Differentiation and Treatment of Non-Obstructive Hypertrophic Cardiomyopathy Based on the Concept of Nourishing the Heart and Softening the Hardness
10.13288/j.11-2166/r.2025.08.015
- VernacularTitle:基于育心软坚辨治非梗阻性肥厚型心肌病
- Author:
Xiaofei GENG
1
;
Xinbiao FAN
1
;
Xitong SUN
1
;
Wenyu SHANG
1
;
Wenxiu LI
1
;
Chi ZHANG
1
;
Junping ZHANG
1
Author Information
1. First Teaching Hospital of Tianjin University of Traditional Chinese Medicine/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion，Tianjin，300381
- Publication Type:Journal Article
- Keywords:
hypertrophic cardiomyopathy;
heart accumulation;
nourishing the heart and softening the hardness;
softening the hardness and dissipating masses
- From:
Journal of Traditional Chinese Medicine
2025;66(8):846-850
- CountryChina
- Language:Chinese
-
Abstract:
This article summarized clinical experience in differentiating and treating non-obstructive hypertrophic cardiomyopathy （HCM） based on the concept of nourishing the heart and softening the hardness. It is considered that HCM belongs to the category of "heart accumulation"， with the fundamental cause being depletion of the spleen and kidney， and phlegm-stasis accumulation， as well as qi-yin exhaustion， serving as the manifestations. Spleen and kidney depletion leads to the transformation of phlegm and stasis， which accumulate in the heart； over time， this phlegm-stasis accumulation consumes heart qi and yin， resulting in the heart being deprived of nourishment， which eventually leads to the damage to both the function and structure of heart. Therefore， the method of nourishing the heart and softening the hardness is proposed for the treatment of non-obstructive HCM. Emphasis is placed on softening hardness and dissipating masses throughout the entire treatment process， often using Modified Siwei Ruanjian Formula （四味软坚方加减）. During periods with prominent symptoms， the main treatment is boosting qi and nourishing yin to soften hardness and dissipate masses with self-made Yuxin Ruanjian Formula （自拟育心软坚方） in modifications； in stable periods， the main treatment is boosting kidney and fortifying spleen to soften hardness and dissipate masses with self-made Pishen Tongzhi Formula （脾肾同治方） in modifications.
