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病毒性心肌炎中医证候学专家问卷分析
引用本文:张军平,吕仕超,朱亚萍,张俊清,周亚男,裴丽,肖楠.病毒性心肌炎中医证候学专家问卷分析[J].中华中医药学刊,2011(9):1942-1944.
作者姓名:张军平  吕仕超  朱亚萍  张俊清  周亚男  裴丽  肖楠
作者单位:天津中医药大学第一附属医院;天津中医药大学;
基金项目:国家“十一五”科技支撑计划资助项目(2007BAI20B073); 中国临床试验中心资助项目(ChiCTR-TRC-00000298)
摘    要:目的:从专家经验角度研究病毒性心肌炎的中医证候学。方法:在系统整理文献资料和总结既往临床工作的基础上,制定病毒性心肌炎中医证候学专家问卷,采取现场问卷、现场回收的方式进行专家问卷。结果:大部分专家认为病毒性心肌炎与中医的心悸、胸痹和温病密切相关;其发病的关键因素是邪毒、气阴两虚、瘀血、痰浊;主要病机为邪毒侵心,耗气伤阴,瘀阻心络,心脉失养;证候要素以热毒、气阴两虚为主,挟痰挟瘀为患;中医辨证分型为邪毒侵心型、气阴两虚型及瘀阻心络型;其治法为解毒护心,益气养阴,活血通络;邪毒侵心型常以银翘散加减,气阴两虚型常以生脉散合炙甘草汤加减,瘀阻心络型常以血府逐瘀汤加减。结论:病毒性心肌炎属于本虚标实之证,本虚为心之气阴两虚,标实为热毒,兼挟痰瘀。

关 键 词:病毒性心肌炎  证候  问卷

Analysis of the Expert Questionnaires on TCM Syndromes of Viral Myocarditis
ZHANG Jun-ping ,LV Shi-chao,ZHU Ya-ping,ZHANG Jun-qing,ZHOU Ya-nan,PEI Li,XIAO Nan.Analysis of the Expert Questionnaires on TCM Syndromes of Viral Myocarditis[J].Chinese Archives of Traditional Chinese Medicine,2011(9):1942-1944.
Authors:ZHANG Jun-ping  LV Shi-chao  ZHU Ya-ping  ZHANG Jun-qing  ZHOU Ya-nan  PEI Li  XIAO Nan
Affiliation:ZHANG Jun-ping 1,LV Shi-chao2,ZHU Ya-ping1,ZHANG Jun-qing2,ZHOU Ya-nan2,PEI Li2,XIAO Nan2(1.The First Hospital Affiliated to Tianjin University of TCM,Tianjin 300193,China,2.Tianjin University of TCM,China)
Abstract:Objective:To research the TCM syndromes of viral myocarditis from the perspective of experts.Method:Based on the systematic summarizing previous literatures and clinical therapies,we designed the questionnaires on TCM syndromes of VMC,carried out questionnaire by the way of On-site survey.Results:The majority of the experts think that the VMC is closely related to cardiopalmus,pectoral stuffiness pain and epidemic febrile disease in the range of TCM,whose key factors of pathogenesis are toxin,deficiency of ...
Keywords:viral myocarditis  syndrome of traditional Chinese medicine  questionnaire  
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