摘要
[目的]探讨陈宝义教授对小儿病毒性心肌炎所致心律失常经验治方的治疗效果。[方法]从病因病机、病程等因素出发,以2例经典案例为载体,分析小儿病毒性心肌炎所致心律失常的类别、主要临床表现及相应治法及陈师经验方。[结果]⑴对病毒性心肌炎病初所致的快速性心律失常,陈老主张运用清热解毒、宁心安律法治疗,自拟清心解毒汤加减;久病不愈者,选用养阴益气、潜阳复脉法,方用益气生脉饮加减。⑵对病毒性心肌炎急性期所致的缓慢性心律失常,陈老注重清热化湿,益气温阳,方用霍连汤加减;对于久病迁延不愈者,应用益气温阳,活血通脉法施治,采用自拟温阳复脉饮加减;对于后遗症期出现的缓慢性心律失常,陈老认为治疗应坚持活血化瘀、养血通脉,兼振奋心阳之法,以通脉口服液长期治疗。所治患者疗效满意。[结论]对小儿病毒性心肌炎心律失常,陈老从发病不同阶段及其分型对症施治,以"清热解毒、益气养阴、温阳复脉"为治法,可获佳效。
[Aim] Discuss Chen＇s treatment effect of infants viral myocarditis ayyhythmia. [Methods] He made suit medicine on two cases and analysed the disease＇classification and main clinical manifestation and relevant therapy and his empirical formula, according to some factors ,such as the etiology and pathogens, course of disease and so on. [Results] （1）For viral myocarditis early disease caused by tachyarrhythmia, Mr. Chen advocated using the methods to treat which is clearing away heat and toxin and calming the pulse, the prescription used is Qingxinjiedu Decoction; however, those ones with illness are offered a way of supplementing qi and nourishing yin and wamung the heart yang in order to remove pulse frequency, Chen used the modified YiQiShengMai Decoction for treatment.（2） The professor Chen paid attention to clearing hot and humid and supplementing qi and warming yang to cure slow arrhythmia due to acute viral myocarditis,the modified Huolian Decoction is used for this disease; For the people with a long illness delayed healing, Chen worked a Decoction by himself which is Wenyangfumai Decoction,so that it could supplement qi and warm yang and invigorate the circulation of blood through pulse; For the slow arrhythmia appeared to sequela period, Chen thought that treatment should be insisted on promoting blood circulation to remove blood stasis and warrmng and activating the heart yang, the prescription used is Tongmai oyal liquid. [Conclusion]Professor Chen had gained a satisfied effect to treat infants viral myocarditis arrhythrnia with the methods of clearing away heat and toxin, supplementing qi and nourishing yin and warming the heart yang and removing pulse frequency from the different stages and types.
出处
《浙江中医药大学学报》
CAS
2013年第8期993-995,共3页
Journal of Zhejiang Chinese Medical University
关键词
心肌炎
病毒性
心律失常
小儿
陈宝义
经验
myocarditis
virus
arrhythmia
infants
Chen Baoyi
experience
