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Guideline for Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Dilated Cardiomyopathy
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Zhentao WANG1, Youhua WANG2, Shu LU3, Liyun HE4, Huimei XU5, Project Group of Guideline for Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Dilated Cardiomyopathy
Chinese Archives of Traditional Chinese Medicine | 2025, 43(9) : 248 - 258
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Chinese Archives of Traditional Chinese Medicine | 2025, 43(9): 248-258
• Expert Consensus and Guidelines •
Guideline for Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Dilated Cardiomyopathy
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Zhentao WANG1, Youhua WANG2, Shu LU3, Liyun HE4, Huimei XU5, Project Group of Guideline for Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Dilated Cardiomyopathy
Affiliations
  • 1.Henan Provincial Hospital of Traditional Chinese Medicine(The Second Affiliated Hospital of Henan University of Chinese Medicine),Zhengzhou 450011,Henan,China
  • 2.Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China
  • 3.Wuxi Hospital of Traditional Chinese Medicine,Wuxi 214071,Jiangsu,China
  • 4.China Academy of Chinese Medical Sciences,Beijing 100700,China
  • 5.Heilongjiang Academy of Traditional Chinese Medical Sciences,Harbin 150080,Heilongjiang,China
Published: 2025-09-10 doi: 10.13193/j.issn.1673-7717.2025.09.047
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Dilated cardiomyopathy(DCM)is a heterogeneous cardiomyopathy characterized by ventricular enlargement and reduced myocardial contractile function,which easily leads to heart failure,arrhythmiaand even sudden cardiac death. The number of adults aged more than 35 years old with this disease in China is approximately 1.77 million,and the case-fatality rate is high. This guideline was formulated in accordance with the guideline development specifications of the Chinese Association of Chinese Medicine,integrating evidence-based evidence for the treatment of this disease with integrated traditional Chinese and Westernmedicine,and preliminarily formulating recommended prescriptions. Aftermultiple rounds of voting by the expert nominal group meeting,the recommendation,recommendation direction and intensity were finally determined. In terms of traditional Chinese medicine(TCM)disease names,this disease is uniform ly referredas“heart distension disease”. The pathogenesis is deficiency of the rootand excess of the tip. The rootdeficiency ismainly Qideficiency,and the tip excess ismainly blood stasis,accompanied by water retention. TCM syndrome differentiation includes threemain syndrome types:Qi deficiency and blood stasissyndrome,Qi and Yin deficiencysyndrome,Yang deficiency with water retention syndrome,which can be accompanied by blood stasis syndromeand water retention syndrome. The treatmentgoals are mainly to control symptoms and improve prognosis. For the treatment plan,the western medicine treatment planmainly refers to the current DCM-related guidelines. TCM syndrome differentiation and treatment recommends the corresponding TCM decoctions,proprietary Chinese medicines and TCM intravenous preparations according to different syndrome types. In addition,for those with hypotension,increasing the dosage of Qi-tonifying and sink-raising drugs is recommended.

dilated cardiomyopathy  /  integrated traditional Chinese and western medicine  /  guideline  /  Qi deficiency and blood stasis syndrome  /  Qi and Yin deficiency syndrome  /  Yang deficiency with water retention syndrome
王振涛, 王佑华, 陆曙, 何丽云, 徐惠梅, 《扩张型心肌病中西医结合诊疗指南》项目组. 扩张型心肌病中西医结合诊疗指南. 中华中医药学刊, 2025 , 43 (9) : 248 -258 . DOI: 10.13193/j.issn.1673-7717.2025.09.047
Zhentao WANG, Youhua WANG, Shu LU, Liyun HE, Huimei XU, Project Group of Guideline for Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Dilated Cardiomyopathy. Guideline for Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Dilated Cardiomyopathy[J]. Chinese Archives of Traditional Chinese Medicine, 2025 , 43 (9) : 248 -258 . DOI: 10.13193/j.issn.1673-7717.2025.09.047
Year 2025 volume 43 Issue 9
47
21
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doi: 10.13193/j.issn.1673-7717.2025.09.047
  • Online Date:2026-10-30
  • Published:2025-09-10
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    1.Henan Provincial Hospital of Traditional Chinese Medicine(The Second Affiliated Hospital of Henan University of Chinese Medicine),Zhengzhou 450011,Henan,China
    2.Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China
    3.Wuxi Hospital of Traditional Chinese Medicine,Wuxi 214071,Jiangsu,China
    4.China Academy of Chinese Medical Sciences,Beijing 100700,China
    5.Heilongjiang Academy of Traditional Chinese Medical Sciences,Harbin 150080,Heilongjiang,China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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