Chronic heart failure syndrome differentiation experience

ZhangYan Liaoning university of Chinese medicine hospital

China's traditional Chinese medicine to

        At present the treatment of chronic heart failure of the main method is still a drug is given priority to, the author engaged in cardiovascular clinical work for 25 years, the application of qi and promoting blood circulation of the strong heart through vein decoction "in the treatment of chronic heart failure with good curative effect.

        Etiology and pathogenesis of chronic heart failure

        For heart failure, this paper discusses the pathogenesis is the earliest neijing: "taste too salty, great integrity law, short muscle of inhibitory." "It is so feed more salty, the pulse setting cry and colour change", "taste too sweet, the heart asthma full", "pains gasp sweat out, outside inside all the more, the gas consumption of the self." Illustrates the cause of heart failure is fatigue, food, etc., hints of heart failure mechanism mainly for heart qi deficiency.

        In clinical found in patients with chronic heart failure, much performance palpitations, shortness of breath, moving, you very, chest threat full stuffy, night suppress awake, double lower limbs swelling, blue lips, tongue mass reddish or tongue mass blue have ecchymosis, petechiae, vein heavy fine or sink acerbity, etc. Is this virtual standard empirical, the virtual to heart qi deficiency is given priority to, standard real water for drinking, blood stasis. The heart of the normal beat depend on have enough motive, the intention is to promote blood supply, keep the blood the basic operation power. We propose a heart qi deficiency, painstaking effort stasis resistance, water drinking inside stop is the main pathological mechanism of chronic heart failure. The further development of qi for heart Yang "have a sun be the spirit will have a angry", "blood stasis is a great enemy" puts forward beneficial temperature Yang invigorate the circulation of blood and water treatment of chronic heart failure. Clinical application of qi and promoting blood circulation of Chinese herbal medicine in treating chronic heart failure often made the obvious curative effect.

        Chronic heart failure syndrome differentiation

        Traditional Chinese medicine not directly according to the differentiation of symptoms and signs of chronic heart failure or combination of disease differentiation and treatment of correlation and formula referring to traditional Chinese medicine, this paper discusses the related disease and syndrome. Neijing "open the door, clean the demons, to Wan Chen Cuo" water conservancy 3 laws and synopsis of prescriptions of the "waist the following swollen, when the urine" as the main treatment of chronic heart failure, namely, invigorate the circulation of blood, the water. As for the essential method, no direct discusses, but in the heart failure related, this paper discusses the pathogenesis and clinical experience can reason out the cognition to gas, for the essential method.

        We summarize of chronic heart failure initial, middle and end characteristics to qi deficiency and blood stasis, qi and Yin and Yang deficiency, water flood as the main differentiation of symptoms and signs. For chronic heart failure solid guard sun be the spirit is its fundamental, promoting blood circulation to remove blood stasis and water for the scale. With strong heart through vein soup for basic party with the card to add and subtract, flexibility.

        1. The blood stasis syndrome

        Palpitation, chest distress, short short, body tired tired, activity after aggravating, night suppress awake, complexion is pale or spontaneous perspiration, chest pain, tingling fixed, refuse according to, a blue lips, tongue mass light dark or ecchymosis, vein sink acerbity or "generation. For invigorating qi and promoting blood circulation through vein, strong heart through vein tang: astragalus membranaceus 40 g, ginseng 15 g, rhizoma atractylodis macrocephalae 20 g, salvia miltiorrhiza 30 g, safflower 15 g, notoginseng 15 g, etc. Party of astragalus membranaceus sex gansu and tepidity to spleen, lung channel, invigorating the air lift Yang, yiqi solid table, the water swelling, such as effectiveness, can fill the gas water to detumescence, for the treatment of qi deficiency edema less urine to medicine, have "tonifying qi long" the laudatory name. Ginseng sex Kennedy, micro bitter, lukewarm, reduced, lung, spleen after, a great complement vigour, tonifying spleen profit lung, fluids, thirst, calm the nerves educational, such as effectiveness, to save both help the take off and good agent, also for therapy consumptive internal injury of the first to medicine, all all the qi and blood deficiency syndrome are can be used. Rhizoma atractylodis macrocephalae sex bitter, GanWen to the spleen, stomach, invigorating the spleen qi, dry wet the water, solid table hidroschesis, such as effectiveness, work good tonifying qi spleen and eliminating dampness and water, removable phlegm retention back oedema, for cure phlegm water the swelling medicine, also for the cure table virtual enterprises since the sweat. Salvia miltiorrhiza sex cold, bitter taste, reduced, the liver meridian, invigorate the circulation of blood regulating menstruation, cool blood away carbuncle, tranquilize the mind, such as effectiveness, predecessors have "blindly salvia miltiorrhiza scattered, work with siwu decoction" say, this product is promoting blood circulation to remove blood stasis to medicine, are widely used in all kinds of blood stasis syndrome, already good promoting blood circulation to remove blood stasis and real pain, treat henchmen smartly, and good cool serum heart in addition to bother to calm the nerves. Safflower sex symplectic, temperature, reduced, the liver meridian, promoting blood circulation&restoring normal menstruation, remove stasis of analgesic effect, it is good promoting blood circulation&restoring normal menstruation and good remove stasis analgesia for cure heart pulse stasis resistance, obstruction of enterprises of heartache, is known as the "broken blood, line blood, and blood, regulating the blood to medicine". Sanqi (panax notoginseng) sex Kennedy, micro bitter, temperature, to the liver, stomach, eliminating stasis hemostatic, detumescence set the effect of pain, both good hemostasis and eliminating stasis is good, the efficacy of distinguished, have "hemostatic not stasis, eliminating stasis don't hurt is" characteristic. The medicine share, total strike replenishing qi and promoting blood circulation to remove blood stasis and water work.

        2. Qi and Yin deficiency and blood stasis resistance card

        The patient palpitation, short breath, burnout lazy to talk, ShaoHua complexion, dizziness, chest distress dull pain, encounter what pains, tongue partial red or toothed seal, vein thin weakness, or "generation. To cure and nourishing Yin, promoting blood circulation mainly removing. Use in the strong heart through vein soup basis and radix rehmanniae, radix ophiopogonis. Radix rehmanniae, radix ophiopogonis is a Yin heat effect. Dwarf lilyturf be fluids, in addition to bother, radix rehmanniae tends to enrich the blood, cool, both mutual coordination, heat cold blood, raise oneself Yin, obvious effect. Party of ginseng, radix ophiopogonis tonifying qi and nourishes Yin, save to take off the fluids, complementary, ginseng fluids, may help dwarf lilyturf nourishes Yin, dwarf lilyturf clear away heat, can system ginseng temperature drying, total strike qi, tonifying qi save to take off, heat to calm the nerves of the work. Radix rehmanniae, radix ophiopogonis dosage can be big, general 25 ~ 35 g.

        3. Yang deficiency water flood card

        The patient palpitation dizziness, chest distress, short short, chest full of new properties, and cold limbs cold, urinate deficient, or lower limb edema, lumbar acid, lack of power, complexion tarnish, lip a pale white or blue, tongue pale or dark purple, vein heavy fine or sink micro wild. With the cure temperature Yang, adjusting the water is given priority to. Use in the strong heart through vein soup basis and radix aconiti lateralis preparata and cassia twig. All good dispersing cold effectively in cognition, normal menstruation pain. Radix aconiti lateralis preparata longer than back to Yang save inverse, dispersing cold pain force is strong, dosage is big, general 6 ~ 15 g. Cassia twig by the temperature through vein, have the characteristics of transverse flux segments, cassia twig dosage can increase, general 15 ~ 35 g. Both share can by the temperature pass Yang, remove cold pain.

        In a word, the heart qi deficiency, painstaking effort stasis resistance, water drinking inside stop is the main pathogenesis of chronic heart failure. Clinical application of qi and promoting blood circulation and water obvious effects of traditional Chinese medicine (TCM). Differentiation of symptoms and signs should pay attention to and differentiation of disease with installment. The treatment will pay great attention to evil is relationship, urgent is to its scale, slow, for the book, or the specimen. Three main card type flexibility. The principle is: appropriate WenYangTong Yang and unfavorable tonifying Yang, appropriate tonifying qi tonifying qi and unfavorable hysteresis gas, appropriate invigorate the circulation of blood line blood and unfavorable broken blood, appropriate line air drop gas and gas should not be broken. Clinical seen in patients with chronic heart failure, because many false or true inclusion mechanism, therefore, the treatment of this disease, should with righting is given priority to, on the basis of righting, assist to eliminate pathogenic factors of the product, or will cause is the virtual and evil is real, to later treatment caused difficulties. All the above all sorts of governance, are all in righting leave no evil, to eliminate pathogenic factors do not hurt the are for the purpose.