Palpitation Definition Palpitation 是指病人白说心中悸动,惊慌不安, 甚则不能自主为 《金匮要略》首提惊悸 心悸包括惊 悸和怔忡两方面,因惊而悸者谓之惊悸,时发时止, 病情较轻;若无外因而悸谓之怔忡,发作无定 时,病情较重。 《济生方》首提怔忡
2 Palpitation 是指病人自觉心中悸动,惊慌不安, 甚则不能自主为主要表现的一种病证。心悸包括惊 悸和怔忡两方面,因惊而悸者谓之惊悸,时发时止, 病情较轻;若无外因而悸者,谓之怔忡,发作无定 时,病情较重。 《金匮要略》首提惊悸 《济生方》首提怔忡
Palpitation Cause of Disease and Pathomechanism Palpitation的病位在心,其发病与脾、肾、 肝、肺四脏功能失调相关。本病为本虚标实, 本为气血不足,阴阳亏损;标为气滞,血瘀, 痰浊,水饮
3 Palpitation 的病位在心,其发病与脾、肾、 肝、肺四脏功能失调相关。本病为本虚标实, 本为气血不足,阴阳亏损;标为气滞,血瘀, 痰浊,水饮。 Palpitation
Palpitation Analyses of pathological conditions 鳢心虚胆怯(timidity due to heart-deficiency) 曾心血不足(insufficiency of heart blood) 阴虚火旺(flaring offire due to yin-asthenia) 心阳不振(inactivation of heart--yang) 水饮凌心(fluid retention invading heart 心血瘀阻(stasis of heart blood)
4 心虚胆怯 ( timidity due to heart-deficiency ) 心血不足( insuf iciency of heart blood ) 阴虚火旺( flaring of fire due to yin-asthenia ) 心阳不振( inactivation of heart-yang ) 水饮凌心( fluid retention invading heart ) 心血瘀阻( stasis of heart blood ) Palpitation
Palpitation Analyses of pathological conditions Timidity due to heart-deficiency 心悸,善惊易恐,坐卧不安,少寐多梦, 舌苔薄白或如常,脉象动数或虚弦。 Insufficiency of heart blood 心悸,头晕,面色不华,倦怠乏力,舌 质淡红,脉象细弱
5 Timidity due to heart-deficiency 心悸,善惊易恐,坐卧不安,少寐多梦, 舌苔薄白或如常,脉象动数或虚弦。 Insuf iciency of heart blood 心悸,头晕,面色不华,倦怠乏力,舌 质淡红,脉象细弱。 Palpitation
Palpitation Analyses of pathological conditions Flaring offire due to yin-asthenia 心悸不宁,心烦少寐,头晕目眩,手足 心热,腰酸耳鸣,舌质红,少苔或无苔,脉 象细数。 s Inactivation of heart-yang 心悸不安,胸闷气短,面色苍白,形 寒肢冷,舌质淡白,脉象虚弱或沉细而数
6 Flaring of fire due to yin-asthenia 心悸不宁,心烦少寐,头晕目眩,手足 心热,腰酸耳鸣,舌质红,少苔或无苔,脉 象细数。 Inactivation of heart-yang 心悸不安,胸闷气短,面色苍白,形 寒肢冷,舌质淡白,脉象虚弱或沉细而数。 Palpitation
Palpitation Analyses of pathological conditions Fluid retention invading heart 心悸,眩晕,胸脘痞满,形寒肢冷,小 便短少;或下肢浮肿,渴不欲欧,恶吐涎 舌苔白滑,脉弦滑。 Stasis of heart blood 心悸不安,胸闷不舒,心痛时作,或见 唇甲青紫,舌质暗或有瘀斑,脉涩或结代
7 Fluid retention invading heart 心悸,眩晕,胸脘痞满,形寒肢冷,小 便短少;或下肢浮肿,渴不欲饮,恶心吐涎, 舌苔白滑,脉弦滑。 Stasis of heart blood 心悸不安,胸闷不舒,心痛时作,或见 唇甲青紫,舌质暗或有瘀斑,脉涩或结代。 Palpitation
Palpitation Problems of patients 效心输出量减少 曾恐惧 活动无耐力 睡眠形态紊乱 鳢Nursing goals 知识缺乏 潜在并发症
8 Palpitation 心输出量减少 恐惧 活动无耐力 睡眠形态紊乱 知识缺乏 潜在并发症
Palpitation Nursing interventions Timidity due to heart-deficiency Principle of nursing:镇惊定志,养心安神 Life care: Entirety nursing Dietary care: Drugs care: Other nursing methods:
9 Timidity due to heart-deficiency Principle of nursing:镇惊定志,养心安神 Entirety nursing Life care: Dietary care: Drugs care: Other nursing methods: Palpitation
Palpitation Nursing interventions Insufficiency of heart blood Principle of nursing:补血养心,益气安神 Life care: Entirety nursing Diet care: Drugs care: Other nursing methods:
10 Insuf iciency of heart blood Principle of nursing:补血养心,益气安神 Entirety nursing Life care: Diet care: Drugs care: Other nursing methods: Palpitation