Symptoms to be solved: I always feel weak breathing, chest tightness and stomach fire recently. The usual situation: the vital capacity is very small, and the heartbeat is particularly easy to accelerate, but there is no pathological reaction, just poor physique and weak body.
First of all, the symptoms you gave are relatively simple. Breathing weakness and chest tightness are common in patients with spleen and lung qi deficiency or phlegm blocking heart pulse. It is your own judgment that the stomach fire is very strong. Please also provide the specific symptoms of this stomach fire, and see if there is constipation and dry mouth from the prescription. Please add your age, sex, diet, sleep, defecation and other specific discomfort, tongue quality, tongue coating color. So as to make specific dialectical treatment.
Tell me more about the prescription:
Rhizoma Anemarrhenae, Radix Rehmanniae, Radix Scrophulariae, Radix Ophiopogonis, Fructus Trichosanthis, Radix Pseudostellariae, Radix Astragali, Radix Angelicae Sinensis, Radix Paeoniae Alba, Cortex Albizziae, Radix Platycodi (above 10g), Fructus Aurantii 12g, and Radix et Rhizoma Rhei 3g. This prescription is mainly based on nourishing yin, clearing heat and relaxing bowels, supplemented by supplementing qi and nourishing blood. After taking it, the chest tightness is aggravated, and I feel very hot and sleepy, which is even worse than when I didn't drink it.
You usually have a small lung capacity and your heart rate is particularly easy to increase, but there is no pathological reaction, just weakness. Such a situation should be a lack of exercise and unhealthy yang. Drugs for clearing away heat, nourishing yin and nourishing blood are easy to damage yang and produce damp evil for patients with insufficient yang. After taking the medicine, the symptoms of chest tightness and drowsiness are aggravated, which can be thought to be caused by the further damage of yang qi after nourishing yin and clearing heat and being trapped by wet evil. Rhubarb is mostly used for relaxing bowels and purging fire, so it is estimated that you are more likely to be constipated. As a person who lacks exercise, intestinal peristalsis is worse. In addition, qi deficiency constipation can be caused by deficiency of yang. You can't use rhubarb for such constipation. Rhubarb has a strong attack effect and is mostly used for heat constipation, which is more likely to hurt yang. For chest tightness caused by qi deficiency, it will definitely aggravate the condition. Platycodon grandiflorum and Fructus Aurantii can regulate qi stagnation, but generally have no effect on qi deficiency. Feeling hot and dry is because the yang deficiency floats on the muscle surface after the yang is damaged. Therefore, it is more likely that your illness belongs to yang deficiency, and the specific manifestations of stomach fire need to be clarified.
The above is a guess about your illness and your reaction after taking it. I suggest you stop using the existing decoction. The specific treatment plan needs you to introduce your illness in detail before you can use it dialectically.
Breathlessness and chest tightness can be seen in many diseases of western medicine. Pay attention to whether it is accompanied by post-exercise asthma, difficulty breathing at night, need to sit up and breathe, whether it is accompanied by limb weakness (limb strength is obviously weakened), mild symptoms in the morning, aggravated symptoms at night, diplopia and facial paralysis, and whether there is a feeling of muscle beating and neck trauma. These diseases have been recognized by western medicine.
Regarding the fourth question, you may be worried about the quality of the medicine. I often prescribe granules for patients. The decoction pieces of this medicine are black if they are raw, and the particles are black after melting. There's nothing to worry about.
I'll consider whether your symptoms are aggravated after taking the medicine or not.