WenYangLi water qi in the treatment of chronic heart failure

KouZiXiang ChenBaoGui doctor of Chinese medicine studio

Tianjin university of Chinese medicine qing affiliated hospital of traditional Chinese medicine

China's traditional Chinese medicine to

        Chronic heart failure belongs to traditional Chinese medicine "heart bi", "palpitation", "gasp syndrome", "phlegm retention", "edema" wait for a disease category. The doctor of traditional Chinese medicine in this work a lot with symptoms similar to describe. ChenBaoGui professor thinks, coronary heart disease of heart failure etiology mainly for heart pulse lost to raise, the pericardium invaded and get old and infirm, sun be the spirit virtual failure. Its pathogenesis mainly for this virtual scale real. This virtual for qi deficiency and Yang deficiency, by heart kidney Yang deficiency as the basis, and the related; Mark is blood stasis, water drink, phlegm turbidity and so on, is the basis of pathology. According to its pathogenesis, therapeutic principles for: tonifying qi and Yin, WenYangLi water. Clinical common pulse-activating decoction combined scattered five lingya close four inverse tonga reduction treatment.

        Composition: ginseng 15 grams, the dwarf lilyturf 10 grams, fruit of Chinese magnoliavine 10 grams, poria cocos 10 grams, rhizoma alismatis 10 grams, rhizoma atractylodis macrocephalae 10 grams, cassia twig 10 grams, dry ginger 10 grams, radix aconiti lateralis preparata 5 grams, liquorice 10 grams.

        Square solution: party to ginseng, radix ophiopogonis, fruit of Chinese magnoliavine complement of yangxin Yin, cassia twig, dry ginger, radix aconiti lateralis preparata onyang, tuckahoe, rhizoma alismatis rhizoma atractylodis macrocephalae, the water, the whole party played a total of nourishing Yin, WenYangLi water effect. The above party in especially in four inverse soup for will use, as the YiZong JinJian, "said:" four inverse soup, drum kidney Yang, temperature of cold, warm soil water the work "; "The kidney Yang drum, cold Yin away, is the sun be the spirit of and pulse rise".

        Add and subtract: heart kidney Yang deficiency failure is the person that weigh increase dosage of radix aconiti lateralis preparata, Edema, the person that weigh add grifola 10 grams, The qi and sandalwood 10 grams (or aloes 5 grams), radix bupleuri 10 grams, The blood stasis and radix paeoniae rubra 10 grams, rhizoma ligustici wallichii, peach kernel 10 grams, red 10 grams, Phlegm turbidity person add pinellia tuber 10 grams, trichosanthes kirilowii maxim 20 grams, rhizoma acori graminei 20 grams. Above amount with symptoms and illness weight discretionary add and subtract.

        Modern research showed that the air temperature Yang formula can improve myocardial nutrition metabolism, increase myocardial contraction force, increase coronary blood flow, reduce the peripheral resistance and myocardial oxygen consumption, improve myocardial energy metabolism, promote the failure myocardial DNA synthesis, increase myocardial energy reserves, etc. Such as four inverse soup (radix aconiti lateralis preparata, rhizoma zingiberis, liquorice) has obvious strong heart, booster, resistance to shock effect, can improve the coronary blood flow and improve the myocardial oxygen. Are now mostly used in the treatment of heart failure, cardiac shock and disease. And like a scattered five lingya can also enhance myocardial contraction force, make the hemodynamic disorder further improve, reversible ventricular remodeling and improve prognosis. In addition the study showed that the water single traditional Chinese medicine and compound, and to control the ventricular rate, prolong the ventricular filling time, improve the diastolic compliance, and prevent diastolic dysfunction and the metabolic disturbance, delay of left ventricular remodeling and improve symptoms of heart failure.

        Typical cases

        HanMou, female, 62 years old, June 2, 2008 first visit. Bosom is frowsty asthma, especially dynamic is what already march to spare. Carved diagnosis: bosom is frowsty asthma, hard to lie low and sometimes palpitation sweating, double leg swollen, NaCha, oliguria. Tongue dark moss white, vein sink. View the complexion dark, oral livor. He had a history of hypertension, heart failure. Western medicine taking cefuroxime plug MiPian, isosorbide mononitrate and pieces and medicine. According to the tongue vein disease diagnosed with asthma syndrome: gas modest kidney Yang deficiency syndrome. Governance by tonifying qi and Yin, WenYangLi water. Party together with pulse-activating decoction five lingya scattered close four inverse tonga minus: ginseng 20 grams, the dwarf lilyturf 10 grams, fruit of Chinese magnoliavine 5 grams, poria cocos 15 grams, rhizoma alismatis 10 grams, rhizoma atractylodis macrocephalae 10 grams, cassia twig 10 grams, dry ginger 10 grams, radix aconiti lateralis preparata 10 grams, cortex magnoliae officinalis 10 grams, red paeony root 15 grams, liquorice 10 grams. 7 agent, water frying 450 ml, points early, middle and late three times warm clothing, day 1 agent.

        On June 9, two diagnosis: patients bosom is frowsty asthma improved, has been able to prostrate, nano food improvement, no palpitation sweating, leg swollen better. Pulse slightly turn powerful. The original FangJiJin 7 agent. The boiling with the former.

        On June 16, three diagnosis: activity after big visible bosom is frowsty asthma symptoms, are better than disease. Tongue dark and moss better, pulse is powerful. The original party to dry ginger, change monkshood for 5 grams, more than medicine unchanged. To 14 agent consolidate curative effect.

        After January return visit symptoms is good, can be appropriately activities.

        According to: according to patients bosom is frowsty asthma, difficult to prostrate, moving, you very, leg swollen, tongue dark, moss white, vein sink can be diagnosed with asthma card in the heart of kidney Yang deficiency syndrome. Promote heart Yang to the visible bosom is frowsty asthma, heart palpitations; Kidney Yang deficiency and do not water so see leg swollen; Yang solid perturbation is unable to see sweat out; NaCha, moss white for spleen Yang deficiency failure. Surface dark, lip and tongue dark purple, moss white, vein sink for kidney Yang deficiency of heart signs. The treatment to tonifying qi and Yin, WenYangLi water is given priority to. Party of ginseng, radix ophiopogonis, fruit of Chinese magnoliavine profit motive yangxin overcast; Cassia twig, dry ginger, radix aconiti lateralis preparata WenZhenXin renal sun be the spirit; Poria cocos, rhizoma alismatis and water; The spleen of rhizoma atractylodis macrocephalae, Patients with asthma, add cortex magnoliae officinalis in relieving asthma; Patients with tongue dark, add red paeony root to do stasis; Licorice harmonic the medicine. The whole party played a total of nourishing Yin, the effect of WenYangLi water. 2 the patient symptoms improved, so continue to take. Three diagnosis in patients with the disease better, because the patient tongue dark and moss better, pulse is powerful, die dry ginger, reduce the dosage of radix aconiti lateralis preparata, taking 14 agent to consolidate curative effect.

        ChenBaoGui professor emphasizes, chronic heart failure of the person that weigh usually have cold sweat out, limbs faint cold symptoms, this because patients Yang can't solid perturbation and Yang deficiency can't WenZhen four of the end. So when the treatment of this disease from general WenZhenXin renal sun be the spirit, based on the deficiency of vital energy and mend angry medicine, edema of galilee those water medicine, Yin deficiency and the nourishes Yin medicine, blood stasis and promoting the medicine, phlegm turbidity person add apophlegmatisant, etc. Treatment for heart failure commonly used when monkshood for medicine, drug toxic, the use of the drug should be paid attention to when from small start, in order to avoid poisoning, the drug was born with more than 15 grams of appropriate first Fried to reduce its toxicity. In addition, acute heart failure to take off the Yang who need urgent need and with soup to back to Yang, the ginseng soup with the "and" must use ginseng, other and kind of fear of difficult effective.