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Arrhythmia by Fang Zhi

2012年02月14日

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Arrhythmia by Fang Zhi

 

 

Tang Jing Hebei Province Chinese medicine hospital in Shijiazhuang City

 

China's traditional Chinese medicine reported

 

 

        Hebei province Shijiazhuang City Chinese medicine hospital chief physician Xing Yuepeng Tang Fang by nourishing the heart for the treatment of atrial fibrillation ( paroxysmal, persistent ), beats ( atrial, ventricular, borderline ), heartbeat ( sinus tachycardia, supraventricular, nonsustained ventricular tachycardia ) and other arrhythmias, TCM is cloudy two empty, hot gas disturbed mind, with or without differentiation, as long as the rapid arrhythmia with palpitations as the main performance, this method based on modified treatment can obtain good result.

        In the Tianwangbuxin Dan Yangxin Decoction on the basis of the CD, the raw land, cultivated land, asparagus, Ophiopogon japonicus, fried semen Ziziphi Spinosae, cypress Ziren, angelica, calamus, Polygala, Yun Ling, Panax ginseng, Radix Scrophulariae, Platycodon, Salvia miltiorrhiza, Schisandra, Coptis, dragon's teeth, composition, with Qi nourishing heart, tranquilizing mind. Power.

        Arrhythmia belongs to category of traditional Chinese medicine in patients with palpitations, heart beating self-inductance is sharp, troubled, not independent, or veins see refs Wu is not modulated by a syndrome. The lesion site in the heart, the basic essentials such as" medical case of reading" said: " if the husband and the differentiation of phlegm, Qi and blood, and drink, cold and heat, trauma days evil, internal emotion, is in the Pro Card choice." Chief physician Xing Yuepeng based on years of clinical experience, found that many patients with arrhythmias as palpitations shortness of breath, onset of symptoms and fatigue, tension, emotional stimuli, with Zhoushen fatigue, dry mouth, insomnia, or sweating, vein see refs Wu are not modulated or number of veins, veins of. Pathogenesis and syndrome of deficiency of Qi and yin deficiency, heat, related, then the Tianwangbuxin Dan based Yangxin Decoction, treatment of arrhythmia and achieved good results. If accompanied with hypertension ( Prunella Prunella soup, Radix Scutellariae, Radix Scrophulariae ); with shortness of breath and sigh with Yiqi lifting soup ( Astragalus, Panax ginseng, Ophiopogon japonicus, schisandra fruit, citrus, Campanulaceae, licorice ); with chest pain can be combined with Danshen Decoction, Sichuan chinaberry powder; with heartburn pantothenic acid to Schisandra chinensis, fried semen Ziziphi Spinosae and calcined corrugated, cuttlebone, tangerine, oyster; wind hot cold induced with honeysuckle, forsythia, Radix Isatidis; cold induced with sage, Schizonepeta, windproof; such as heart rate rapid increase of Coptis dosage; as with upset with gardenia bean soup; such as insomnia are fried semen Ziziphi Spinosae dosage increase or change the teeth for the keel, oyster; paroxysmal atrial fibrillation with yanhusuo; loss of appetite, epigastric fullness with roasted grain buds, Gallus gallus, Jiao Sanxian, Fructus aurantii, betel nut; emotional and plus four reverse dispersion.

        The medical record example

        In Section A, female, 81 years old. October 14, 2009 newly diagnosed. Cause of paroxysmal palpitation and shortness of breath 6 years, add half a month visits. Patients 6 years ago without apparent inducement on nocturnal sleep in appear flustered, chest tightness, mild with shortness of breath, body weakness, attack with heavy tight back, nausea Yutu and for toilet, without chest pain symptoms such as dizziness and amaurosis, rush to the Beijing people's hospital cure, diagnosed as" AF" after the treatment, symptom relief ( specific and unspecified ). After the tightness in the chest, palpitation, shortness of breath repeated attack, repeatedly hospitalized, usually taking metoprolol, grams of aspirin enteric-coated tablets, palpitation chest attack often since taking Suxiaojiuxin pill, compound Danshen dripping pills and other drugs to relieve symptoms. The last half month due to emotional and nervous attacks has been 3 times, each lasting half an hour to 1 hours, with Suxiaojiuxin pill, metoprolol grams can alleviate the symptoms, diagnosis and treatment into one system. Previous sugar years history for 5 years, is now taking acarbose, Shenqi Jiangtang granule, better glucose control. ECG: sinus rhythm, mild ST segment depression. Stool routine, a power of six, erythrocyte sedimentation rate, lipids, electrolytes, blood coagulation in four normal. Ultrasound diagnosis of Beckoning: aortic valve insufficiency ( light ), left ventricular diastolic dysfunction. Moment diagnosis: when flustered shortness of breath attack, body weakness, dry mouth, eat, sleep well, frequent urination, defecation, partial red tongue, thin Huang Ergan moss, pulse string. Traditional Chinese medicine diagnosis: palpitations ( gas cloudy two empty, liver stagnation and heat ). Western medicine diagnosis: coronary atherosclerotic heart disease, arrhythmias ( atrial fibrillation ), angina pectoris; type 2 diabetes mellitus. Cure : Supplementing Heart, soothe the nerves, treated by Tianwangbuxin Dan, Fructus toosendan bulk CD: 10 grams, 10 grams of 10 grams of Radix Rehmanniae Preparata, ASP, Radix 10 grams, 30 grams Astragalus, angelica 15 grams, 10 grams of 12 grams, 10 grams of Scrophularia ningpoensis, dangshen, fried semen Ziziphi Spinosae 30 grams, cypress Ziren 15 grams, Panax ginseng 6 grams, 12 grams of 10 grams of Platycodon grandiflorum, Polygala, coptis root 12 grams, Acorus calamus 10 grams, 30 grams of Corydalis yanhusuo teeth, 30 grams, 30 grams of raw malt, chinaberry seeds 12 grams, 6 grams of licorice root. Decoct with water, daily 1 agent.

        Modified treatment for 1 months, patients with palpitation and chest tightness shortness of breath did not attack, without chest pain, aches and more powerful. The heart rate of 70 beats / min, I may hear and beats.

        According to paroxysmal atrial fibrillation: understanding, Xing Yuepeng were Zhang Jingyue to put forward " number of veins disease, the only loss the most, more virtual more number, the number is more dangerous, not a number all warm? If the imaginary as heat, is not the loser risk shall be". The patients over eight years old, heart and kidney yin deficiency heat was waning, endogenous, and the liver controlling dispersion, stagnation, qi depression transforming into fire, heat disturbing mind, while the cost of credit, application of Tianwangbuxin Dan, Fructus toosendan disperses the cutting treatment. Tianwang Buxin Dan nourishing yin and clearing heat, tranquilizing mind; Fructus toosendan San Qi and blood, liver and clearing heat. The logarithmic pulse has a "real cool relief appropriate virtual temperature filling" to say, astragalus, Panax ginseng tonic goldthread and vitality. In recent years research thinks, Corydalis in addition to the traditional blood, Qi, analgesic effect, and control of the arrhythmia, improvement of myocardial blood supply function. Xing Yuepeng clinical in syndrome differentiation and treatment based on regular treatment of paroxysmal atrial fibrillation with yanhusuo, obtains satisfaction curative effect.