How to recuperate after myocarditis?

Viral myocarditis is a disease caused by many viruses, such as focal or diffuse myocardial cell degeneration, necrosis, interstitial inflammatory cell infiltration and fiber exudation, which leads to myocardial injury, cardiac insufficiency or arrhythmia. This disease can cause pericarditis and endocarditis, which is called viral myocarditis pericarditis or panpericarditis. Its clinical manifestations vary greatly. Mild patients may have no obvious conscious symptoms, but they are occasionally found during physical examination, or have mild discomfort symptoms, such as fatigue, sweating, palpitation, dizziness, chest tightness, shortness of breath or shortness of breath. The first heart sound at the apex of auscultation is dull, and premature beats and ST-T changes can be seen in ECG examination. In severe cases, acute onset may occur, such as obvious fatigue, palpitation, shortness of breath, discomfort or pain in precordial area, nausea, vomiting, abdominal pain, etc. During the examination, cardiac insufficiency such as slight enlargement, arrhythmia and galloping rhythm can be seen. Extremely severe patients may develop heart failure and cardiogenic shock within a few hours to 1-2 days after onset. If they can't get timely and correct rescue, they may die easily. If the disease persists, it will develop into chronic myocarditis, mostly recurrent heart failure or severe arrhythmia, and the heart will expand progressively. It can develop into dilated cardiomyopathy and eventually die without treatment. In addition, at the same time of onset or within 1-3 weeks before onset, there is a history of virus infection in respiratory tract, intestine and other systems, and myocardial enzymes are often increased and anti-myocardial antibodies are positive during the course of disease. Traditional Chinese medicine does not have the name "viral myocarditis". Judging from its onset characteristics and clinical manifestations, it seems to be included in many diseases recorded in classic medical books, such as typhoid fever, sudden death, watery heart, hyperhidrosis and so on. For example, "Treatise on Febrile Diseases" pointed out: "The typhoid pulse is transmitted from generation to generation, and it is frightening, mainly with the fried licorice soup." These are not listed one by one. All these have laid a foundation for us to understand and treat viral myocarditis by using the theory and method of traditional Chinese medicine today. Common symptoms: 1. Fever, sore throat, cough, vomiting, diarrhea, fatigue or muscle soreness occurred more than 1-3 weeks before the symptoms of primary virus infection appeared. 2. Myocarditis is characterized by palpitation, chest tightness, shortness of breath, fatigue, precordial pain, even shortness of breath, purple mass, edema, or syncope and convulsion. Commonly used Chinese patent medicines belong to the categories of febrile diseases, palpitations, paralysis and chest pain. Can be used according to different stages. (1) acute phase 1. Wind-heat type: Symptoms include fever, cough, chest tightness, palpitation, yellow stool, red tongue tip and rapid pulse. Treatment: expelling wind, clearing heat and detoxifying. Can be taken: Yinqiao Jiedu Pill, Banlangen Granule, Qingre Jiedu Oral Liquid, etc. 2. Damp-heat type: symptoms include low or little body heat, bitter and sticky mouth, vomiting or diarrhea, anorexia, abdominal distension, red urine, yellow and greasy fur and rapid pulse. Treatment: clearing heat and eliminating dampness. Can be taken: Ganlu Duqing Dan, Jiawei Xianglian Pill, Gegenqin Lianpian, etc. (2) Recovery period and extension period: 1. Deficiency of both Qi and Yin: Symptoms include palpitation, shortness of breath or low fever, especially in the afternoon, spontaneous sweating, chest tightness or pain, upset and insomnia, and rapid pulse or stagnation. Treatment: Yiqi Yangyin Ningxin. Can be taken: Shengmai Yin, Bai Zi Yangxin Pill, Ginseng Guipi Pill, Ginseng Yang Rong Pill, etc. 2. Crazy blood clot. Symptoms include chest tightness, palpitation, tingling in the precordial region, or exposure of the blue veins in the neck, blood stasis on the dark side of the tongue, and thin or tight pulse. Treatment: regulating qi, promoting blood circulation, relieving pain and calming the heart. Can be taken: Bazhen Pill, Shixiao Powder, Qi Dan Tablet, Yufeng Ningxin Tablet, etc. 3. Internal resistance of phlegm-dampness: symptoms include obesity, chest tightness, dizziness, palpitation, anorexia, abdominal distension, white and greasy fur, slippery or knotted pulse. Treatment: invigorating spleen and eliminating dampness. Can be taken: Chen Er Pill, Xiangsha Junzi Pill, etc. (3) Patients from the chronic stage to the present stage generally have serious pathological changes, and most of them are accompanied by diseases such as heart and spleen, heart and kidney, yin and yang deficiency, etc. It is characterized by palpitation, shortness of breath, wheezing when moving, cold limbs, spontaneous sweating fatigue, edema, dull complexion, dark tongue, white fur and pulse knot. Treatment: supporting yang and benefiting qi, nourishing yin and calming the nerves. Can be taken: Jisheng Shenqi Pill, Tianwang Buxin Pill, Ginseng Guipi Pill, Shen Rong Anshen Pill, Feng Ping Anxin Capsule, etc. Commonly used western medicine 1. Antivirus Up to now, there is no specific antiviral drug. At present, amantadine, moline biguanide and interferon are commonly used for antivirus. Some people think that when the disease is diagnosed, the virus damage to the heart has already formed, and the use of current antiviral drugs can not completely prevent the development of the disease, and there is the possibility of damage to the body tissue, so it is not recommended to use it. Some people think that bacterial infection and viral infection often coexist or occur successively, so it is worth considering to control bacterial infection in time with appropriate antibiotics. 2. Treatment with a large amount of vitamin C, coenzyme A and polarized liquid (glucose plus insulin plus potassium chloride) can promote myocardial repair, reduce autoimmune reaction and help prevent the development of the disease. 3. Symptomatic treatment For those with severe arrhythmia, cardiac insufficiency, hypotension or shock, consider using hormones as soon as possible, taking prednisone orally for 40-60mg/ day, and reducing the dosage for 4-6 weeks after remission. However, the use of hormones is still controversial. People with arrhythmia can choose corresponding antiarrhythmic drugs according to different situations. In shock, dopamine can be injected intravenously. Traditional Chinese medicine has certain advantages in treating viral myocarditis, and you can find an experienced pediatrician of traditional Chinese medicine for diagnosis and treatment. In the acute phase, it is necessary to avoid eating, and in the recovery period or sequelae period, supplemented by certain diet therapy, which is of great benefit to improve the curative effect and promote the recovery of children. Diet and food taboos: foods high in animal fat and cholesterol. Such as: internal organs of animals (including brain, heart, liver, lung, large intestine, kidney, etc. ), squid, clam meat, razor clam, animal oil, fat meat, butter in aquatic food. Excess salt. Retain water in the body and increase the burden on the heart. Sweet food. When suffering from myocarditis, you should eat less or no sweets, cakes, milk ice cream, chocolates, etc. Foods containing more inorganic salts. Such as fried dough sticks, pickled mustard tuber, preserved eggs and dried shrimps. In addition, soda biscuits, dried noodles, soda, saccharin, monosodium glutamate and so on. Should be properly restricted. Irritating food, mainly peppers, peppers, etc. In addition, it is best not to use caffeinated drinks. Diet: First, if the child is flustered and short of breath, the precordial area is uncomfortable, especially after the activity, he is less angry and lazy, and his whole body is weak and listless, which is mostly caused by lack of heart. The following dietotherapy methods can be adopted: Astragalus membranaceus 1.50g, longan pulp 100g, and glutinous rice 100g. Boil Astragalus membranaceus in water for 30 minutes, remove residues, add longan meat and glutinous rice to cook porridge, and add a little sugar to taste before eating. Daily 1 dose, taken every other day, with 7 doses as a course of treatment. 2. 5 grams of white ginseng, 20 jujubes, 200 grams of glutinous rice and 25 grams of sugar. Boil ginseng and jujube in water for 30 minutes, remove ginseng and jujube, and make soup for later use. In addition, wash the glutinous rice, steam it in a small pot with water, add red dates, boil Tonga white sugar into a thick juice, and pour it on jujube rice to eat. 3. 30g of Astragalus membranaceus, 0/0g of Ganoderma lucidum/kloc, and 500g of mutton. Wash the mutton, cut it into small pieces, wrap Astragalus membranaceus and Ganoderma lucidum in gauze, put it in a pot and stew with water, and add seasonings such as ginger, onion, cooking wine and salt as appropriate, and eat it when the meat is cooked. 1 dose once every other day, which can be taken regularly. 4. Astragalus membranaceus 15g, Ginseng 5g, Pig Heart 1. Put them together in a casserole, add water, stew until the pig's heart is cooked, add salt and monosodium glutamate to taste, eat meat and drink soup. Every other day 1 dose, 7 doses for a course of treatment. Second, if children are flustered, fidgety, uneasy, timid and easily frightened, sleepless at night, feverish hands and feet, dry mouth and sweating during sleep, most of them belong to heart-yin deficiency. The following dietotherapy methods can be adopted: 1. Ophiopogon japonicus 15g, Ziziphus jujuba seed 10g and millet 50g. Boil Ophiopogon japonicus and millet for 30 minutes to get juice. Mash Ziziphus jujuba seeds, add them to the rice soup and cook for a while. Daily 1 dose, taken in the morning and evening for 7 days. 2. longan pulp 10g, black rice 50g and wheat 20g. Wash the three, put them in a pot, add appropriate amount of water, steam them into rice, and add appropriate amount of sugar to eat. 3. Tofu100g, sea cucumber 50g. Add water to the pot, stew tofu 10 minutes, add sea cucumber, stew for a while, and season with salt and monosodium glutamate as appropriate. You can eat it as a meal and take it at any time. 4. Carrots and water chestnuts each 100g. Wash, fry soup, and drink tea instead. Daily 1 dose, continuous drinking 15 days. Third, children move more, especially when they are moving. They are short of breath and lack of rest, chest tightness and dreaminess, fatigue and tiredness. They sweat when they are moving or when they sleep, their lips are red, their hands and feet are hot, and they are prone to colds and repeated sore throats, which are mostly due to deficiency of both qi and yin. The following dietotherapy methods can be adopted: Radix Ginseng 1.5g, Radix Ophiopogonis 15g, and glutinous rice 50g. Decocting Ginseng Radix and Radix Ophiopogonis in water for 30 minutes, removing residues to obtain juice, adding glutinous rice to cook porridge, and cooking. Take 1 dose every morning and evening for 15 days. 2. Poria cocos 30g, spinach1000g, pork 300g, flour1000g. Poria cocos is boiled in water for 3 times, each time for 30 minutes, and 500 ml of juice is taken. Mix flour with poria water, and add 300 grams of dough to ferment. Chop pork and spinach, add onion, ginger, salt and other seasonings, and mix into steamed buns. Wrap it into steamed bread and steam it according to the usual method. 3. 50 grams of lily, 50 grams of astragalus and 500 grams of crucian carp. Soak lily and astragalus in clear water for 30 minutes, clean up crucian carp, put it in a pot and stew it with clear water, and season it with salt, monosodium glutamate and pepper. Eat fish and drink soup, 1 dose once every other day. 4. Day lily 15g, lotus seed 10g, rock sugar 15g. Put the day lily and lotus seeds into a pot, add water to boil for 30 minutes, take the juice 100 ml, pour it into rock sugar, and mix and drink. Daily 1 dose, taken in three times for 10 days. Fourth, palpitation, chest tightness, shortness of breath, acupuncture-like pain in precordial area, general fatigue, mostly due to qi deficiency and blood stasis. The following dietotherapy methods can be adopted: 1.5g white ginseng, 50g hawthorn, 100g glutinous rice. First put ginseng in a pot and boil it in water for 30 minutes, then add hawthorn and glutinous rice and cook until the rice is cooked. You can add a little sugar to adjust your clothes. Daily 1 dose, taken twice for 10 days. 2. Codonopsis pilosula 15g, peach kernel 15g, 6 red dates and millet 100g. Wash the four things, put them in a pot, add some water and cook them into porridge. Abandon ginseng and peach kernel, eat dates and drink soup. 3. 5 grams of ginseng, 5 Chinese rose flowers, yellow rice wine 10 grams, and a little sugar. Boil ginseng with water for 20 minutes, add Chinese rose, cook for 20 minutes, remove residue, add yellow wine and crystal sugar, and take it warm. Daily 1 dose, divided into three times. 4. Hawthorn 10g, Astragalus membranaceus 10g. Soak tea in boiling water, daily 1 dose. Fifth, children are particularly flustered, chest tightness is like suffocation, chills, tepid hands and feet, or edema, and their lips are blue and purple, which is aggravated after activities, mostly due to heart-yang deficiency. The following dietotherapy methods can be adopted: 1. 500g of mutton, prepared tablets10g. First, cook the mutton, cut it into small pieces, put it in a big bowl, add the slices, cooking wine, onion, ginger, soup stock, salt and pepper, and steam for 2_3 hours. 2. 5 grams of aconite, 5 grams of white ginseng, 5 grams of dried ginger and 20 grams of brown sugar. Put the first three herbs into a pot, add appropriate amount of water, simmer for 2 hours1_, remove residues, add brown sugar and adjust, and you can drink. Daily 1 dose, three times for 7 days. Standard care plan for children