Viral myocarditis etiology shallow agent

GuoXiaoChen tianjin university of traditional Chinese medicine first affiliated hospital

China's traditional Chinese medicine reported

        Viral myocarditis usually in palpitations, the area before the heart pain, breadth of mind oppressed, pale face, shortness of breath enough to interest, for, such as the lack of major clinical manifestations, and the Chinese medicine DuoZhong disease related. In Chinese medicine ancient medical books have no special records, but with the disease symptoms similar description. Such as the yellow emperor is in the "heart as a man will capture reported taking the" description, and put forward the disease and the climate is not straight, feel her closely related disease and six. The eastern han dynasty ZhangZhongJing application roasted liquorice decoction and other valid prescription for differentiation, syndrome differentiation and treatment of this disease for the later laid a foundation. Since then, more than the traditional as "classic", "treatise on febrile diseases" clinical thought of the treatment of this disease, and be full. If WangQingRen qing dynasty of blood stasis cause palpitation makes supplementary, the Ming dynasty zhang jingyue thought that ZhengChong can be caused by deficiency of Yin strain, and put forward the "have the speed should be the abstinence room's, cut drinking color" care measures.

        cause

        In the formation of the disease, the internal and external causes of traditional Chinese medicine thinks is the result of the interaction of the. The lesion site main in mind, often involving lung, spleen and kidney and other viscera.

        Internal cause: ferrite vital qi deficiency deficit

        With modern medicine emphasizes virus infection is the root cause of the viral myocarditis lead to different, TCM believes that, in addition to functions, upright weak this disease is undergoing significant even is the main aspects, that is, is the basis of the virtual functions and the feelings again. Upright weak or by endowment is insufficient, or because too tired, consumption caused by injury upright. The yellow emperor in the "vital qi, do not do evil in deposit", "evil, which gather together the gas will be empty," "pulse bi unceasingly, after feeling, up to heart within functions", etc, this paper that the body is virtual are easy to be evil influences have to invade, evil in the heart is up to poison can hair for the disease.

        External cause: poison invasion and warm

        The virtual auror ferrite deficit who the solid, easy to feel the wind damp and hot, hot and poison. More from evil poison first fur, mouth, nose and into, following the table into, leave and not go to, give in to heart. From clinical syndrome to see, the acute phase often first fever, body pain, such as cold symptoms or tired sample disgusting, vomiting, abdominal distension alimentary canal such as performance, explain its incidence in accordance with the disease. From the onset of the disease way to see, most have first lung damage and spleen and stomach, following have theheart sutra symptoms. From the Chinese medicine theory analysis, lung qi, the heart blood, cardiopulmonary cohabitation on coke, no matter in physiological and pathological conditions cardiopulmonary two dirty has close relationship. As WenBing master jiao tone say: "evil, first by the temperature, the pericardial inverse make lung." Between the heart and the stomach also the inherent in close contact. The meat asked · meridians equity accounted for "yue:" feed gas into the stomach, oil and gas, her pulse. In the citizens" Under physiological conditions, the upper stomach, the main reception rotten food, and for angry machine went hub, spleen and stomach function of subtle is the material basis of myocardial function activities. Pathological conditions, poison attack and gastrointestinal, immersed camp blood, and the mind be interference, see, heart palpitations, chest distress, chest pain, shortness of breath and disease.

        pathogenesis

        As the disease with false or true, complicated machine, many physicians often borrow modern medicine in this installment (the acute phase, recovery and ManXingQi) came to the pathogenesis analyzed respectively.

        The acute phase (mainly to poison) : evil poison to invade, give in to heart

        Warm poison from the fur, mouth and nose and into, invasive lung table, so more than the early show lung health table card, such as swallow the red, sore throat, pharynx of discomfort, coughing, runny nose, after have palpitations, shortness of breath, chest tightness wait for disease, because of the evil poison by lung inverse made by heart. Pathogenic toxin factor to damp and hot from the mouth and into, poison accumulate resistance and the spleen and stomach, spleen lost health shipment, disease see diarrhoea, head trapped body weight, and the evil cold fever, nausea and vomiting and abdominal pain and sickness. If the hot and humid poison evil YuJiu don't understand, further penetration and heart chakras have palpitations, chest tightness, shortness of breath and disease.

        Recovery (with empty primarily) : the deficiency of both qi and Yin, YuDu not completely

        After the acute phase of pathological evolution into people, while remaining toxic heat loss of the evil continue to burn camp Yin, can cause the heart qi and Yin two injuries. It is damaged, Yang lost inspired, gasification of negligence, can cause ZhengChong uneasy. Heart Yin consumption injury, heart chakras lost to raise, Yin not system Yang, can cause heart palpitations restless. Disease see palpitation and shortness of breath, chest tightness chest pain, dry mouth, lack of power, red tongue less moss, pulse count.

        ManXingQi (mainly to stasis) : qi Yang loss, phlegm stasis resistance collaterals

        Disease long injury and lung, spleen, lost XuanSu lung, spleen water stop, or toxic heat burning tianjin, can lead to sputum turbidity endogenous. Toxic heat topographic maps to warm, consumption of burning Yin blood, blood hot form or day long cardiac blood stasis YinSun and Yang, damaged heart Yang, promote and weak, blood line sluggish acerbity, can lead to stop in blood stasis. Qi stagnant, blood stasis is both the common product pathology and, and, and, and lead to illness, the main reason for the delay of refractory. Clinical performance for chest tightness suppress expansion, the area before the heart pain, weakness burnout, much sputum NaCha, dark purple tongue quality, moss BaiHou bored with phlegm and blood stasis, mutual "syndrome.

        To sum up, TCM believes that vital qi deficiency, warm and ChengXu heart disease for poison against the cause, blood stasis, qi stagnant for lesions in the process of product pathology, take gas injury Yin, blood block as the main pathological changes. Disease to evil is virtual reality early, the actual inclusion is given priority to, to vital qi deficiency, and the breath of the heart Yin deficiency, phlegm and blood stasis block primarily. The modern medical science thinks, virus on cardiac tissue damage cells directly, mediated cytotoxic effects and then produce secondary autoimmune process is the main pathogenesis, but so far is still lack of control the disease is the effective treatment methods. And according to the overall concept of TCM characteristic, from two aspects discusses the pathogens etiology and pathogenesis, syndrome differentiation and treatment, the more stressed in the disease and its outcome happened) to the important role of the outcome, the understanding of the viral myocarditis treatment is also developed the ideas, including heart to heart and not the special in mind, but also adjust the other visceral functions for heart, seize the "empty, poison, stasis" three clinical staging key pathogenesis, remove disease from evil and regulate the healthy atmosphere of Yin and Yang, qi, AIDS treatment, and achieved good effect.