1. Abdominal pain: Atypical chest pain can be located in the upper abdomen, which is easily confused with epigastric pain, but epigastric pain is often accompanied by fever, hiccup, acid water spitting or clear saliva, which can be differentiated.
2. True heartache: True heartache is the further development of chest obstruction, which is characterized by severe heartache and even persistent incomprehension, accompanied by critical syndromes such as sweating, cold limbs, pale face, purple lips, blue hands and feet, thready pulse or knot generation.
3. Stop drinking: the chest and ribs are swollen and painful, and they continue to be puzzled, accompanied by cough and saliva. He also has lung symptoms such as cough and expectoration.
Fourth, treatment based on syndrome differentiation.
(A) Syndrome Differentiation of Chest Obstruction
Chest obstruction always belongs to the syndrome of deficiency in essence and excess in substance. First of all, we should master the deficiency and excess, distinguish the specimens, and distinguish the difference between yin cold, phlegm turbidity and blood stasis in essence. The deficiency in essence should also be distinguished from the deficiency of Yin and Yang.
(2) The treatment principles and specific methods of this disease.
The treatment principle of this disease should be to treat its symptoms first, and then consider its roots; First ward off evil spirits, then strengthen the body; If necessary, we can consider the same treatment method according to the primary and secondary conditions of virtual specimens and real specimens. In order to eliminate pathogenic factors and treat symptoms, the main methods are promoting qi circulation, promoting blood circulation, removing blood stasis, pungent warming and activating yang, removing turbidity and resolving phlegm, while the main methods for strengthening the body resistance are warming yang and replenishing qi, replenishing qi and nourishing yin, nourishing yin and tonifying kidney.
(3) Typing therapy
type
cardinal symptom
Tongue pulse
processing method
Herbs on the prescription
Blood stasis
Chest tingling, fixed, worse at night.
The tongue is purple and dark, and the pulse is heavy and astringent.
Promoting blood circulation, removing blood stasis, dredging collaterals and relieving pain
Xuefu Zhuyu decoction
Obstruction of phlegm in the middle
Chest tightness and pain, or pain leads to shoulder and back, shortness of breath, heavy limbs, obesity and excessive phlegm.
The fur is turbid and greasy, and the pulse is slippery
Clearing yang and removing turbidity, resolving phlegm and resolving hard mass
Gualou Scallion and Pinellia Decoction
Qi stagnation in the heart
Chest tightness, dull pain, pain without a fixed place, when you want to breathe too much, your feelings will get worse.
Thin skin and thin pulse
Regulating qi, promoting blood circulation and dredging veins.
Chaihu Shugan Powder
Heart pulse condensation
Chest pain in the back, severe cold pain, chest tightness and shortness of breath, palpitation, severe wheezing, inability to lie flat, pale face and cold limbs.
The tongue coating is white and the pulse is heavy and thin.
Warming the heart and Toarey Yang, relieving arthralgia and dispelling cold.
Gualou Bulbus Allii Macrostemon White Liquor Decoction, Danggui Sini Decoction
Phlegm contains dampness, cough, spitting and spitting.
Chest pain runs through the back and is painful.
Ginger, dried tangerine peel, poria cocos, etc.
Fuzi Pills and Suhexiang Pills
Yin deficiency of heart and kidney
Chest pain, palpitation, night sweats, insomnia, soreness of waist and knees, tinnitus and dizziness.
The tongue is red or purple, and the pulse is thin or astringent.
Nourishing yin and kidney, nourishing heart and calming nerves
Tianwang Buxin Dan Jiawei Fumai Decoction
Deficiency of both qi and yin
Chest tightness and dull pain, from time to time, when it comes to fatigue.
Weak and weak pulse, or knot generation.
Nourishing qi and yin, promoting blood circulation and dredging collaterals
Shengmai Powder Modified Ginseng Angelababy Decoction
Yang deficiency of heart and kidney
Chest tightness and shortness of breath, even chest pain, palpitation, sweating, chills, cold limbs, backache, pale face, pale lips or cyanosis.
The tongue is pale white or deep purple, and the pulse is thin or light.
Yiqi Yangyang, Huoxue Tongluo
Shenfu decoction combined with Guizhi Gancao decoction
Verb (abbreviation of verb) prevention, prognosis and prognosis
(A) the outcome and prognosis of thoracic obstruction
Although thoracic obstruction is an acute and severe disease in internal medicine, as long as it is diagnosed and treated in time, treated correctly based on syndrome differentiation, and patients cooperate well, the condition can generally be well controlled and relieved.
If the clinical treatment is misdiagnosed or mistreated, or the patient fails to adjust according to the doctor's advice, the condition will further develop, blood stasis will block the heart pulse, and the chest will suddenly feel great pain and continue to be puzzled, accompanied by real heartache such as shortness of breath, tepid limbs or cold and blue, and the prognosis will be obviously poor. But if it can be rescued in time and correctly, it can also turn the corner.
If the heart yang is blocked, the heart qi is insufficient, and the agitation is weak, palpitations and pulse conditions can be seen, especially true heartache with pulse conditions. If it is not found in time and not handled properly, it may lead to syncope or sudden death, so we must be highly vigilant. If the heart and kidney yang fail, the evil drink stops, and the water drinks the heart and shoots the lungs, edema, oliguria, palpitation, shortness of breath and other symptoms can be seen. This is a serious disease, so we must be vigilant and there is a danger of death.
(2) Prevention of chest pain
Abnormal mood will lead to dysfunction of zang-fu organs, which will lead to this disease. Therefore, to prevent and treat this disease, we must attach great importance to psychological adjustment, avoid excessive excitement or emotional excitement, and maintain a calm and happy mood.
Climate changes in cold, summer, sunny and rainy days also have obvious effects on the onset of this disease, so it is not appropriate to feel cold. Besides keeping quiet and ventilated, we should also pay attention to the proper cold temperature.
Other aspects should also pay attention to avoid overeating, quit smoking, drink less, eat a low-salt diet, eat more fruits and foods rich in fiber, keep the stool unobstructed, eat lightly, and don't overeat.