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.%Viral myocarditis refers to localized or diffusive myocardial inflammation induced by virus infection .In western medi-cine, treatment is based on nurturing cardiac muscle cells and relieving cardiac burden , but the effects are not satisfying .Tradi-tional 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 , bas-ic pathologic changes , clinical manifestations and drug implementation of vascular diseases .Discussions on pathological mecha-nisms of viral myocarditis based on collateral theory have shown great significance in improving clinical effects .According to patho-genic 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 drai-ning".Collateral theory clarifies syndrome differentiation and essential commonly-used traditional Chinese medicinal , providing ef-fective thoughts and methods for the treatment of viral myocarditis .
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