Myocarditis caused by different causes of heart attack in a group of diseases. It is sub-infectious, rheumatic, allergic and allergic myocarditis caused by physical and chemical factors as well, but the vast majority of clinical myocarditis is caused by a virus. Viral myocarditis is viral infection caused by Stenotrophomonas concentric to cardiac-based non-specific interstitial inflammatory lesions. Has now confirmed that the virus can cause myocarditis include: small RNA viruses such as Coxsackie intestine, ECHO, polio virus, insect-borne virus, influenza virus, paramyxovirus virus, rubella virus, herpes virus, adenovirus, respiratory enteric virus, encephalomyocarditis virus. In recent years, the incidence of myocarditis trend of increasing year by year, has become a common disease endangering people's health. Myocarditis in the anti-virus treatment and enhance immune function, Chinese medicine has unique use of Chinese medicine on the prevention and treatment of clinical myocarditis has a good effect.
Currently considered the pathogenesis of myocarditis, including two stages. The first stage is a direct violation of the virus through the myocardial blood flow, causing myocardial damage and dysfunction. In addition, the virus may also locally produce toxins, leading to myocardial fibers dissolve, necrosis, edema and inflammatory cell infiltration; second stage will focus on immune-allergic reaction period, the period of the virus may no longer exist, but there is still ongoing myocardial damage , indicating that immune responses play an important role in the pathogenesis. On viral myocarditis patient's endomyocardial biopsy, also confirmed that cell-mediated immunity in the course of the disease play an important role.
In the pathogenesis of viral myocarditis, some incentives, such as bacterial infections, malnutrition, strenuous exercise, fatigue, pregnancy and lack of oxygen, etc., can make the body resistant to decline, the virus susceptible to the disease.
Age of onset of myocarditis in children and adolescents more common, and the younger, often more severe disease, more men than women. Half of the patients with premorbid 1 ~ 3 weeks with upper respiratory tract or gastrointestinal infection in the history of so-called "upper respiratory syndrome." Cardiac involvement usually manifested heart palpitations, shortness of breath, precordial discomfort or pain. There are some cases symptoms are not typical, mainly unexplained cardiac arrhythmia, cardiac pain, fever, joint pain, oliguria, fainting and other systemic symptoms.
According to the different manifestations of viral myocarditis, this disease can be divided into hiding, sudden death, arrhythmia, heart failure, and the outbreak, chronic, sequelae such as type 7. According to course can be divided into acute, rehabilitation, chronic, sequelae 4.
Western medicine treatment of myocardial cells are primarily used to improve the nutrition and metabolism of drugs such as coenzyme A, inosine, cytochrome C, ATP, coenzyme Q10, polarized liquid, broad-spectrum antibiotics, antiviral drugs, regulate cellular immune function of human leukocyte interferon, made of genetically engineered interferon, etc., to correct arrhythmias, premature ventricular contractions with amiodarone, heart rate equality.
Chinese medicine treatment of viral myocarditis must be in accordance course the length of the different clinical manifestations of acute phase and recovery phase, chronic phase of the pulse period and the after-effects certificates and pathogenesis characteristics of syndrome differentiation.
The acute phase of the heat-toxin invasion of your heart made a warm-up pain, stuffy nose, runny nose, itchy throat sore throat, cough, expectoration, or abdominal pain, diarrhea, myalgia limbs Chu, palpitations followed by Ti-moving, chest tightness, shortness of breath, tongue red, thin yellow tongue coating or the greasy, or a statement on behalf of the breakdown pulse. Expelling Qingrejiedu, nourish heart yin, with Silver Flower, Forsythia, Daqingye, Guanzhong, heterophylla, Ophiopogon japonicus, habitat, and so on addition and subtraction Zhigancao.
Yang and gas off the performance of rapid-onset asthma palpitations, Forest income not lying, lips cyanosis, irritability, spontaneous perspiration more than limbs Jueleng, pulse micro-stricken, pale tongue. Anxious to return to save the reverse Yang, Qi solid off, with reference attached Longmu Decoction: ginseng, the system tuber, Zhigancao, raw oysters, red sage root, Poria and so on. Blood pressure may drop with the application of reference pulse injection, each with 10 ~ 20ml by adding glucose 20 ~ 30ml slow intravenous injection, or with western medicine. The card found in severe acute phase of viral myocarditis, acute onset, change quickly, soon serious heart failure, cardiogenic shock, need to race against time to save, did not prepare him for the medical when the first intravenous injection of Chinese medicine or TCM-WM therapy.
In the recovery or chronic phase, viral myocarditis, persistent unhealed or illness and repeated the course of time, clinical manifestations and folders permit a lot, pathogenesis is more complicated, but the overall order is empty the main rule is when to righting the main, or specimen balance.
Qi and the prima facie evidence can be seen repeated colds, shortness of breath, fatigue, chest tightness, hold your breath, spontaneous perspiration, bad wind, cough, pink tongue, thin white fur, weak pulse and impractical. Expelling Qi Xie table, Jie Ji phlegm, drink flavored with ginseng Su: heterophylla, Su Ye, Pinellia, puerarin, costas, dried tangerine peel, Poria, Citrus aurantium, Peucedanum, Campanulaceae, licorice.
Qi and Yin Deficiency card See palpitation, chest tightness, shortness of breath, Shenpi fatigue, moving the spontaneous perspiration, insomnia and more dreams, pink little tongue-chun, thin white fur, or a statement on behalf of the breakdown pulse. Expelling Qi Yin, soothe the nerves will palpitate with soup and Shengmaisan Zhigancao Modified: heterophylla (or American ginseng), Ophiopogon japonicus, Astragalus, Salvia, habitat, Schisandra, donkey-hide gelatin, Sunburn licorice, jujube.
Heart and deficiency see palpitation, physical fatigue, torpid intake abdominal distention, shortness of breath, spontaneous perspiration, minimalist looking, pale tongue fur is thin, thin, or statement on behalf of the pulse. Expelling spleen Qi, Yang Xin soothe the nerves, with the spleen Decoction: Codonopsis, Atractylodes, Astragalus, longan meat, Poria, Suanzaoren, Polygalaceae, costas, licorice.
Yin Huo-wang, see palpitations restlessness, five upset hot, head, dizziness, hot flushes and night sweats, insomnia and more dreams, zygomatic red dry mouth. Mamillata little moss, or a statement on behalf of the breakdown pulse. Expelling Ziyin Reduce Pathogenic Fire, the raising of Anshen, with Tianwangbuxin Danga Less: habitat, Chinese angelica, red sage root, Scrophulariaceae, fried Zao Ren, Bai Ziren, Ophiopogon japonicus, Adenophora, Poria, Schisandra, Polygalaceae.
See chest tightness and phlegm resistance gas hold back, chest pain, palpitations, dizziness, swelling of the liver torpid intake Zhongwan. Tongue pale, tongue Bai Ni, pulse moisten slip or statement on behalf of the. Expelling dampness phlegm, Wen Tong Xin-yang, with Gualou Xiebai Pinellia Decoction: Trichosanthes, Pinellia, Citrus, Citrus aurantium, Poria, scallion white, licorice, cassia twig, gall Southern Star, Shichangpu.
Qi deficiency and blood stasis See precordial pain or tingling, pain has given Department, chest tightness, palpitations, shortness of breath, fatigue, moving is even worse, lip color is dim, dark or pale tongue ecchymosis, petechia, pulse small knot on behalf of Shibuya. Expelling Qi Tong-yang, promoting blood circulation, with Bu Yang Huan Wu Tang combined Shengmaisan Modified: Codonopsis, Astragalus, Salvia, peach kernel, safflower, Chinese angelica, habitat, Chuanxiong, red peony, Schisandra, Zhigancao.
Yin and yang deficiency see palpitation, shortness of breath, fatigue, looking white, limbs chilly, stool pond vent, lumbar acid, fatigue, pale tongue, thin white fur, thin weak pulse, or statements on behalf of the Shen. Should Onyang Qi, Ziyin Tongmai, with Shen Fu Yang Camp Decoction: ginseng, monkshood, cassia twig, ginger, Schisandra, habitat, angelica, peony root, Ophiopogon japonicus, Adenophora, Astragalus.
Chinese medicine treatment can be used with honeysuckle dew, each time 10 ~ 15ml, 3 times a day; or silver yellow oral solution, each 10ml, 3 times a day; or Shuanghuanglian oral solution, each 2 day 3 times; or Banlangen granules, each 1 to 2 bags, 3 times a day; or Yu Ping Feng San, 12 grams each day, two times, Qi-solid form for ease of exogenous viral myocarditis; or Shengmai injection, 20 ~ 40ml 5% glucose intravenous injection day 1, 10 to 12 days for a course of treatment. In addition, astragalus, Xindakang (TFH) tablets, ginkgo biloba (ginkgo) injection and tablets may be needed with the application.
Myocarditis, mostly young people, criminals, should be on prevention. When the cold and fever after cardiac symptoms, should seek medical treatment in time to make a clear diagnosis, selection of effective and appropriate for its own characteristics and drug treatment programs in order to obtain the best effect.