“温病心悸”可与伤温所致病毒性心肌炎参证。文章阐明了温病学派辨治病毒性心肌炎的相关理论,指出从温化火是病毒性心肌炎病情转化的关键点,温热移心,燔伤火脏,先损心体,再损心用,是温病心悸基本病机,表里辨证、三焦辨证、卫气营血辨证、经络辨证是温病学派应对病毒性心肌炎的有效辨治体系。提出病毒性心肌炎辨证中要注意温邪致病特点和附丽之邪的作用,准确定位,正确运用透法、下法、清法、通法、和法等祛邪治法,与养阴扶正相结合,不离于心,不止于心,调理他脏以治心,圆机活法,以收良效。
Viral myocarditis (VMC) caused by exogenous febrile is called epidemic febrile disease palpitation. This article mainly summarized the basic theory of VMC differentiation by school of epidemic febrile diseases; also pointed out that other pathogens turning into fire pathogen was the key transition point of VMC process, the basic pathogenesis of epidemic febrile disease palpitation was febrile invading and affecting heart, which hurt both heart and its function, And syndrome differentiation system of superficies and interior, sanjiao theory, weifen, qifen, yingfen, and xuefen, and channel theory were effective. The article emphasized that VMC differentiation should pay attention to febrile pathogenesis and cocurrent pathogen. With precise aiming,VMC treatment should focus on removing pathogen while nurturing yin. Therefore, originated from but not limited to heart, flexible treatment of heart through recuperation of other organs will be more effective.