病毒性心肌炎心房颤动的中医病机及治疗  

Pathogenesis and treatment of viral myocarditis atrial fibrillation in Chinese medicine

作　　者：褚瑜光[1] 胡元会[1] 袁晨露 CHU Yuguang;HU Yuanhui;YUAN Chenlu(Department of Cardiovascular Medicine,Guang'anmen Hospital,China Academy of Traditional Chinese Medial Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院心血管科,北京100053

出　　处：《北京中医药》2024年第6期694-698,共5页Beijing Journal of Traditional Chinese Medicine

基　　金：中央高水平中医医院临床研究和成果转化能力提升项目(HLCMHPP2023062);中国中医科学院科技创新工程(CI2021A01604);首都卫生发展科研专项项目(首发2022-1-4153)。

摘　　要：病毒性心肌炎(VMC)多由感染嗜心肌性病毒,引起免疫炎症反应,从而导致心肌病变,而心房颤动是其重要的临床表现之一。中医辨证论治VMC有一定优势。VMC心房颤动的主要病机为正气不足,外感风邪,与湿、热、瘀、毒、虚等证候要素有关,“风惊悸”是对其最经典的概括。本文对VMC心房颤动急性期、缓解期、恢复期和慢性期四个疾病发展阶段分别以利湿、益气、养阴、温阳为治法,进行辨证论治,期待为VCM心房颤动的治疗提供理论支持。Viral myocarditis(VMC)is mostly due to infection with cardiomyopathic virus,which causes immuneinflammatory reactions leading to myocardial lesions,and atrial fibrillation is one of its main clinical manifestations.The syndrome differentiation and treatment of traditional Chinese medicine has certain advantages in the treatment of viral myocarditis,and the main pathogenesis of viral myocarditis atrial fibrillation is deficiency of antipathogenic qi and attack of external wind,and it is also related to dampness,heat,stasis,toxicity,and deficiency,and viral myocarditis atrial fibrillation can be identified and treated by four stages,namely,acute,remission,recovery,and chronic phases.

关 键 词：病毒性心肌炎 心房颤动 风惊悸 中医病机 治疗 

分 类 号：R259[医药卫生—中西医结合]