The first case was rheumatic heart disease with heart failure, accompanied by cardiogenic cirrhosis and atrial fibrillation. After 26 days of initial treatment, all the symptoms still exist. Please consult Mr. Guo Shikui. According to the patient's symptoms such as palpitation and insomnia, shortness of breath, short and red urine and edema, loose stool, hepatosplenomegaly, white and greasy tongue coating, and pulse condition. It is determined to be deficiency of both qi and yin and deficiency of spleen yang. The prescriptions for invigorating qi, nourishing yin, invigorating spleen and inducing diuresis are Shengmai Decoction and Chen Yin Wuling Powder: Codonopsis pilosula 24g, Ophiopogon japonicus 15g, Schisandra chinensis 10g. Symptoms were relieved after 5 doses. After 15 dose, the condition is stable, edema disappears, asthma and cough are relieved, and people can get out of bed and move. After observing the prescription for more than 70 days, the symptoms of blood stasis were obvious, and the condition was stable by supplementing qi and nourishing yin, promoting blood circulation and removing blood stasis, adding Shengmai Decoction and Xuefu Zhuyu Decoction. Later, due to complications such as secondary serious infection, he died because of ineffective treatment. The patient with rheumatic heart disease and heart failure was treated by TCM syndrome differentiation, and his condition was stable for more than 6 months, which may be related to the enhancement of myocardial contractility and the improvement of myocardial ischemia and hypoxia.
The second case is a patient with cor pulmonale complicated with coronary heart disease. After more than two months of comprehensive treatment of western medicine, the symptoms have not been controlled. Asthma and cough patients can't lie flat, abdominal distension and constipation, Huang Chi in urine, yellow and greasy tongue coating, wet rales in both lungs and edema in both lower limbs. From the point of view of lung and large intestine, Dahuchai Decoction combined with Ganmai Jujube Decoction can relieve Yangming fu-organs: Bupleurum 12g, Fructus Aurantii Immaturus 12g, Radix et Rhizoma Rhei 10g, Scutellariae Radix 12g, Pinellia ternata 15g, 5 jujubes, 30g of floating wheat and 20g of Radix Paeoniae Rubra. After taking 4 doses of medicine, the symptoms are relieved with the unobstructed stool, the mind is clear, you can get out of bed and exercise, and the electrocardiogram is also improved. After replacement of Kechuangu tablets and Guanxin No.2 tablets for consolidation treatment, the condition was stable for 3 years after discharge. Pulmonary heart disease complicated with coronary heart disease is characterized by deficiency in essence and solid in essence, but it can occur as long as it is manifested. This kind of patients are mixed with excess and deficiency, and their symptoms can be treated by first aid. Treat the symptoms rather than the root cause, and regulate them by strengthening the body resistance and consolidating the foundation.
Case 3 is a patient with hypertensive heart disease complicated with angina pectoris. The symptoms are palpitation, heartburn, cold limbs, thin yellow fur, pulse knot, wet rales in both lungs, heart rate 125 beats/min, ECG showing ST-T segment changes, atrial fibrillation and arrhythmia. Western medicine has been used for comprehensive treatment, and the effect is not good, so Chinese medicine is added, and the methods of supplementing qi and nourishing yin, promoting blood circulation and removing blood stasis are adopted. Prescription: Radix Glycyrrhizae Preparata Decoction and Radix Trichosanthis Bulbus Allii Macrostemon Pinelliae Decoction: Radix Glycyrrhizae Preparata 10g, Radix Codonopsis 15g, Rhizoma Zingiberis Recens 6g, Radix Ophiopogonis 15g, Radix Rehmanniae 12g, Ramulus Cinnamomi 10g, and Colla Corii Asini Beads/kloc-0. The symptoms were relieved after taking 4 doses. After taking 14 dose, I only felt headache and dizziness, and the ST-T change of ECG recovered, and the defense was consolidated. Angina pectoris recurred one month later because the blood pressure rose to 150/94mmHg. The method of supplementing qi and nourishing yin, promoting blood circulation and removing blood stasis was still used, and the symptoms were improved after 7 doses of Shengmai Decoction and Xuefu Zhuyu Decoction. The patient was treated comprehensively outside the hospital, and the effect was not good. Traditional Chinese medicine treatment based on syndrome differentiation, imitating Zhongjing Zhigancao Decoction and Gualou Longbai Banxia Decoction, has obvious curative effect.
Zhongjing's methods of focusing on disease, focusing on syndrome, combining disease with syndrome, combining pulse with syndrome differentiation are the basic methods to treat various diseases and syndromes, and are also the basis for inheriting and carrying forward Zhongjing's theory.
Remind you: three classic prescriptions for heart disease. This folk prescription comes from the internet. Please follow the doctor's advice before use.