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解安琪, 杨建飞.周亚滨教授从“阳气窒闭，浊阴凝痞”论治病毒性心肌炎慢性期[J].湖南中医药大学学报英文版,2025,45(12):2435-2441.[Click to copy
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| 周亚滨教授从“阳气窒闭，浊阴凝痞”论治病毒性心肌炎慢性期 |
| 解安琪,杨建飞 |
| (黑龙江中医药大学第一临床医学院, 黑龙江 哈尔滨 150040;黑龙江中医药大学附属第一医院心血管病二科, 黑龙江 哈尔滨 150040) |
| 摘要: |
| 总结周亚滨教授运用通阳泄浊法治疗病毒性心肌炎（VMC）慢性期的临床经验。VMC慢性期是在外感邪毒壅遏阳气，致气机失调、阴阳失衡基础上引发的病证。周亚滨教授指出，邪毒壅遏，阳气窒闭，气机逆乱，心脉痹阻是VMC慢性期发病关键所在。邪毒先伤卫阳，致三焦气化不利，津血不归正化而生痰瘀等浊阴之邪，浊阴凝滞又加重阳气窒闭，形成“阳郁-浊凝”的恶性循环，发为心瘅。周亚滨教授临床治疗以通阳泄浊为总纲，以方证对应为原则，通过通阳透邪解毒以舒郁闭之阳、透内陷邪毒，化瘀破痰泄浊以涤凝滞之浊、疏心脉痹阻，从而平衡阴阳，达到治疗目的。选用枳实薤白桂枝汤、桂枝甘草龙骨牡蛎汤等经典方剂配合对药，临床每获良效。本文主要介绍周亚滨教授治疗VMC慢性期的经验，并附验案一则。 |
| 关键词: 病毒性心肌炎 阳气窒闭 浊阴凝痞 心瘅 名医经验 周亚滨 |
| DOI：10.3969/j.issn.1674-070X.2025.12.028 |
| Received:July 01, 2025 |
| 基金项目:全国名老中医药专家传承工作室（国中医药办人教函〔2022〕75号）。 |
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| Professor ZHOU Yabin's treatment of the chronic phase of viral myocarditis based on the pathomechanism of "yang qi obstructed and turbid yin stagnated into epigastric fullness" |
| XIE Anqi, YANG Jianfei |
| (The First Clinical Medical College, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China;The Second Department of Cardiovascular Diseases, the First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China) |
| Abstract: |
| This paper summarizes Professor ZHOU Yabin's clinical experience in treating the chronic phase of viral myocarditis (VMC) with the method of activating yang and dispelling turbidity. VMC is considered a pattern induced by exogenous pathogenic toxins blocking yang qi, which leads to a disordered qi activity and yin-yang imbalance. Professor ZHOU identifies the core pathogenesis of VMC as the obstruction by pathogenic toxins, obstruction of yang qi, rebellion of the qi mechanism, and blockage of the heart meridians. Pathogenic toxins initially damage defensive yang, impairing the qi transformation of the sanjiao. This impedes the proper transformation of fluids and blood, leading to the generation of turbid pathogens such as phlegm and blood stasis. The stagnation of turbid yin further exacerbates the obstruction of yang qi, forming a vicious cycle of "yang depression-turbid stagnation" that manifests clinically as heart heat. The clinical approach involves applying the method of activating yang and dispelling turbidity, following the principle of tailoring formulas to specific patterns. This method works by activating yang to eliminate pathogens and remove toxins, while transforming blood stasis and resolving phlegm to dispel turbidity, thereby restoring the yin-yang balance to achieve the therapeutic goal. Classic formulas such as Zhishi Xiebai Guizhi Decoction and Guizhi Gancao Longgu Muli Decoction, when modified with appropriate additional herbs, produce consistently favorable clinical outcomes. This paper highlights Professor ZHOU Yabin's clinical experience in managing the chronic phase of VMC and presents one verified medical case. |
| Key words: viral myocarditis yang qi obstruction turbid yin stagnation heart heat famous physician's experience ZHOU Yabin |
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