世界中医药

作者	单位
孙永辉1，李彦霞1,2,3，常丽萍1,4，5	1 河北以岭医院，国家中医药管理局中医络病学重点学科，石家庄，050091； 2 国家中医药管理局重点研究室（心脑血管络病），石家庄，050035； 3 络病研究与创新中药国家重点实验室，石家庄，050035； 4 河北省络病重点实验室，石家庄，050035； 5 河北医科大学，石家庄，050017

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中文摘要:

病毒性心肌炎是病毒感染引起的局限性或弥漫性心肌炎性病变。目前西医主要以营养心肌细胞,减轻心脏负荷为主,效果不佳。中医药在该病诊治上取得了一定疗效。脉络学说是中医学重要组成部分，是以“脉络—血管系统病”为主要研究领域，主要研究血管性疾病的发生发展规律、基本病理变化、临床证候特征及辨证用药的系统理论。从中医脉络学说探讨病毒性心肌炎的病理机制对提高临床疗效具有重大意义。依据病毒性心肌炎的发病因素及病理变化，提出“气阴两虚，脉络瘀阻”是该病的基本病机，依据中医学“虚则补之、实则泻之”的理论，提出“益气养阴，化瘀通络”为该病治疗原则，阐述病毒性心肌炎的辨证分型与用药,为该病的诊治提供新的思路与方法。

English Summary:

Viral myocarditis refers to localized or diffusive myocardial inflammation induced by virus infection. In western medicine, treatment is based on nurturing cardiac muscle cells and relieving cardiac burden, but the effects are not satisfying. Traditional Chinese medicine has achieved remarkable effects in treating this disease. Collateral Theory, an important constituent of TCM, takes collateral-vascular diseases as major research field and mainly focuses on regularity of outbreak and development, basic pathologic changes, clinical manifestations and drug implementation of vascular diseases. Discussions on pathological mechanisms of viral myocarditis based on collateral theory have shown great significance in improving clinical effects. According to pathogenic factors and pathologic changes of viral myocarditis, collateral obstruction due to qi and yin deficiency was regarded as basic pathogenesis, thus the method, supplementing qi and nourishing yin to resolve stasis and dredge collaterals, should be viewed as the major principle, put forward based on the theory of “vacuity being treated by supplementing and repletion being treated by draining”. Collateral theory clarifies syndrome differentiation and essential commonly-used traditional Chinese medicinal, providing effective thoughts and methods for the treatment of viral myocarditis.

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