Heart and live for PE hemodialysis rheumatic heart disease

LiuXuYin XinShao county in hunan province of traditional Chinese medicine hospital

China's traditional Chinese medicine reported

        For of rheumatism sex heart disease, contemporary Chinese medicine according to the clinical manifestations of more, relegated to "horrible" and "edema" category. Teacher zhang according to the pathological characteristic of rheumatism sex heart disease and clinical expression, think of the disease of traditional Chinese medicine "heart attack", is within the evil influence caused by v. In the beginning of this disease, mainly is the joint in pathological change, performance for joint swelling, pain, activities is limited, and is rheumatic fever poison to step in, leave delay caused by joints, muscles. If the evil influence YongCheng or as weak, or repeated feel evil, evil is not to go to leave, the congestion in meridian, then the body fluid and blood meridian operation adverse, sluggish blood for blood stasis, stop together the body fluid, wet from the endogenous, get together long and it into the sputum, phlegmy wet stasis and cardiac and evil, and followed up in mind in the veins. The evil influence with phlegm and blood stasis, and fell to the heart, and lead to heart valve damage. Lord veins heart, heart damage it is weak and blood to encourage, operation impeded, stagnant blood and blood stasis, and palpitation. Heart and lung to close, the heart pulse and blood stasis are lost XuanSu and delay lung cough, asthma. Tianjin related to blood, blood is adverse to drink water stop jin. Blood stasis, water to drink Zhu within, a stay sluggish heart, heart rate, the heart expanding; Within the first there viscera, spillover skin, the heart bottom viscera swelling, skin edema.

        A heart the veins, and we must do the heart to feed the blood, the heart chakra is the viscera and sluggish lost a recession and function, is as virtual. Viscera weak is insufficient gasification, blood running weakness, within the body fluid stop, stasis water mutual knot, worse. Such a vicious cycle, finally it failure and the viscera failure, heart failure and faint appear certificate, the clinical manifestations of the genre, complexion is cold limbs and claw China, a pulse micro desire unique.

        Zhang division also believe that because the disease is caused by the evil influence fell within, and vital qi deficiency and extremely easy feeling has the attacks, reason often can appeared again and again rheumatism activities, show repeated fever, joint swelling and pain, etc.

        For the treatment of the disease, a teacher to heart: they live hemodialysis principle. Benefit to the centralizer heart, is can overcome evil, upright and easy to the foot. To cause the centralizer Yin and Yang, qi and blood, choose to improve cardiac function in drugs, Yang aconite, cassia twig, commonly used deer bit grass, deficiency of ginseng, astragalus, commonly used white atractylodes, Yin deficiency commonly used dwarf lilyturf, angelica, jade bamboo, straight ladybell, blood deficiency JiXieTeng commonly used. Through both to remove and scattered the attacks, and in the wet, evil to was Ann. Remove the evil wet commonly used YiRen kindhearted cangzhu, prevent yourself, and QinJiao, tuckahoe. Because the heart blood, blood stain with inevitable, operation impeded, cohesion heart, can reduce the burden of heart blood, promote the blood circulation, and can prevent phlegmy wet endogenous, blocking the vicious circle, prevent illness, commonly used river xiong, born hawthorn, danshen, beef shanks. According to the clinical often send period, heart attack, heart failure, period, loss of heart faint pattern identification and treatment period.

        Differentiation stage

        Bi hair period

        This is active period of rheumatic fever, clinical mainly for joint disease and heart valve inflammation. In addition to the treatment to wet evil, complete with heart care primarily. Clinical often points damp and hot, cold dampness resistance winding resistance winding, are virtual evil love differentiation.

        1. The hot and humid resistance winding

        Card see fever, joint swelling, pain, heart palpitations, chest distress, thirst, do not want to drink, red tongue, moss yellow greasy, pulse this number. In the wet to clear away heat, proclaims bi loose for the law. White tiger add guizhi decoction with herbs and four wonderful pill to add and subtract: gypsum, kindhearted YiRen each 20 grams, altogether, wind all 12 grams, cassia twig, cortex phellodendri, prevent yourself, Dan skin every 10 grams, danshen, sichuan and the beef shanks 15 g, honeysuckle, SangZhi 30 grams of the cane. Skin erythema nodules and root, born tuberous root, the head and body trapped heavy cangzhu, qiang work, tuckahoe.

        2. Cold dampness resistance winding

        Card see swelling of the joints, body trapped heavy, fever, aversion to cold, bosom frowsty, palpitations, tongue light, moss white greasy, pulse this delay. In dispersion for cold moisture, and validates the cognition to the law. With YiRen tonga formulas kindhearted reduced: YiRen kindhearted 30 grams, living alone, windbreak and river xiong, angelica, ginger every 10 grams, ephedra sinica, qiang work each 6 grams. Chest tightness and melon trichosanthis, Xie white.

        3. Are virtual evil love

        Card see joints swelling, repeated attacks, bosom frowsty, palpitations, body trapped god weakness, coating on the greasy, pulse fine or heavy. To promote the initiative to wet, centralizer and through as law, with live alone formulas parasitic tonga minus: live alone, windbreak, root of herbaceous peony, river xiong, eucommia, QinJiao, ginseng, angelica, cassia twig all 10 grams, danshen, raw beef shanks hawthorn, and each 15 g. Chills limb cold, joint pain and cold, dry ginger aconite, body weight and the cangzhu, prevent himself, and the low heat, yellow and red tongue, moss, QinJiao artemisia, altogether, raw land, the bosom is frowsty palpitations add Fried zi, born hawthorn.

        Heart damage period

        This is mainly heart valve degeneration, TCM pathology basically is Yin and Yang, qi and blood disorders, phlegmy wet, blood stasis sluggish resistance. Cure to benefit, in addition to heart the centralizer and wet, resolving phlegm and blood to give priority to.

        1. The chest Yang bi resistance

        Card see tightness in the chest pain, palpitation, cough asthma, coating on the white greasy, pulse late or "generation. In the wide chest for the certified as law, with wide chest attack the formulas soup (experience side) to add and subtract: melon trichosanthis, danshen, born hawthorn, fry zi, deer bit grass every 15 grams, Xie white and dalbergiae odoriferae, dwarf lilyturf, puerarin, river xiong, root every 10 grams, cassia twig 10 grams, sanqi (panax notoginseng) 3 g (at the end of the inquiry blunt). God fatigue strength, less gas lazy to talk, add the ginseng, largehead atractylodes rhizome. Afraid of the cold, temperature, lower limbs not bloated, reuse cassia twig, add aconite, tuckahoe. Sting add peachseed, amber, insomnia and night/cane, BaiZiRen.

        2. Blood stasis lag

        Card see bosom frowsty heartache, palpitation, cough asthma, lip purple defect, two dark red, claw a purple ophthalmic, dizziness, god fatigue strength, dark purple tongue or bruises, pulse count or "generation. Cure to tomifying qi and blood, for the law to remove, dredging, herbs ShuLao unclogged arteries with drink (experience side) to add and subtract: 30 grams of astragalus, angelica, root, which is, dilong river xiong, all 10 grams, danshen, mistletoe, born hawthorn every 15 g, JiXieTeng 30 grams, road leads 20 grams, safflower 6 grams. Body swelling, numbness and Xi Xian grass, limbs hair is cool and cassia twig, deer bit grass, tired, shortness of breath and god ginseng, red tongue less less moss, tianjin pulse count and dwarf lilyturf, jade bamboo. Blood stasis turn heat, low thermal and red tongue, moss yellow, pulse count, and bitter and, scrophula-riacede.

        3. The deficiency of both qi Yin

        Card see bosom frowsty breath-holding, palpitation, dizziness, god fatigue strength, the sweat out, pain, you very, complexion grooves, tongue light, pulse weak or "generation. For the law to cure qi, with herbs roasted liquorice decoction and fructus schisandrae tonga minus: roasted liquorice, ginseng, fructus schisandrae every 10 grams, grilled astragalus, dwarf lilyturf, born tuberous root, fry zi, born hawthorn every 15 grams, keel 15 grams. If the evil influence not completely, or after feeling evil ways, low heat, joint pain and red tongue less tianjin less moss, with four and ease tonga minus: American ginseng (or prince and), scrophula-riacede, bitter and, roasted liquorice, fry zi, born hawthorn, and QinJiao, prevent yourself, bone skin, greatly the 10 grams, dwarf lilyturf, danshen every 15 grams, cassia twig 6 grams. Tightness in the chest and the melon trichosanthis, chest pain and peachseed, sanqi (panax notoginseng).

        4. The heart of Yang

        Card see chest distress, promote, palpitation, exhausting the god to sleep, spontaneous sweating, chills limb cold, pale white complexion, purple lip, tongue light, moss white slippery, pulse weak or "generation. To WenYangYi gas to raise give priority to, with the yuan formulas decoction and cassia twig keel oyster tonga minus: roasted liquorice, ginseng every 10 grams, grilled astragalus, Fried zi, born hawthorn every 15 grams, keel 15 grams, the cinnamon, 6 grams. Limb cold and lateral, deer bit grass, bruises and a dark tongue ligustici chuanxiong rhizoma, root, beef shanks, wan abdominal distension, defecate pond full with tuckahoe, largehead atractylodes rhizome.

        Heart failure period

        This is mainly congestive cardiac dysfunction and failure, and the main pathogenesis is upright weak, blood stasis water each other ", the clinical manifestations of the palpitation, chest distress, short, cough asthma, abdominal distension wan stuffy, PiKuai sash, skin edema especially in the lower limbs why, pulse sink v. This issue through the active treatment, the illness can be eased. Cure to benefit spirit strong heart, promoting blood circulation to the water law, with four things tonga formulas peach taste: peachseed, root, ze, diarrhea, ligustici chuanxiong rhizoma every 10 grams, angelica, tuberous root every 12 grams, danshen, born hawthorn, motherwort, poria cocos every 15 grams, sanqi (panax notoginseng) 3 g (at the end of the inquiry blunt). Chest of Yang, bosom frowsty, cough cough up phlegm, add the melon, Xie white, fructus sprouting; Deficiency of partial very, shortness of breath, fatigue strength god, add astragalus, fructus schisandrae, ginseng, largehead atractylodes rhizome, spontaneous sweating and keel, oysters; Sun be the spirit is weak, the shape is cold, and cold limbs and lumbar debility, pulse heavy fine or "generation, add aconite, cassia twig, deer bit grass; Partial Yin deficiency, night sweats, red tongue less tianjin, pulse count, add GuiBan, turtle shell, magnet, zhu poria cocos; What blood stasis, lip, claw a purple purple defect, new sash bilge, tongue dark purple, add turtle shell and beef shanks; Abdominal distension and betel and a big belly skin, sweet; The whole body dropsy and pig lingya, CheQianZi. The hydration heat and blood stasis, phlegmy heat endogenous, fever, sore throat, cough cough up phlegm yellow sticky stiff, and radix scutellariae, almond, sprouting, lignad, of frutus; After feeling evil ways, fever, aversion to cold, throat pain, cough, plus honeysuckle, houttuynia cordata, fructus forsythiae, dandelion, QinJiao, prevent yourself. Water wet already go to, then, when the qi and Yin and Yang, depending on the actual foundation to give priority to.

        Heart faint period

        This is the most serious stage, lost to the disease, is worsening, life completely. TCM pathogenesis is mainly sun be the spirit collapse, clinical manifestations in heart failure is the basis of severe symptoms appear breathlessness and wheezing, a cough up phlegm saliary or red PaoMoTan or haemoptysis, irritability, extreme anxiety, pale, lip purple defect, his limbs jue cold, wet skin, sweating, pulse micro desire unique. Cure to yiqi save inverse, Yang solid for the law to take off, urgent need pulse injection or born with injection and intravenous injection, native born with scattered with dragon and pulse and helle tonga decreases. To faint inverse correct with minimal again after card.

        Medical record for example

        ZhaoMou one, female, 16 years old, January 10, 1993 attendance. Patients with fever, whole body joint pain, bosom frowsty, flustered, the area before the heart tingling in May in xian before a hospital be in hospital, identified as "rheumatic heart disease", "mitral stenosis merger closed not all" and "heart expanding", be treatment. Carved diagnosis: still bosom is frowsty, flustered, the area before the heart stabbing pain, low heat, joint pain, dizziness, menstrual quantity. The tip of the tongue red, moss white, pulse count.

        Certificate of breast of Yang, qi stagnancy and blood stasis, with heat and blood stasis. Governance in the wide chest, heat for the law to remove qi, with wide chest attack the formulas tonga minus: melon trichosanthis, danshen every 15 grams, Xie white, bitter and, cassia twig, puerarin, river xiong, angelica root, the 10 grams, born hawthorn 5 grams, roasted liquorice 6 g, sanqi (panax notoginseng) 3 g (at the end of the inquiry blunt), water frying uniform, daily 1 agent, points 2 times take.

        Take 6 agent, I have left breast pain and shoulder pain, sometimes dizzy, palpitations, the tip of the tongue red, moss white, pulse count. Keep the original party to puerarin add turmeric 10 grams, jade bamboo 12 grams.

        And take 6 agent, the symptom is reduced to four things tonga pink reduced: peachseed, root, river xiong, Xie white every 10 grams, angelica, born dihuang each 12 grams, danshen, melons, motherwort trichosanthis, born hawthorn, mistletoe every 15 grams, sanqi (panax notoginseng) 2 g (at the end of the inquiry blunt).

        Take 6 agent again after bosom frowsty flustered significantly decrease, but a cold, sore throat, move the sweat out, the body weakness, red tongue moss yellow, pulse count. This is a gas Yin has hurt, the original party prince and add 15 g, dwarf lilyturf 10 grams, fructus schisandrae 10 grams. Take 1 month, bosom frowsty palpitations significantly reduced, spirit get better, X-ray examination reealed a heart before narrowing. Take 2 month renewal, bosom frowsty, flustered, heart palpitations disappear.

        Rheumatic heart disease is the consensus of Chinese and western medicine NanZhiBing, zhang t think that as long as the early detection, early positive treatment, according to card affection change, stage of making stratified, not to change the law Lord party, can get the curative effect.