The prevention and control of chronic cor pulmonale

WangHuiWu The 2nd affiliated hospital of chongqing medical university

China's traditional Chinese medicine to

        Chronic lung source original sex heart disease, referred to as pulmonary heart disease, it is to point to emphysema or other chronic pulmonary disease, pulmonary circulation resistance increased, cause pulmonary arterial hypertension, leading to right heart hypertrophy, and finally heart failure occurs a kind of heart disease. Chronic pulmonary heart disease to shortness of breath, cough asthma, heart palpitations, oedema, can't lie low as characteristics.

        Chronic pulmonary heart disease the main link is pulmonary arterial hypertension. Under the condition of high pressure in the lungs, right ventricular systolic must increase the pressure, time grows, right ventricular burden overweight, myocardial ischemia, right heart hypertrophy, beware the function is not full-time, can appear hepatomegaly, jugular vein engorgement, the whole body dropsy and right heart failure phenomenon. Pulmonary heart disease caused by heart failure and other types of heart disease are not identical, except for a heart failure performance outside, still often have severe respiratory failure, influence gas exchange, the oxygen in air suction don't come in, in the blood of the carbon dioxide row not go out, the patient usually have shortness of breath, chest panic, oral and finger tip, such as blue hypoxia phenomena.

        The lungs infection often is to promote cardiac dysfunction of important factors. Infection of heating can increase heart burden; Some toxins can directly cause myocardial degeneration, necrosis, The lungs infection can make original lung lesions is aggravating, serious influence on pulmonary ventilation function. The anaerobic and prompted cardiac insufficiency occurrence and development.

        Chronic lung disease by the development of pulmonary heart disease general, after decades of time. Chronic pulmonary heart disease by auscultation, X-ray, electrocardiogram inspection diagnosis.

        Chronic pulmonary heart disease, belongs to the Chinese medicine "phlegm retention", "lung expansion" "asthmatic cough", "moisture", "palpitation" category. The doctor of traditional Chinese medicine thinks main because water drink evil, influence in cardiopulmonary and disease. The pathological changes in the lungs, but close relations with the spleen and kidney, and influence in heart. Lung for canopy, in the above, bond-out fur, clears &lodging, if the pericardium invaded and long, not more, the damage the lungs gas, lowering lost power, can't pass adjustable channel, water wet stop together into water and drink, drink water stop in heart, can run gnomonic lung, appear palpitation, cyanosis, shortness of breath, sweating, edema, etc., namely modern medicine of heart failure.

        Chronic cor pulmonale according to acute episode and alleviate period shall be treatment respectively.

        Acute episode

        Cold type (acute onset initial) : cough asthma to promote, can't lie low, palpitation, at much sputum, chest new retching, body dropsy, heating aversion to cold, moss white greasy, vein string tight. To nourish the appropriate dispersing cold drink in the temperature change. Prescription: Chinese ephedra 10 grams, cassia twig 10 grams, method pinellia 12 grams, asarum 6 grams, radix paeoniae alba 12 grams, fruit of Chinese magnoliavine 12 grams, almond 12 grams, dried ginger 6 grams. Water Fried suit.

        Phlegm heat type (respiratory tract infection aggravated period) : fever, surface also, be agitated, sputum supplement gas plug, difficult to cough up the moss yellow, vein floating number. To appropriate clearing heat and resolving phlegm, change drink. Prescription: plaster stone 30 grams, cordate houttuynia 30 grams, rhizoma anemarrhenae 12 grams, radix scutellariae 15 grams, bulbus fritillariae cirrhosae 6 grams, gardenia 20 grams, reed stem 30 grams, almond 12 grams, radix isatidis 30 grams, platycodon grandiflorum 12 grams, the former hu 12 grams, winter melon seeds 30 grams, YiRen 30 grams, peach kernel 10 grams. Water Fried suit.

        Moisture run core (cardiac dysfunction) : cough pant nasty, heat and cold, Pale face, can't lie low, mouth TaiJian, palpitation, dropsy, oral nail blue. Tongue weak, moss white greasy, vein sink weak. To appropriate WenYangLi water, drink real change. Prescription: tuckahoe 30 grams, rhizoma atractylodis macrocephalae 30 grams, dangshen 60 grams, cassia twig 10 grams, rhizoma alismatis 10 grams, system tag 20 grams (first endure), semen lepidii 12 grams, the dwarf lilyturf 20 grams, white mulberry root-bark 12 grams. Water Fried suit.

        catabasis

        Chronic cor pulmonale catabasis there are still shortness of breath, cough asthma, heart palpitations wait for a symptom, but is the acute phase to relieve and. This period to appropriate righting complement virtual. Prescription: fungus ganoderma lucidum 30 grams (first endure), walnut kernel 30 grams, the dwarf lilyturf 20 grams, 30 grams of astragalus, codonopsis pilosula 30 grams, fruit of Chinese magnoliavine 20 grams. Water Fried suit. This FangYi service uniform, can reduce acute attack.

        Alleviate period in addition to righting complement virtual treatment beyond, still must be engaged in sports exercise, enhanced physique, can reduce attack, simply rely on medicine, cannot consolidate curative effect. (the writer for the third batch of old Chinese medicine experts academic experience inheritance work guidance teacher)