Discussion on the Pathogenic Mechanism and Treatment of Post-Myocardial Infarction Ventricular Remodel-ing Based on the Theory of"Yang Transforms into Qi,While Yin Constitutes Form"
Ventricular remodeling is a crucial pathological process in the prognosis and regression of myocardial infarction.Guided by the theory of"yang transforms into qi,while yin constitutes form"of The Inner Canon of Yellow Emperor(《黄帝内经》),combined with the pathological characteristics and manifestations of ventricular remodelling,it is believed that insufficient"yang transforms into qi"and excess"yin constitutes form"resulting to heart yang defi-ciency and turbid pathogen obstruction are the basic pathomechanism of ventricular remodelling after myocardial in-farction;insufficient"yin constitutes form"and excess"yang transforms into qi"resulting to inadequate nourishment of the heart meridians and the emergence of various pathological changes are the key pathomechanism of prognosis and regression.Combined with clinical practice,we advocated that harmonizing yin and yang to maintain the dynamic balance of"yang transforms into qi"and"yin constitutes form".We also proposed the use of warming and tonifying to harmonise qi and transform it to help yang transport;resolving phlegm and removing dampness,invigorating blood and resolving toxins to disperse yin accumulation;clearing heat and extinguishing wind,and nourishing yin and chan-nels to improve the prognosis.All these findings and summary could provide ideas on traditional Chinese medicine for prevention and treatment of ventricular remodelling after myocardial infarction.
myocardial infarctionventricular remodelingyang transforms into qi,yin constitutes formchest impedi-mentharmonize yin and yang
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