How to treat viral myocarditis in children

Viral myocarditis in children is relatively common in clinical practice. For children, viral myocarditis is mainly related to adenovirus, which is also the main cause of the disease. The treatment of viral myocarditis in children is also very important, and the effect of traditional Chinese medicine treatment is relatively good.

1. In terms of treatment, rest is very important for children with viral myocarditis. Activity and fatigue can aggravate the condition. People with enlarged hearts should stay in bed for about 6 months. Those with heart failure should absolutely stay in bed to reduce the burden on the heart. Activities should continue to be restricted during the recovery period, and the amount of activity can be gradually increased after the condition stabilizes. Western medicine commonly uses antioxidants and various myocardial nutritional drugs, such as large doses of vitamin C, coenzyme Q10, inosine, energy mixture (adenosine triphosphate, coenzyme A), creatine phosphate, fructose 1,6-diphosphate, etc.

2. Traditional Chinese medicine has unique features in the treatment of viral myocarditis in children and has good clinical efficacy. Viral myocarditis falls into the category of "palpitations" and "chest pain" in traditional Chinese medicine. Treatment should be based on the different symptoms and different courses of the disease in the child. Astragalus is the most well-known traditional Chinese medicine for the treatment of viral myocarditis, but it is not recommended to use it on all patients without syndrome differentiation, especially children.

3. In the early stages of viral myocarditis in children, in addition to palpitations and chest tightness, there are often other external symptoms such as fever, chills, cough and sore throat. Chinese medicine often diagnoses this as "evil heat invading the heart" and treatment should focus on clearing heat, detoxifying and nourishing the heart. Commonly used prescriptions include Yinqiao Powder and Wuwei Xiaodu Yin. Some children are diagnosed with "phlegm and blood stasis" by traditional Chinese medicine, and most of them have chest tightness or pain, thick and greasy tongue coating or dark tongue. They are often treated with Trichosanthes, Xiebai and Banxia Decoction combined with Shixiao Powder. Chinese patent medicines such as Compound Danshen Pills can be used, or compound Danshen injection can be used for intravenous drip.