[Academic characteristics of contemporary traditional Chinese medicine masters in treatment of cardiac arrhythmias based on SrTO].

Contemporary renowned practitioners of traditional Chinese medicine(TCM) have developed a systematic theoretical framework and accumulated extensive clinical experience in the treatment of cardiac arrhythmia. By systematically organizing the academic perspectives of 28 contemporary TCM masters and selecting 50 high-quality studies from a pool of 545 related documents, this study conducted an in-depth analysis of the etiology and pathogenesis, diagnostic approaches, treatment principles, and characteristics of medication. Regarding the understanding of etiology and pathogenesis, contemporary TCM experts generally regard arrhythmia as a syndrome characterized by a root deficiency and superficial excess, often presenting as a complex of both deficiency and excess. The root deficiency primarily involves insufficiency of Qi, blood, Yin, and Yang, while the superficial excess often manifests as obstruction due to phlegm turbidity and blood stasis. In terms of diagnosis, emphasis is placed on syndrome differentiation through the comprehensive application of the four diagnostic methods, particularly valuing the clinical utility of pulse diagnosis, and stressing the organic integration of disease differentiation with syndrome differentiation. Treatment is guided by the core principles of holism and syndrome differentiation, with a focus on harmonizing the Zang-fu organs and reinforcing the root to nourish vital Qi. Therapeutic methods such as resolving phlegm and stasis and combining elimination with tonification are applied flexibly. The prescription and use of medicines are characterized by adaptability, simplicity, and significant efficacy, reflecting a faithful adherence to the essence of TCM theory while actively incorporating insights from modern medicine. This demonstrates an academic pursuit of preserving tradition while fostering innovation. The study indicates that the formation of these academic features is influenced by multiple factors, including the historical context, regional environments, policy support, and mentorship inheritance. These characteristics reflect the innovative development of contemporary TCM on the foundation of tradition, integrating both TCM and western medicine, with distinct features and notable clinical efficacy, thereby providing important references for the TCM-based diagnosis and treatment of cardiac arrhythmia.