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| Experience of treating pediatric high-grade atrioventricular block by master of traditional Chinese medicine WENG Weiliang |
| Hits 608 Download times 186 Received:January 25, 2025 |
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| DOI
10.11656/j.issn.1672-1519.2025.07.03 |
| Key Words
high-grade atrioventricular block;pediatric atrioventricular block;warming yang and activating blood circulation;bradyarrhythmia;WENG Weiliang |
| Author Name | Affiliation | E-mail | | LI Mengxuan | Xiyuan Hospital of Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China
Graduate School of Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China | | | ZHANG Xuexue | Xiyuan Hospital of Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China
Graduate School of Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China | | | ZHAO Mengjie | Xiyuan Hospital of Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China
Graduate School of Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China | | | ZHANG Wantong | Xiyuan Hospital of Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China
National Good Clinical Practice Center of Xiyuan Hospital, Beijing 100091, China | liqiuyan1968@sohu.com | | LI Qiuyan | Xiyuan Hospital of Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China | ww6488@126.com | | WENG Weiliang | Xiyuan Hospital of Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China
National Good Clinical Practice Center of Xiyuan Hospital, Beijing 100091, China | |
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| Abstract
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| Atrioventricular block（AVB） is a type of bradyarrhythmia，high-grade AVB，characterized by block at or below the His bundle，may progress to third-degree AVB and is associated with a poor prognosis. AVB is relatively rare in children，often asymptomatic and of unknown etiology，which complicates clinical management. Currently，parents of pediatric AVB patients exhibit low acceptance of conventional Western treatments. Traditional Chinese medicine（TCM），with its flexible therapeutic strategies and high safety profile，plays a significant role in such cases. Professor WENG Weiliang emphasizes that pediatric AVB treatment should account for the unique constitutional characteristics of children-described in TCM as “delicate visceral qi，immature yin and yang”. Unlike adults，children require gentler and more balanced pharmacological interventions. Under the fundamental principle of warming yang and activating blood circulation，Professor WENG Weiliang tailors the treatment to the child’s physiological needs. Once cardiac conduction shows significant improvement，he reduces the use of blood-activating herbs and shifts the focus to replenishing qi，nourishing yin，and warming yang to promote autonomous recovery of cardiac function. This paper presents the first documented case of high-grade AVB in a child successfully treated by Professor WENG Weiliang，aiming to provide insights for the clinical management of this condition. |
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