CAJ | 학술논문

[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。
[목적]탐토진보의교수대소인병독성심기염소치심률실상경험치방적치료효과。[방법]종병인병궤、병정등인소출발，이2례경전안례위재체，분석소인병독성심기염소치심률실상적유별、주요림상표현급상응치법급진사경험방。[결과]⑴대병독성심기염병초소치적쾌속성심률실상，진로주장운용청열해독、저심안율법치료，자의청심해독탕가감；구병불유자，선용양음익기、잠양복맥법，방용익기생맥음가감。⑵대병독성심기염급성기소치적완만성심률실상，진로주중청열화습，익기온양，방용곽련탕가감；대우구병천연불유자，응용익기온양，활혈통맥법시치，채용자의온양복맥음가감；대우후유증기출현적완만성심률실상，진로인위치료응견지활혈화어、양혈통맥，겸진강심양지법，이통맥구복액장기치료。소치환자료효만의。[결론]대소인병독성심기염심률실상，진로종발병불동계단급기분형대증시치，이“청열해독、익기양음、온양복맥”위치법，가획가효。
[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 il ness are offered a way of suppiementing qi and nourishing yin and warming 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 il ness 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 warming 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 arrhythmia 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.