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Pediatric heart failure diagnosis and treatment technology

 

 

Congestive heart failure or gratified the function is not complete, because the heart pump function decline, the venous blood stasis, arterial blood perfusion inadequacy, heart can't fully discharge enough to meet the health needs of the metabolic and development performance of clinical syndrome. For more cardiomyopathy or abnormal structure

Make the heart load caused by increase, if not treated in time often leads to death. Children of all ages all can happen with babies, the most common.

TCM holds that the disease is a "horrible", "ZhengChong", "qi" and "edema", "blood stasis" or "off" categories such as certificate.

etiology

The six evils of the evil because feelings, because the heart in qi deficiency of Yin and Yang.

The veins, gas for heart blood handsome, blood gas line up with, pulse in mind, the veins filled with normal operating, and depends on the painstaking effort, Yin and Yang is mixed. Birth is not enough, or most children ferrite weak, functions, rheumatism and susceptibility to heart disease, or made repeatedly warm temperature of evil, evil poison fire

, the fire burning heart, make damaged heart Yin camp, can also involving the heart Yang; If the long illness blood deficiency, insufficient effort; Yang Yang, long illness or heart damage, can make the operation of qi, blood stasis and qi block. Pediatric heart failure due to illness internal injuries and more effort, heart of Yin and Yang Yang, insufficient, reason with empty for the disease, the

Illness development qi and blood stasis, formed by the standard of this disease is actually.

Syndrome differentiation and treatment

1. Two qi and Yin deficiency syndrome

[syndrome] palpitations, shortness of breath, fatigue, and easy to increase after the activity, red, night sweats, low thermal contraction, thirsty to drink, not the tongue is red, pulse count quality.

Among the] [qi, head convergence.

[herbs] life scattered veins. Major drug: ginseng, dwarf lilyturf, fructus schisandrae.

But with raw, r. monomeric ophiopogon japonicus, nourish "Yin" clear heat; Add vision, their god, seeing ziziphi spinosae nerves; Move bowels dry, add the partial fire maren, RenRun aperient bowel of trichosanthes kirilowii.

2. Two cases deficiency syndrome

[syndrome] long illness palpitations, move the shortness of breath, pale face, body tired sweaty, lack of power, less food abdominal distension, lower limb swelling. The tongue is tender, edge toothed fat mark, pulse heavy thin or "generation.

[comes] yiqi, yangxin blood enriching the spleen.

[herbs] to spleen decoction. Major drug: tangshen, astragalus membranaceus, white atractylodes, angelica, their god, vision, sweet, longan ziziphi spinosae, meat, ginger, big jujube.

Chest tightness not comfortable with the ZhiKe, turmeric, regulating qi chest wide; The lower limb swelling, add poria cocos, alisma, kindhearted YiRen light permeability and water.

3. Yang the card. Water

[syndrome] dyspnea, and orthopnea, palpitations, khan, a pale or dull, abdominal distension, the whole body dropsy significantly less, urine. Tongue body fat, moss white, pulse heavy fine weakness or a "generation.

Among the] [benefit spleen and kidney WenYangLi water.

[herbs] really WuShang. Major drug: aconite, tuckahoe, white atractylodes, root of herbaceous peony, ginger.

Drink water on the inverse, nausea and vomiting, add dried tangerine or orange peel, ginger and sprouting, stomach drop inverse; Less urine, swollen further, add alisma, pigs, and a big belly) the skin water swelling.

4. Efforts stasis resistance card

[syndrome] palpitations, shortness of breath, chest tightness discomfort, his face dark purple, or your fingers (toe) cyanosis, hepatomegaly, lower limb or whole body dropsy. Tongue qualitative or dark purple bruises, moss is thin, white, pulse fine acerbity or have "generation.

[for] among the gas, and the positive to benefit the stomachsoup to gather for activating blood circulation and eliminating stasis.

[herbs] therapeutic soup. Major drug: peachseed, angelica, born rehamannia, root, ZhiKe, radix, river xiong, balloonflower, distinguished, liquorice.

Add the ginseng, radix aconiti fill, and blood gas positive to benefit the stomachsoup to gather the operation; Chest tightness chest pain, add the danshen, turmeric, regulating qi and blood stasis scattered pain; fall sweet Sweat out, add keel lower odds, oyster solid acerbity gathered sweat.

5. Heart kidney Yang take off card

[syndrome] palpitations, shortness of breath, difficulty breathing, mouth, and the breath TaiJian things, irritability, sweating, the whole body dropsy, the complexion of cyanosis, cold extremities, refers to train (foot) armour purple. Qualitative light or dark tongue, moss thin, white, pulse subtle desire unique.

Among the [] yiqi solid take off, back to Yang save inverse.

[formulae, and save inverse soup with dragon banded. Major drug: ginseng, radix aconiti, keel, oysters, root of herbaceous peony, liquorice.

Critical to take off, and the sun be the spirit, cassia twig dry ginger, fructus schisandrae, astragalus, dwarf lilyturf back to Yang save inverse, yiqi gathered Yang.

Experience side

1. A prescription

[composition] drug black tin Dan.

[efficacy] gas, smoothing asthma.

[indication] severe heart failure of the rescue.

[usage and dosage] children 1 to 6 grams every time, twice a day.

2. Prescription 2

[of] the son TingLi drugs.

[efficacy] strong heart diuresis.

[indication] heart failure edema.

[usage and dosage] at the end of the research, and each 1 ~ 2 g, 3 times a day after meals, period of treatment, 2 ~ 3 weeks infant dose reduction.

3. Old doctor of traditional Chinese medicine ZhuXiQi party-the pulse drink

[composition] drug root, cassia twig and nut, river xiong, motherwort, safflower, danshen, MaiMenDong, astragalus membranaceus, liquorice.

[efficacy] for activating blood circulation and eliminating stasis, yiqi unclogged arteries.

[indication] acute congestive heart failure.

[usage and dosage] a daily agent, water frying points early, late clothing.

4. Old doctor of traditional Chinese medicine zhuo high wind party-strong heart soup

[drug composition] red ginseng, astragalus membranaceus, dogberry, danshen, liquorice.

[efficacy] yiqi helped Yang, remove the drink.

[indication] acute congestive heart failure.

[usage and dosage] a daily agent, water frying points early, late clothing.

Appropriate technology

1. Acupuncture method

(1) TiZhen: point as the Lord in between the jailed, that, in the government, less, the heart is yu, god door, sp9, etc. Dialectical point selection: moisture, waterway, YangLingQuan through sp10, central through song bone; Three Yin, springs of water, flying into the slip, shen shu, complex. Above a few groups can drink the meridians to choose. Cough phlegm

Many take feet FengLong jose,; Belch abdominal distension take in wan; Calm sleeping in between, take off, less government, QuChi; Cough flat out lung yu, take less government, all the valley, tian tu. Every time the dialectical point of fractionation and find 4 ~ 5 points, nourishing ping xie, LiuZhen 15 to 20 minutes, once per day, 5 ~ 7

Day for one period of treatment, rest 3 ~ 5 days, under any one period of treatment.

(2) earpins: location, corticosteroids, sympathetic heart under god, door, lung, kidney and other. Every time take 2 ~ 3 point is provided with for filiform needle, shallow thorn, daily or tertian, 5 ~ 7 times for one period of treatment.

2. Massage method

Push saving and knead the bamboo, tonifying spleen, pushed by the three levels, and knead five fingers section. Once per day, 5 ~ 7 times for one period of treatment. Excerpt from "the pediatrics disease treatment technology, traditional Chinese and western medicine"