Cao Hongxin experience to treat coronary heart disease (two)

Li Tongda Wang le Zhao Kaiwei China's traditional Chinese medicine academy of sciences

China's traditional Chinese medicine to

        Invigorate the circulation of blood through the pain

        Swallow one, male, 58, was on January 7, 2008. Coronary heart disease, hyperlipidemia, more than 10 years, more than 3 years in atrial fibrillation. Now before the heart stabbing pain, chest tightness, suppress wake, timid, occasional night sleep false, dizziness, night sweats. Dynamic electrocardiogram (DCG), atrial fibrillation, with frequent premature ventricular in pairs. Cardiac ultrasound atrial enlargement, aortic valve closure is not complete. Tongue purple, moss thin white, pulse and promote.

        This is heart pulse bizu, alongwith minds. Treat with promoting blood circulation to remove blood stasis tong bi, yangxin nerves. With therapeutic tonga subtraction.

        Prescription: radix rehmanniae 15 grams, 15 grams angelica, peach kernel 15 grams, red flower 10 grams, 15 grams of hovenia dulcis, rhizoma ligustici wallichii 15 grams, 15 grams of radix bupleuri, radix paeoniae rubra 15 grams, platycodon grandiflorum 10 grams, 15 grams of radix cyathulae, radix codonopsitis 20 grams, 15 grams of poria cocos, keel (Fried) first 30 grams, 30 grams of raw oysters (Fried) first, liquorice 10 grams. 14 agent, water decoction, day 1, 3 times.

        On February 4, two diagnosis: before the heart hurt not, afraid of false yi jing, sleep better, night sweats, palpitations, dizziness, irritable, when I have suppress wake up at night, Dan zi, whitish tongue, pulse and smooth. No atrial fibrillation, premature ventricular. Law-abiding treatment, prescription: American ginseng (Fried) first 10 grams, 15 grams of dwarf lilyturf, poria cocos 15 grams, radix rehmanniae 10 grams, 15 grams angelica, peach kernel 15 grams, 15 grams of red flowers, orange 15 grams, rhizoma ligustici wallichii 15 grams, 15 grams of radix bupleuri, radix paeoniae rubra 15 grams, 30 grams of raw keel (Fried) first, raw oysters (Fried) first 30 grams, the mother of pearl (Fried) first 30 grams, liquorice 10 grams. 14 agent, water decoction, day 1, 3 times.

        On February 25, the diagnosis: heart sting, suppress not awake at night, before I have heart palpitations, shortness of breath, nervous and afraid. Continue with the modulation, taking more than 100 agents, the disease will disappear, dynamic ecg is normal.

        According to coronary heart disease angina, patients often consciously area before the heart pain or cramps, more caused by phlegm turbidity and blood stasis bizu heart arteries and veins, if further development condition, can appear sudden big pain of heart, even cause heart pain. This case due to blood stasis bizu heart arteries and veins, the heart hurt before; Evil real closed airway resistance, poor blood running, bosom frowsty suppress wake at night; Alongwith the fright shyness, sleep not true; An image of lingual vein is blood stasis resistance. Heart arteries and veins bizu, mind alongwith certificate; When the promoting blood circulation to remove blood stasis tong bi, yangxin nerves to cure. Choose therapeutic tonga subtraction, with pink siwu soup promoting blood circulation to remove blood stasis and nourishing blood, with tong heart arteries and veins; Radix bupleuri and hovenia dulcis liver and qi, gas line the blood; Add medicine platycodon grandiflorum uplink reach on breast; Achyranthes lead blood stasis downward; Keel, raw oysters town of soothe the nervous. All parties has played promoting blood circulation to remove blood stasis, tong bi analgesic effect. Visit before the heart hurt not, timidity, ease sleep, night sweats, heart palpitations, suppress wake up at night, occasionally still visible medicine of disease, curative effect appears, bizu eased blood and qi and blood are still inadequate, following the former method, American ginseng, radix ophiopogonis take its yangxin Yin, born of arteries and veins. Before the clinical heart stabbing pain, suppress wake at night disappear, but I have heart palpitations shortness of breath, etc., in the making, and subtract the serving more than 100 agent, followed up for 3 years, in a stable condition.

        Phlegm and qi yi heart xuan bi

        In XXX, female, 47, was on September 17, 2007. Chief complaint: heart palpitations over five years, nearly 1 year. When before the heart pain, chest tightness, abdominal distention, nausea, occasionally more than a dream. In September, 2007, 15 heliocentric frequent premature ventricular electrical diagram. Tongue, dark red, moss yellow vein loosely coupled.

        This is phlegm turbidity bizu heart arteries and veins, cure to this phlegm, qi xuan bi.

        Prescription: sichuan coptis 7 grams, 15 grams, bamboo shavings qing pinellia 15 grams, 15 grams of snakegourd fruit, longstamen onion bulb 15 grams, 15 grams of hopu, immature bitter orange 15 grams, 10 grams cassia twig, poria cocos 15 grams, 15 grams of radix paeoniae rubra, rhizoma ligustici wallichii 15 grams, 30 grams of raw keel (Fried) first, raw oysters (Fried) first 30 grams, licorice 10 grams, ginger 3 pieces. 7 agents, water decoction, day 1, 3 times.

        On September 24, two diagnosis: heart palpitations, chest tightness, heart pain before did not make. Abdominal distension, slightly more than dream, when the good heave a deep sigh. Slightly dark, whitish yellow, reddish tongue pulse heavy slip knot. Prescription: codonopsis 20 grams, 15 grams of dwarf lilyturf, sichuan coptis 5 grams, pinellia 10 grams, 15 grams of snakegourd fruit, longstamen onion bulb 15 grams, 15 grams of hopu, immature bitter orange 15 grams, 10 grams of cassia twig, poria cocos 15 grams, 15 grams of turmeric, tuber fleeceflower stem 30 grams, 30 grams of raw keel (Fried) first, licorice 10 grams, ginger 3 pieces. 20 agent, water decoction, daily 1 agent, three times.

        On October 18, three diagnosis: doesn't heart palpitations, abdominal distention, but slightly shortness of breath, reddish tongue a bit dark, moss white, pulse heavy slippery, keep following the former method, providing modulation 4 months before, the disease will disappear, roughly normal electrocardiogram and stable condition.

        According to xuan bi tong Yang phlegm method is widely used in the treatment of coronary heart disease. ZhuYang suffer indignities in chest and turned in the back, the sun be the spirit is not shipped, jet bizu, therefore see before the heart pain; Closed chest Yang, phlegm turbidity resistance, qi and blood running, so see heart palpitations, chest tightness; Phlegm turbidity on and do not drop, so see nausea, abdominal distension and other symptoms; Tongue, dark red, moss yellow vein loosely coupled junction are tips for Yang deficiency and phlegm turbidity syndrome of blood stasis, so the statue ZhongShengXuan bi tong Yang, the rule of huoxue phlegm. In this case, in order to snakegourd fruit longstamen onion bulb pinellia decoction and acid-insoluble ash scallions Bai Guizhi tang, tong Yang phlegm open and close, pointing to pathogenesis; Panhandle small chest soup cures and the phlegm turbid heat of the standard; Radix paeoniae rubra and rhizoma ligustici wallichii promoting blood circulation to remove blood stasis in qi and blood, bamboo shavings and huanglian phlegm material anti-nausea inverse reduction; Heart qi deficiency, god does not have, so use keel, raw oysters town of nerves, and can make nervous. Before party 7 doses, the heart not pain, heart palpitations, chest tightness, abdominal distension, slightly more than dream, heave a deep sigh, visible medicine of disease, blood has been pass, no more party, to invigorate the agent, yiqi slightly. Three diagnostic methods, namelv doesn't heart palpitations, abdominal distention, but slightly shortness of breath, keep following the former method, providing modulation 4 months before, the disease will disappear, a stable condition.

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