The treatment of coronary heart disease (CHD)

Studied with teacher Feng Shiguan - the application experience

YangYan Linyi city of shandong province MengYinXian Tanzania port hospital

China's traditional Chinese medicine to

        A book in the eastern han book theory of typhoid miscellaneous diseases, marked by the establishment of the medical system and mature, laid the principle, method, square, medicine theory basis. Contained in the book of compatibility of prescription medicine Jane flavour, less accurate and flexible cutting, distinguished, curative effect is the acknowledgement your respectful name for "the party", "the father of the sense".

        Later generations know carried out extensive research from different angles, have obtained many achievements. Modern famous approved by Mr Fang master Hu Xishu lifetime is engaged in the clinical, creatively put forward the treatise on febrile disease from the soup liquid after the act instead of huangdi neijing, six-channel differentiation is not syndrome differentiation of zang-fu organs and meridians, but dialectical, the eight principles is the square medicine USES a six-channel differentiation system of the eight principles. Reveals the essence of syndrome differentiation, that is, based on the body on the basis of the general law of the reaction, and adapt to the overall and disease cure method. Syndrome differentiation has a party, the party is a six-channel eight principles of dialectics to syndrome differentiation and treatment, party card is the tip of the academic thought. Japanese major hailed as "China has a unique theoretical system, famous treatise on febrile disease, the researchers, the location" from. Hu Xishu Mr Of the complete system unique philosophical party card to evidence-based medicine avenue to Jane, curative effect is clear, strong operability, for future generations left a typhoid fever, typhoid and efficient shortcut: first six-channel differentiation (eight principles), and bian zheng, zheng is the tip of the syndrome differentiation and treatment.

        Hu Xishu academic heirs, the ministry of health of china-japan friendship hospital professor Feng Shiguan continuously summarize the party master Mr Hu Xishu through research, textual research on the formation of theoretical system, take the lead in put forward the treatise on febrile disease is a unique by the theory system of traditional Chinese medicine; Mr Inherit Hu Xishu philosophical essence, on the basis of further explore the concept of jue Yin disease, has been clear about the jue Yin disease, shaoyang disease syndrome; In succession Hu Xishu Mr Israel class certificate, to disease is a kind of certificate, on the basis of discusses the six-channel class certificate. In Feng Shiguan I had the privilege of shicheng, hear from teacher's teaching, learning with understanding which deepens, clinical examination when the images and card, clinical efficacy before had the very big enhancement. Now will I use the treatment basis two coronary heart disease and its syndrome differentiation thinking arrangement is as follows.

        Case of a

        Yan, female, 55, farmers, to begin on April 8, 2012.

        Chief complaint: paroxysmal chest filled with shortness of breath, palpitations, 1 months increased with palpitations gas in place, the mild edema of lower limbs in 12 hours.

        History: in patients with breast cancer five years postoperatively, history of coronary heart disease (CHD) four years. A month ago, patients with paroxysmal chest after angry after, the area before the heart full tightness shortness of breath, palpitations, statistically insignificant, illness aggravating gradually. 12 hours ago, patients with chest tightness, shortness of breath, full of gas in place of hard, flustered, double leg edema, medication (drug are unknown) not alleviate by oneself, hence to our hospital, through inspection "coronary heart disease (CHD) admitted to medical treatment. Attending physician in oxygen, infusion of rescue at the same time, I went to the doctor of traditional Chinese medicine consultation, please.

        Face carved diagnosis: zhao qing, pain. Paroxysmal chest tightness, shortness of breath, and the area before the heart with after gas in the hard, heart palpitations, dizziness, dry mouth, abdominal distention, pain at left side, double lower limbs mild pitting edema, fatigue, hand, foot and not warm, NaCha, urine, stool, lip purple, dark tongue, moss thin yellow, pulse string to count. Double lung auscultation breath sounds clear, no dry and wet rale; Of 100 beats per minute, low heart sounds dull, law of qi, no noise. Laboratory examination: electrocardiogram (ecg) in coronary artery blood supply deficiency; Troponin 0.30 ng/ml.

        Bian six-channel: left side abdominal distention not temperature, pain, hands and feet for Yang and qi stagnation, muggy less; Dry mouth, moss thin yellow, pulse string count, as Yang Ming; Giddy, the slight pitting edema of lower limbs, lack of power, NaCha, less urine, for lunar; Chest stuffy short pant for full, heart palpitations, pulse string, phlegm obstruction QiNi, chest Yang bizu; Lip is violet, dark tongue of blood stasis.

        Four diagnosis and distinguishing for Yang Yang Ming lunar or less a disease, and transresistance heart Yang phlegm and blood stasis.

        Bian zheng: four inverse scattering and acid-insoluble ash scallions Bai Guizhi soup, three guangxi sweet tonga subtraction operation.

        Prescription: radix bupleuri 12 g, 12 g of frutus aurantii immaturus, radix paeoniae alba 10 grams, 10 grams cassia twig, acorus gramineus 10 grams (in the stone calamus generation longstamen onion bulb), magnolia officinalis 10 grams, 10 grams snakegourd fruit, rhizoma atractylodis 10 grams, 10 grams of poria cocos, ginger 10 grams of pinellia, salvia miltiorrhiza 10 grams, 10 grams, dried tangerine peel main licorice 10 grams, 30 grams of oysters.

        After patients took over half an agent, that is, April 9, check in the morning, see patients has stopped oxygen, smooth breathing, attack frequency of chest tightness, palpitations patients significantly decreased, increased urination, pulse string thin a little, to renew the above.

        April 15: patients with chest tightness is not obvious, sometimes heart palpitations, double leg edema disappeared, the brotherhood of variable temperature, can, or can be, pulse gentle, without discomfort. Discharged patients take medicine home and nurse to immature bitter orange scallions Bai Guizhi problems arising from tonga dangshen, astragalus root, in order to consolidate curative effect.

        Experience: about obstruction, synopsis, obstruction of heartache dispirited disease pulse card for 9 "records: among his pulse when take too less, fame Yin string, obstruction and pain, why, blame the label also. Today know Yang deficiency in the upper energizer, obstruction of heartache, so with its overcast string also. Made it clear on coke Yang deficiency, chest Yang, phlegm turbid drink evil, good chest, evil is muscle, sun be the spirit, qi and blood stasis, so the obstruction of heartache. So "fame" and "Yin string" are the two necessary conditions for obstruction of heartache, only weak chest Yang or only yinxu obstruction of heartache is not enough to come in, must be on coke chest Yang, depressed at the same time, both hardness in Yin cold fill, stroke knot on each other and form bizu, only can produce obstruction of heartache.

        This case caused by modern disorders in patients with less YangShuJi adverse, jet stasis, so that endogenous phlegm, condensed mind, chest Yang due to Yin in Yang a depressed disease. Treatment is focused on pivot less sun be the spirit machine, tong Yang clear phlegm, dispelling stasis and drink. So to four inverse scattering and acid-insoluble ash scallions Bai Guizhi soup, three laurel tonga subtraction and the operation takes effect.

        Party card from treatise on febrile disease si-ni-san article 318: shaoyin disease, four inverse, person or cough, or nervous, or urination, or belly pain, or leakage of the person that weigh, four inverse scattering of god. Party of radix bupleuri, immature bitter orange, herbaceous peony are feasible gas antipyretic, radix bupleuri main threats is full, immature bitter orange ZhuXin established under the full, peony cramps abdominal pain, licorice gump detente. SiYao cooperate, attending hot indicates qi depression, chest pain, heart full the new plug, abdominal cramps and pain under the urgent.

        Acid-insoluble ash scallions Bai Guizhi bind card comes from the "golden chamber, obstruction of heartache dispirited disease pulse card for 9" article 5: "the mass at the right hypochondrium, obstruction, heart gas knot before the chest, chest, full REINS inverse rob heart, immature bitter orange scallions Bai Guizhi soup of god; ginseng soup is of the Lord." This section mainly discusses inverse treatment of obstruction of mass at the right hypochondrium, therefore, immature bitter orange scallions Bai Guizhi soup be qi rushed, attending obstruction of wheezing cough salivary, chest pain, shortness of breath and chest in reverse is full.

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