Diagnosis and treatment of acute myocardial infarction (ami) technology

China's traditional Chinese medicine reported

        Acute myocardial infarction (AMI) is in the coronary artery disease, and on the basis of coronary artery occurred sharp decrease of blood or interrupt, make corresponding myocardial for serious and lasting acute ischemia and the myocardial necrosis. Clinical expression have lasting retrosternal severe pain, fever, white blood count, increased serum myocardial enzymes and electrocardiogram is progressive change, usually associated with a serious rhythm of the heart wrong, heart failure or shock, is the serious type of coronary heart disease, more than 40 more see.

        The disease belongs to the traditional Chinese medicine "he heartache" category, including "faint heartache", "really pain".

        A, causes and mechanism

        1. In their daily life, seven emotions dishonor: food festival, Zi eat fat GanHou flavour, a lot as well as those of alcohol and tobacco; Or too easy, spleen luck dull; Sorrow is hushed into or gas knot, wet muddy cohesion into phlegm. TanQi each other ", make the mind, chest Yang out-of-the-way, not into the fresh air, oil and gas out, the heart chakra completely certified resistance. Blood bi resistance, meridian general clauses hair to heartache.

        2. Old body virtual, cold evil guest pulse: ferrite Yang, or take mitigating the product under extreme, ZhuYang internal injuries; Or get old, kidney Yang disfavor, and can't always five zang-organs, Yang is cold evil ChengXu and people, Yin cold in itself, and haemorrheological nature, blood bi resistance, the heart chakra Chu into a nasty.

        Second, syndrome differentiation and classification

        1. The heart chakra haemorrheological nature: he ran heartache as ground, feeling cold what profit, even the deepest chest back, back ache thorough chest, form with cold, cold extremities brothers don't temperature, from the cold sweat, palpitation, short breath, tongue qualitative light, moss thin white, pulse string tight.

        2. Qi stagnant block: heavy chest oppressed, pain lead back and more for fat body, see with abdominal distention dizziness, nausea, stay, palpitation and shortness of breath, tongue qualitative light fat, the side have teeth marks, moss BaiHou greasy, pulse more slippery or sink late string.

        3. Blood stasis block: rage he ran after severe pain, pain has his place, such as cone as thorn, with chest distress, suppress, palpitation and shortness of breath, lip green tongue dark have bruises, pulse sink, and astringent generation.

        4. XieKui Yin deficiency: mind bored to pain, dizziness dry mouth, five upset hot, urine and it dried red, red tongue, less moss or no moss, pulse count or promote, "generation.

        5. Sun be the spirit is deficient: full stuffy and mind pain, move is you very, fear of the cold, cold extremities face white lip dark, body tired exhaustion, short of breath since sweat, tongue light fat, moss white, pulse heavy fine and late, or "generation.

        Three, Chinese medicine treatment

        (1) the syndrome differentiation and treatment

        1. The heart chakra haemorrheological nature

        Scattered cold promoting blood circulation, promote the Yang initiative. Agent: ur head halloysite pill take Sue and sweet with pills.

        2. Shut the qi stagnant

        [sputum variable, the Yang turbidity relief. Agent: melon Xie trichosanthis sprouting white tonga taste.

        3. Blood stasis block

        Remove blood stasis, the pulse the pain. Agent: therapeutic tonga taste.

        4. XieKui Yin deficiency

        Blood Yin, activate the pain. Agent: pink four things take bolus of 6 flavour glutinous rehmannia soup.

        5. Sun be the spirit is deficient

        WenYangYi gas, loose the pain. Agent: guizhi ginseng tonga taste.

        (2) experience side

        1. The pain spread five spirit

        [composition] borneol, five spirit fat, Fried pu yellow.

        [usage] powder, each 5 g, oral, every time 0.3 ~ 0.6 grams, the pain which, boiled water take or tongue including clothing.

        [efficacy] blood gas line the pain.

        [[] gas stagnation and blood stasis myocardial infarction.

        2. Mind pill

        [composition] musk, bezoar, bear gallbladders, toads, pearl, borneol, notoginseng, ginseng, water extract of horn to dry.

        [usage] under the tongue or chew with take after take pharynx, every time 2 pills, daily 1 ~ 3 times. Can also be before sleep in onset or take.

        [efficacy] for activating blood circulation and eliminating stasis, yiqi unclogged arteries, action of ning xinan god.

        [[] used for obstruction of heartache, palpitation and shortness of breath, headache and dizziness signs, and angina, arrhythmia and hypertension the sick.

        3. The ring the heart Dan

        [composition] musk, toads, notoginseng, ginseng, pearl, etc.

        [usage] every 6 grain, tongue, including clothing, daily 1 ~ 2 times.

        [efficacy] blood gas line, open for more pain.

        [[] used for obstruction of heartache, palpitation and shortness of breath.

        4. DengTieTao prescription

        [composition] this law 9 g, poria cocos 12 grams, tangerine, ZhiKe, liquorice every 4.5 grams, bamboo 9 g radha, dangshen 15 grams, danshen 12 grams.

        [usage] water frying clothing. If the obvious deficiency, add astragalus, five claws dragon or JiLinCan (another stew) 6 grams. The obvious heartache, can close ShiXiao scattered or at the end of panax blunt.

        [efficacy] tong Yang discharge turbid, sputum world open ".

        [[] phlegm turbidity congestion type.

        5. Blood yangxin soup

        [composition] salvia miltiorrhiza 30 grams, ligustici chuanxiong rhizoma 10 grams, safflower 15 grams, 30 grams of codonopsis pilosula, turmeric 15 grams, sweet 10 grams, sweet with 15 grams, rhiozma 15 grams, dwarf lilyturf 20 grams, fructus schisandrae 6 g, poria cocos 10 grams.

        [usage] water frying 2 times, points 2 times take a daily agent.

        [efficacy] for activating blood circulation and eliminating stasis.

        [[] blood stasis block type.

        (3) appropriate technology

        1. The acupuncture therapy

        (1) take heart in customs clearance, yu, faint Yin shu, god door, etc.; Take heart, cortex earpins, adrenal hole etc. All use medium strength stimulation.

        (2) in the Shan acupuncture, inside pass, LiuZhen 20 ~ 30 minutes, twisting turn 3 to 5 times.

        2. Apply stick therapy

        The heart heart yu, faint anointed apply Yin yu or Shan. Drug composition: XuChangQing, angelica, danshen, do not leave the king, JiXieTeng, puerarin, XuanHu, red flowers and river xiong, which, turmeric, turmeric, the senate sanqi (panax notoginseng), blood dried skin, pile, pangolin, frankincense, myrrh, camphor, borneol, sweet, artificial musk, magnesium sulfate, tougucao.

        3. Massage therapy

        Massage abdomen, often in wan, on the wan, god faint, close yuan, heart yu, faint Yin yu hua tuo clip or ridge tenderness points.

        4. Moxibustion

        Qi hai, close yuan, foot three mile. Big moxa sticks wick 3 ~ 7 strong, once a day. Used for Yang of heart to the sun be the spirit or take off.

        5. Guasha treatment

        Patients take seat, pain, who play first take supine, performer first in blow to place coated with the role for activating blood circulation and eliminating stasis scrapping medium, and then by medium strength scraping the chest point 3 ~ 5 minutes, blow to local appear for good marks sha. Scrape the hand meridians, blow to local flush. Then turn patients side-lying position, with a heavy blow performer efforts back meridians, blow to local sha mark revealed. Specific points as follows:

        Back: the heart yu, faint Yin shu. Chest: Shan.

        Upper limbs: that between, shut in. Lower limbs: foot three mile.

        6. Water bath therapy

        Water shower, every time 5 ~ 10 minutes, water temperature 40 ℃ or so, with no discomfort for beautiful, after a break for 10 minutes, then healing 5 ~ 10 minutes. By 20 ~ 25 days for one period of treatment, rest 5 ~ 7 days again for another one period of treatment. Treatment of heartache to have better effect.

        7. Aerosol inhalation

        (1) upon aerosol Schwartz (including cinnamon, sweet attached) : at the sublingual spray and spray 1 ~ 2 every time. WenTong has scattered cold, qi painkillers.

        (2) enthusiastic aerosol Schwartz (including peony skin, river xiong etc) : at the sublingual spray and spray 1 ~ 2 every time. With cool blood clear heat, blood painkillers.

        8. Proprietary Chinese medicine

        (1) available JiuXinWan: mainly used in blood stasis caused by heart chakras resistance closed chest pain don't understand person, general 10 ~ 15 grain of sublingual including clothing.

        (2) and sweet pill bolted Sue: mainly used in haemorrheological nature and phlegm caused by polluted chest Yang certified resistance, severe chest pain don't understand person, general each time one pill, daily 2 ~ 3 times.

        (3) ShiXiao scattered: every time 3 ~ 6 g a blunt.

        (4) five spirit analgesic capsule: every time 1 ~ 2 grain, pain clothing.

        9. Diet

        (1) Xie white porridge: Xie white 10 ~ 15 grams (30 to 45 g the fresh), 100 g of japonica rice. Xie white with japonica rice conjee, early for dinner, take feed warm.

        (2) guangxi heart porridge: guangxi 1 ~ 2 g heart, poria cocos 10 grams, japonica rice 50 ~ 100 g. Use japonica rice conjee, guangxi heart, poria cocos water for juice, take juice into the porridge with it, after the boil can.

        (3) mustard porridge: mustard head four, 50 to 100 grams of japonica rice. Wash head mustard sliced, and japonica rice right amount clear water into gruel, cooked food.

        (4) hawthorn lotus leaf porridge: hawthorn 15 grams, lotus leaf 12 grams, 100 g glutinous rice. Add water to boil glutinous rice porridge, at the same time in chopped hawthorn, lotus leaf, with soft fire after's cooking, warm clothing.

        (5) flavored nut porridge: nut 20 grams, born dihuang 30 grams, guangxi 3 ~ 5 g heart, ginger, a piece of, japonica rice 100 grams, liquor right amount. Which pointed to skin, guangxi research into the heart, and japonica rice grind fine to use. Liquor will be born with right amount rehamannia, ginger and nut ground take juice. Add water to boil parched rice porridge, boil, born in which rehamannia, raw ginger juice, porridge cooked a guangxi at the end of the heart, and stir, take feed on an empty stomach.