpitations induced by antitumor therapies.Relevant classical treatises on traditional Chinese medicine(TCM)and modern literature were reviewed to summarize Professor SHU's understanding of the etiology and pathogenesis,characteristics of syndrome differentiation and treatment,as well as the composition,compatibility principles and clinical application of commonly used formulas.One representative medical case was selected for in-depth analysis as supporting evidence.[Results]Professor SHU believes that the pathogenesis of palpitations induced by antitumor therapy is primarily based on Qi and Yin deficiency.Therefore,the therapeutic approach emphasizes replenishing Qi and nourishing Yin as the foundation,with an additional focus on nourishing the heart meridian.Modified Shengmai Drink is commonly prescribed and adjusted according to the patient's condition.Holistic strategies are adopted to harmonize both the body and the mind,attending to both the physical form and spirit,while balancing warming and cooling interventions to regulate Yin and Yang.The TCM pattern diagnosis of the cited case was palpitation,with Qi and Yin deficiency as the root cause,and blood stasis and phlegm-dampness as the secondary symptoms,combined with Yang deficiency.It was treated by modified Shengmai Drink to benefit Qi and nourish Yin,with favorable therapeutic outcomes.[Conclusion]Professor SHU's clinical practice in managing palpitations induced by antitumor therapies emphasizes deficiency of both Qi and Yin as the fundamental pathogenesis.He advocates a comprehensive treatment principle that integrates replenishing Qi and nourishing Yin,harmonizing the body and mind,and employing both warming and cooling strategies according to clinical presentation.Professor SHU attaches great importance to clinical flexibility and individualized treatment adjustments,demonstrating rich clinical experience and remarkable therapeutic efficacy,which provide valuable guidance for wider clinical application.
