Detoxification eliminating phlegm wide chest medicine toxic myocarditis 
 
 
China's traditional Chinese medicine to 

        The author use small bupleurum decoction treating toxic myocarditis xi, for two reasons: first, the small bupleurum decoction is reconciliation of shaoyang, centralizer evil square, little Yang is the cardinal of the table, is also the hub of the pursuit of evil out, the party in dredging, the action of the upper energizer qi activity is also the doctor recognized; Second, many years clinical experience, the author use small bupleurum soup to cure a variety of viral diseases, as long as the accurate syndrome differentiation, and subtract appropriate, curative effect is reliable. 
 
        Many virus infection can cause myocarditis, especially with the intestinal virus (especially coxsackie B group virus) is common. Happens in children and young adults. Viral myocarditis patients clinical symptoms often depends on the degree of extensive lesions, weight variation is very big. About half of 1 ~ 3 weeks before the patient is sick with virus infection prodrome, such as fever, sore throat, drowsiness, gastrointestinal inflammation, etc. Then have palpitations, chest tightness, chest pain, dizziness, shortness of breath, swelling, or even heart failure or sudden death. Arrhythmia and abnormal ecg, serum troponin, increased cardiac muscle creatine kinase, blood sedimentation speed, increased CRP is helpful to diagnose this disease. In traditional Chinese medicine literature is not completely corresponding single disease with the disease, according to the clinical manifestations of the disease is different, in Chinese medicine of the exogenous febrile, obstruction, palpitation and consumptive disease, for treating syndromes. Now the national standard of the clinical diagnosis and treatment of traditional Chinese medicine terminology, the disease is to despair an illusion of "heart". 
 
        Parting syndrome differentiation 
 
        In medical method to analyze the main clinical symptoms of viral myocarditis, its etiology and pathogenesis of as is empty outside who is not solid, evil poison invasion in the pericardium, namely is evil invasion, pericardial blood stasis. Here is empty, mainly refers to the heart and lung qi deficiency. Heart main veins, qi for blood handsome, lung advocate defend, lung and lotaustralin. Therefore, heart and lung qi deficiency, who is not solid, veins not free; Evil poison attack outside, inside the pericardium, brew ShengTan stasis, and the mind alongwith restless, poor heart vein stasis, even a better mousetrap blasting off. Therefore, supporting, jiedu huoxue, when the main law of clinical cure disease differentiation of traditional Chinese medicine. Can be divided into 3 type in the clinical treatment based on syndrome differentiation. 
 
        Pathogenic toxin type external invasion 
 
        Clinical manifestations, chest tightness or pain, upset, heart palpitations, languid, both evil cold fever, or fever, or head pain, or a stuffy nose sore throat these symptoms, such as the tip of the tongue red, moss thin yellow, pulse string or number. 
 
        Treatment: reconciliation little Yang, foster. 
 
        Syndromes: small bupleurum tonga subtraction: radix bupleuri 15 grams, 10 grams of pinellia, radix scutellariae 15 grams, dangshen 12 grams, fructus 18 grams, 15 grams of salvia miltiorrhiza, dandelion 30 grams, liquorice 8 g. 
 
        Party in the party, the main in radix bupleuri, radix scutellariae, dandelion, less settlement Yang, pure evil detoxification; Supplemented by codonopsis pilosula, liquorice, yiqi righting to eliminate pathogenic; Pinellia, fructus expectoranting wide chest, salvia miltiorrhiza invigorate the calming nerves, for make. 
 
        Clinical and subtract: chills, it is cool, and cassia twig, ginger, jujube; Head pain, notopterygium, radix gentianae macrophyllae, living alone; Fever, limb touches skin glowing, depressive fire do not come loose, salvia miltiorrhiza, fructus, choose add cohosh, puerarin, windproof, radix paeoniae rubra, etc; Nausea and vomiting, choose add ageratum, amomum villosum, bamboo shavings, su leaf, etc.; Chest pain, a pain, choose add orange, turmeric and rhizoma chuanxiong, etc; Sore throats, choose and radix isatidis, dandelion, honeysuckle, radix platycodi, etc; Coughing or wheezing phlegm, choose add before hu, su leaf, almonds, fritillaria, poria cocos, semen lepidii, etc; Qi and blood deficiency, astragalus, angelica; Qi and Yin deficiency, two MaiMenDong, fructus schisandrae; Insomnia, much dream, palpitation, choose add zizyphus jujube kernel, god eight, mother-of-pearl, dens draconis, etc; Arrhythmia, choose add bitter ginseng, radix rehmanniae, zizyphus jujube kernel, pseudostellaria root, etc. 
 
        Blood loss type 
 
        Clinical manifestations: palpitations palpitation, dizziness, chest condition, the evil wind, or the sweat or low thermal lingering, cold or afraid of the cold, pale and Bai Guangbai tongue reddish, whitish, pulse fine unable or generation. 
 
        Treatment: fill in yiqi, nourishing blood vein. 
 
        : the formulas Li Dongyuan astragalus root ginseng tonga subtraction: astragalus membranaceus 15 ~ 30 grams, 15 grams of codonopsis pilosula, atractylodes 10 grams, each 10 grams angelica, salvia miltiorrhiza 15 grams, dried tangerine or orange peel 10 grams, 15 grams of dwarf lilyturf, fructus schisandrae 6 grams, cohosh 6 ~ 12 grams, radix scutellariae 12 grams, 6 ~ 12 grams of cassia twig, main licorice 8 g. 
 
        Party in the party, the main with astragalus, codonopsis, atractylodes, radix glycyrrhizae, yiqi fill in; Supplemented by angelica, salvia miltiorrhiza, raise blood circulation; Dwarf lilyturf, fructus schisandrae, ziyin calming nerves; With dried tangerine or orange peel in the gas line width, radix scutellariae, rhizoma cimicifugae qingrejiedu, and cohosh can help and stilbene yiqi liters clear; Cassia twig XinWen, liquorice and bushing Yang palpitations, angelica, salvia miltiorrhiza, WenTong obstruction of blood and rule. 
 
        Clinical add and subtract, and phlegm retention and dizzy, salvia miltiorrhiza, cohosh, summer addition, rhizoma gastrodiae, rhizoma alismatis; And what drink water ling heart palpitations, salvia miltiorrhiza, cohosh, poria cocos, oyster; Since the khan, the evil wind, radix paeoniae alba, windproof, Yang deficiency even more herbs, ginger; If summer hot and humid trapped gas spleen injury, cassia twig, radix scutellariae, optional and rhizoma atractylodis, cortex phellodendri, radix puerariae, rhizoma alismatis, etc; More than can be reference in front of the addition and subtraction. 
 
        In addition, if the arrhythmia remarkableness, available main liquorice decoction (main licorice, ginger, codonopsis, radix rehmanniae, cassia twig, donkey-hide gelatin, dwarf lilyturf, fire maren, jujube) ZhuoJia salvia miltiorrhiza, bitter ginseng, astragalus root, etc. 
 
        Blood stasis resistance type 
 
        Clinical manifestations, chest pain, palpitations, or feeling tight chest tightness, fever, or afternoon or night chest pain intensified, or mood depressed not shu, your breath, dark purple veins and fine dry or generation. 
 
        Treatment: promoting blood circulation to remove blood stasis, qi XieYu. 
 
        : clinical therapeutic tonga subtraction: radix bupleuri 12 grams, 10 grams of hovenia dulcis, radix paeoniae rubra 12 grams, rhizoma ligustici wallichii 10 grams, 15 grams of angelica sinensis, radix rehmanniae 18 grams, 10 grams peach kernel, safflower 10 grams, 30 grams of dandelion, full of trichosanthes 24 g, turmeric 10 grams, liquorice 8 g. 
 
        Party in the party, the main to peach siwu soup, invigorate the circulation of blood, blood know luo. With radix bupleuri, bitter orange, turmeric, qi, liver, XieYu; With dandelion qingrejiedu, fructus phlegm fights; Make with liquorice and medicine. 
 
        Clinical and subtract: refer to the above type 2 addition and subtraction.
 
 
 
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