Syndrome Differentiation and Treatment of Myocardial Fibrosis in Diabetic Cardiomyopathy Based on the Collateral Disease Theory
SONG Zhicong
LI Jie
SANG Suzhen
ZHANG Xihai
LÜ Tailong
BU Shuai
Abstract：Diabetic cardiomyopathy with myocardial fibrosis is located in the heart collaterals and can be classified under the category of collateral disorders.The theory of collateral disorders plays a significant guiding role in its diagnosis and treatment.The formation process of this disease is relatively slow,with a long course of illness.The main pathological evolution process is characterized by deficiency of both qi and yin,and obstruction of the heart collaterals,which then progresses from collaterals to vessels(heart),conforming to the basic rule of"chronic diseases entering collaterals"in traditional Chinese medicine.The treatment should focus on tonifying qi and nourishing yin,resolving stasis and unblocking collaterals.Based on this,"Tangxin Kang"Formula(糖心康)is prescribed,with Huangqi(Astragali Radix)and Shanyao(Dioscoreae Rhizoma)as the sovereign medicinals,Gegen(Puerariae Lobatae Radix)and Danshen(Salvia Miltiorrhizae Radix et Rhizoma)as the ministerial medicinals,and Guijianyu(Ramulus Alatus Euonymi),Shuizhi(Hirudo)and Quanxie(Scorpio)as the adjuvant medicinals.This formula has achieved good therapeutic effects in clinical applications.A test case is attached.
Keywords：diabetic cardiomyopathymyocardial fibrosiscollateral disease theorytonify qi and nourish yinresolving stasis and unblocking collateralsTangxin Kang Formula
Publication Date：2026-03-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：4( 273-276 )