Clinical experience in treating palpitations by regulating the pivot based on the harmony of heart, gallbladder, and spirit

LIU Feifei; YANG Hongxia; LIU Chengshuai; ZHA Yuling; ZHOU Yuping

doi:10.16025/j.1674-1307.2025.11.023

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Clinical experience in treating palpitations by regulating the pivot based on the harmony of heart, gallbladder, and spirit

更新时间：2026-01-29

- Clinical experience in treating palpitations by regulating the pivot based on the harmony of heart, gallbladder, and spirit
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 11, Pages: 1488-1490(2025)
- 作者机构：
  
  1.中国中医科学院广安门医院心血管科，北京 100053
  2.中国中医科学院西苑医院综合内科，北京 100091
  3.中国中医科学院中医临床基础医学研究所，北京 100700
  4.中国中医科学院眼科医院心血管科，北京 100040
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.11.023
  CLC：
- Received：05 February 2025，
  
  Published：25 November 2025
- 稿件说明：
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刘斐斐，杨红霞，刘成帅，等.以“心胆神合”为基础探讨调枢机以治心悸经验［J］.北京中医药，2025，44（11）：1488-1490.

LIU Feifei,YANG Hongxia,LIU Chengshuai,et al.Clinical experience in treating palpitations by regulating the pivot based on the harmony of heart, gallbladder, and spirit[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(11):1488-1490.
刘斐斐，杨红霞，刘成帅，等.以“心胆神合”为基础探讨调枢机以治心悸经验［J］.北京中医药，2025，44（11）：1488-1490. DOI： 10.16025/j.1674-1307.2025.11.023.

LIU Feifei,YANG Hongxia,LIU Chengshuai,et al.Clinical experience in treating palpitations by regulating the pivot based on the harmony of heart, gallbladder, and spirit[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(11):1488-1490. DOI： 10.16025/j.1674-1307.2025.11.023.

摘要

心主血脉，藏神；胆为心之母，主司决断。心胆经络相连，生理、病理相及，气血相关，同主枢机，共司神志。心为神之主，胆为神之枢，胆主枢失职则心神失养，邪扰可致心悸。枢机失调产生的病理过程不尽相同，治疗当因人而异，如忧思多虑者，气机易滞郁而生痰化火，扰乱心神；体实性急者，气机转枢不利而从实化火，胆之相火循经上扰，两火相逢，心受火煎，燔灼心液；体虚易惊者，易从虚化寒，胆寒致枢转乏力，心神失于温煦。临床可以心胆神合为基础，辨枢机不利之病理变化，据因施方，复心胆枢转之能以治心悸。

Abstract

The heart governs the blood vessels and houses the spirit， while the gallbladder， as the mother of the heart， is responsible for decision-making. The meridians and collaterals of the heart and gallbladder are interconnected， and their physiological and pathological functions， as well as the flow of

and blood， are closely related. Together， they govern the pivot and control the mind. The heart serves as the master of the spirit， and the gallbladder functions as the pivot of the spirit. When the gallbladder pivot fails， the heart and spirit lose nourishment， and pathogenic factors may cause palpitations. The pathological processes resulting from pivot dysfunction vary among individuals， and treatment should be tailored accordingly. For example， those who are prone to worry and overthinking often experience stagnation of

， leading to phlegm transforming into fire and disturbing the heart and mind. Individuals with robust and urgent constitutions may have impaired

circulation at the pivot， leading to the transformation of

into fire， with gallbladder fire ascending along the meridians. When these two fires meet， the heart is heated， and heart fluids are consumed. Those with weak constitutions are prone to fear and deficiency， resulting in coldness， weakened pivot function， and loss of warmth in the heart and mind. Clinically， treatment can be based on the harmony of the heart， gallbladder， and spirit， i.e.， by identifying the pathological changes caused by pivot dysfunction and applying formula-based interventions， the function of the heart–gallbladder pivot can be restored to treat palpitations.

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references

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