Based on the Theory of “Liver Main Drainage,” the Treatment of Intractable Arrhythmias from the Liver is Discussed (with an Example of the Case)

Abstract

This paper aims to systematically explore the theoretical basis and clinical practice of treating refractory arrhythmias from the liver based on the theory of “liver main drainage”. Intractable arrhythmias present a significant clinical challenge, and modern Western medicine treatment faces risks such as unstable efficacy and “arrhythmia-inducing” effects, suggesting the limitations of a single “heart treatment” approach. Traditional Chinese medicine posits that the key pathogenesis of this condition lies in impaired liver drainage, progressing through the three-stage transmission pattern of “liver stagnation → transformation into pathogenic factors (fire, phlegm, stasis) → deficiency.” This ultimately disturbs mental functions and obstructs the heart meridian. Therefore, treatment should adhere to the principle of “regulating the liver to treat the heart,” with the core guiding ideology being “loosening its qi and blood, making it orderly.” Clinical phases such as liver sparseness, liver cleansing, and liver softening are employed to restore the liver’s drainage function and stabilize the heart vein. The case study confirms the efficacy and scientific basis of treating this condition from a liver-centered perspective, offering a novel approach with traditional Chinese medicine characteristics to resolve the treatment dilemma of refractory arrhythmias.