How to Support Recovery from Myocarditis and Pericarditis

Myocarditis and pericarditis can be managed with both Western and traditional Chinese medicine (TCM) approaches aimed at supporting the body's healing process. These methods focus on symptom relief, strengthening the heart, and promoting overall recovery.

Western Medical Approach

From a Western medicine perspective, rest is one of the most important factors in recovery. Patients are advised to avoid strenuous activities and allow the heart to heal. A heart-healthy diet is also crucial. It should include easily digestible foods rich in vitamins, antioxidants, and high-quality proteins to support cellular repair and immune function.

In terms of medication, doctors may prescribe drugs that support heart muscle function and cellular metabolism. These may include adenosine triphosphate (ATP), coenzyme A, and vitamin C, which help improve energy production in heart cells. Additionally, treatments like glucose-insulin-potassium (GIK) solutions and coenzyme Q10 may be used to protect heart tissue and enhance recovery. If heart failure symptoms develop, medications such as trimetazidine may be added to improve myocardial efficiency and reduce strain on the heart.

Traditional Chinese Medicine (TCM) Approach

In TCM, myocarditis and pericarditis are often categorized under conditions such as "palpitations" or "chest obstruction," which are understood as patterns of both underlying deficiency and superficial excess. This means the body is weakened (especially in terms of qi and yin), while also dealing with pathogenic factors like heat and blood stasis.

Therapeutic Strategies in TCM

Treatment typically involves replenishing qi and yin, promoting blood circulation, and clearing internal heat. Herbal formulas may include ingredients that nourish the heart, clear heat toxins, and promote circulation to reduce inflammation and support heart function.

In cases where pericardial effusion (fluid around the heart) is present, TCM views this as a "fluid retention" or "phlegm-damp" condition. In such cases, specific herbs that help eliminate abnormal fluid buildup may be used under the guidance of a trained TCM practitioner to support the body's natural balance and healing mechanisms.