Specimen of give attention to two or morethings to coronary heart disease angina pectoris

KouZiXiang ChenBaoGui doctor of Chinese medicine studio Tianjin university of Chinese medicine qing affiliated hospital of traditional Chinese medicine

China's traditional Chinese medicine to

        Traditional Chinese medicine is not the name of coronary heart disease, angina. Ancient literature, have similar records, such as "sincerely pain", "faint pain", "obstruction of heartache", "long heartache", "sudden chest pain" and coronary heart disease angina pectoris consistent description. ChenBaoGui professor thinks, coronary heart disease angina pectoris of the main cause for heart haemorrheological nature vein, stagnancy of qi and blood stasis, the heart kidney Yang deficiency, phlegm turbidity resistance complex. The reason is: the virtual scale real, this virtual for heart (kidney) gas (Yang) is insufficient; Mark actually haemorrheological nature, blood stasis, qi stagnation, phlegm turbidity. Without this modest (kidney) gas (Yang) deficiency, since no haemorrheological nature, blood stasis, qi stagnation, phlegm turbidity and pathological product. The treatment to take temporary solution and give priority to. Therapeutic principles for: tonifying qi and Yin, promoting blood circulation removing. Party experience party yangxin tonga minus, curative effect is good, is introduced as follows.

        Agent composition: dangshen 20 grams, the dwarf lilyturf 15 grams, fruit of Chinese magnoliavine 5 grams, salvia miltiorrhiza 20 grams, rhizoma ligustici wallichii 10 grams, turmeric 10 grams, fructus aurantii immaturus 10 grams, yanhusuo 10 grams, lumbricus 15 grams, liquorice 10 grams. Day 1 agent, water frying suit.

        Square solution: square in codonopsis, radix ophiopogonis, fruit of Chinese magnoliavine tonifying qi and Yin, With salvia miltiorrhiza, rhizoma chuanxiong, rhizoma corydalis in removing blood; Turmeric for gas blood in medicine and harmonic qi and blood, more fructus aurantii immaturus with adjustable air, earthworm to removing phlegm, liquorice harmonic the medicine. The whole party played a total of qi and activating blood circulation, removing the work. Modern research shows that the group can reduce the blood viscosity, dilating coronary arteriovenous size blood vessels, stable vascular patches, reduce cardiac load, improve vascular elasticity and the vascular endothelial state, improve the coronary arteriovenous and general vascular function function. Single taste traditional Chinese medicine such as earthworm, its main composition hemangioblastomas kinase can through the activation fibrinolytic enzyme direct dissolve fibrin, can reduce coronary heart disease patients blood viscosity, dissolve thrombus, alleviate platelet aggregation, increase coronary blood flow and improve cardiac hemodynamic. So the syndrome differentiation of traditional Chinese medicine using the above, can better improve the patient's symptoms and blood, blood vessels condition, can improve the efficacy.

        Add and subtract: Yang heart failure who add 30 grams of allium macrostemon bunge, cassia twig 10 grams, The qi and sandalwood 10 grams (or aloes 5 grams), radix bupleuri 10 grams, sweet with 10 grams, What blood stasis and radix paeoniae rubra 10 grams, peach kernel 10 grams, red 10 grams, The kidney Yang deficiency and cassia twig 10 grams, radix aconiti lateralis preparata 10 grams, epimedium 10 grams, Phlegm turbidity person add pinellia tuber 10 grams, trichosanthes kirilowii maxim 20 grams, rhizoma acori graminei 20 grams.

        Use note: the above formulae dose not fixed dosage, should be with the qi and blood of the Yin and Yang how much discretionary add and subtract. Such as blood no obvious virtual person can reduce qi tonifying drug dosage, no significant blood stasis person can reduce invigorate the circulation of blood drug dosage, etc.

        Typical cases

        In some, male, 75 years old, on May 3, 2008 to see a doctor.

        Patients discontinuity in the area before the heart pain already half a year to spare, and attack with a bosom is frowsty, shortness of breath, left back problems, the rest or better after taking this medicine, with a 5 ~ 10 minutes inequality. Nearly 10 YuTianLai symptoms is aggravating trend, attack the previous frequent, and ease the time is long, the move is what especially. Nano passable, but dare not to much food, feed more easy to induce angina pectoris, poor insomnia, ErBian fair. Tongue light dark, moss white, vein weak slightly string. Check patients surface BaiShaoHua, poor spirit. Coronary heart disease patients with history of previous five years. This check electrocardiogram shows: under the joint wall myocardial infarction, myocardial ischemia. Western medicine taking aspirin, isosorbide dinitrate. According to the tongue vein disease diagnosis for obstruction, differentiation of symptoms and signs for qi deficiency and blood stasis. To cure and nourishing Yin, promoting blood circulation removing. Party in yangxin tonga minus.

        Prescription: dangshen 20 grams, the dwarf lilyturf 10 grams, fruit of Chinese magnoliavine 5 grams, cassia twig 10 grams, salvia miltiorrhiza 20 grams, peach kernel 10 grams, red 10 grams, red paeony root 10 grams, rhizoma ligustici wallichii 10 grams, turmeric 10 grams, fructus aurantii immaturus 10 grams, yanhusuo 10 grams, lumbricus 15 grams, liquorice 10 grams. 7 agent, water frying 450 ml points early late three times warm clothing, day 1 agent.

        May 10 second examination: patients chest stuffy short better, accidentally the area before the heart pain, has not frequently. Pulse is a powerful before. The original FangJiJin 7 agent. The boiling with the former.

        On May 17, three diagnosis: the patients with disease better, has been free of angina symptoms. Check tongue dark improvement, coating on the tongue a little yellow, vein turn powerful. The original party to cassia twig, peach kernel, safflower. To 14 agent consolidate curative effect. After January return visit symptoms is very good, can be appropriately for a walk.

        According to: according to patients ShaoHua complexion, chest distress, short short, moving, you very, tongue light dark, moss white, vein weak can be diagnosed the obstruction of qi deficiency and blood stasis. The Chinese party in codonopsis, radix ophiopogonis, fruit of Chinese magnoliavine tonifying qi and Yin, In rhizoma chuanxiong, radix salviae miltiorrhizae, rhizoma corydalis to invigorate the circulation of blood and to reduce the pain, Turmeric, fructus aurantii immaturus with adjustable air line blood, removing phlegm in lumbricus, liquorice harmonic the medicine. Patients vein weak slightly string for sun be the spirit is insufficient, reason and cassia twig to WenTong heart Yang. Patients with tongue light and darkness for qi deficiency and blood stasis, so add peach kernel, safflower, red paeony root to increase the strength of blood line and blood stasis. The whole party played a total of nourishing Yin, promoting blood circulation removing effect. Clear diagnosis, drug already check, so a clinical symptoms of patients after improvement. 2 the patient entered again into seven agent to carry on with the treatment. When three clinical patients have been free of angina symptoms, curative effect is very good. Because the patient tongue dark improve, so reduce invigorate the circulation of blood drug dosage, to peach kernel, safflower, red paeony root. Because the patient coating on the tongue a little yellow, vein turn strong, the heart Yang has not imaginary, die cassia twig. And clothing and agent to consolidate curative effect. The return visit curative effect is very good.

        ChenBaoGui professor emphasizes, coronary heart disease angina pectoris is not equal to the obstruction of doctor of traditional Chinese medicine. Obstruction of surface wide, including western medicine a lot of disease, such as coronary heart disease angina and myocardial infarction, lung disease, pleural disease, esophageal diseases, etc., and coronary heart disease angina pectoris sometimes no obstruction symptoms of. Generally speaking should accord with the obstruction of diagnostic criteria, it can be diagnosed with obstruction. The obstruction of pathogenesis, synopsis of prescriptions of the said "YangWei Yin string", namely the virtual scale false certificate. Coronary heart disease angina pectoris belongs to the obstruction of "YangWei Yin string" of this virtual scale real of disease person can use obstruction of post-interventional therapy. And, coronary heart disease angina pectoris patients a middle-aged, the patient is sun be the spirit has started to decay, phlegm turbid, blood stasis gradually gradually formation, the patient is much the virtual scale false certificate, so the treatment to the foundation to scale is given priority to. But the specific treatment according to syndrome differentiation situation at that time should take into consideration the add and subtract, do not hold a party to cure all ills, regardless of the Yin and Yang, chills and fever false or true, it shall rule, and sometimes also can false disease.