Blood stasis blocking collateral type
Symptoms are tingling in the precordial area, limited pain, involving the left shoulder and back, even sweating, chills in limbs, suffocation, dark purple tongue or ecchymosis, unsmooth pulse or tight string. Treatment should promote blood circulation, remove blood stasis, warm meridians and dredge veins. Treat with Xuefu Zhuyu Decoction and Guizhi.
Li, male, 58 years old. Chief complaints: tingling in precordial area, chest tightness, fatigue, insomnia and dreaminess. The tongue is pale, the coating is thin and white, and the pulse is string.
Syndrome Differentiation: Deficiency of chest yang and obstruction of heart and pulse. It is suggested to treat with Xuefu Zhuyu Decoction. Angelica sinensis 12g, Ligusticum chuanxiong 15g, Salvia miltiorrhiza 30g, Bupleurum chinense 12g, Paeonia Rubra 10g, Peach kernel 10g, Carthamus tinctorius 10g, Fructus Aurantii 12g, Achyranthes bidentata. After taking 5 doses, the heartache and chest tightness were relieved, and all the symptoms were eliminated after taking 5 doses.
Cold phlegm and blood stasis blocking chest yang type
Symptoms include chest tightness, palpitation, shortness of breath, even chest pain, blue complexion, pale tongue, white and slippery fur, and slippery or heavy pulse. It is advisable to treat phlegm yang with Gualou Garlic and Banxia Decoction.
Ren, female, 60 years old, farmer. Chief complaints: chest tightness, palpitation, shortness of breath, aggravated after exercise. The tongue is pale, the coating is white and slippery, and the pulse is heavy. He has a history of "coronary heart disease" and was hospitalized for "coronary heart disease" 1 month ago1day.
Syndrome differentiation: stagnation of cold phlegm and obstruction of chest and yang. It is planned to be treated with Gualou Scallion and Pinellia Decoction. Decocting Fructus Trichosanthis, Bulbus Allii Macrostemon, Rhizoma Pinelliae, Rhizoma Chuanxiong, Radix Salviae Miltiorrhizae, Fructus Aurantii and Radix Glycyrrhizae in water, and adding 65438 0 liang of Chinese liquor 65438 00 minutes before decocting. After taking 7 doses, the symptoms improved and the treatment was not continued.
Qi stagnation and blood stasis type
Symptoms include chest tightness, palpitation, shortness of breath, chest pain, even chest pain in the left shoulder and back, pale or dark tongue, thin or astringent pulse. It is suitable for promoting qi circulation, promoting blood circulation and relieving pain. Xuefu Zhuyu Decoction is added with Rhizoma Corydalis, Rhizoma Cyperi, Radix Curcumae, Fructus Aurantii and Cortex Magnolia Officinalis.
Su Mou, female, 52 years old. I came to see a doctor because of fullness in the chest and hypochondrium and pain in the precordial area. Self-reported fullness in chest and hypochondrium, and every pain in precordial area was induced by emotional stimulation, and he sought medical advice many times. Many doctors thought it was a heart attack, but the electrocardiogram showed no abnormality. The tongue is pale with thin white fur, and the pulse is string.
Syndrome differentiation: the syndrome belongs to qi stagnation and blood stasis, and it is planned to be treated with Xuefu Zhuyu Decoction. Radix Angelicae Sinensis, Semen Persicae, Carthami Flos, Radix Polygoni Cuspidati, Rhizoma Cyperi, Fructus Aurantii, Bupleuri Radix, Radix Paeoniae Alba, Bulbus Allii Macrostemonae, Magnolia Officinalis, Radix Curcumae and Glycyrrhrizae Radix. Decoct with water, one dose a day. After taking three doses, the fullness of chest and hypochondrium was obviously relieved, and then taking 10 dose, various Huo Ran symptoms appeared.
Cold coagulation and qi stagnation, heart and pulse obstruction type
Symptoms include chest tightness, palpitation, precordial pain, chest pain even reaching the left shoulder and back, pale tongue, white or slippery coating, and slow or slippery pulse. Guanxin Suhe Pill can be used for treating chest enlargement, regulating qi and relieving pain.
Mou Wei, male, 7 1 year old, suffers from "coronary heart disease". In the past three days, symptoms have worsened, chest tightness, conscious dyspnea, precordial pain, pale tongue with white and slippery coating, and rapid pulse.
Syndrome differentiation: cold phlegm stagnation, chest yang deficiency. Give Guanxin Suhe Pills 2 boxes, 3 times a day, 2 pills at a time. When the drug is exhausted, the disease is alleviated and the symptoms are eliminated.
Qi and blood deficiency type
Symptoms include palpitation, shortness of breath, poor activity, mental fatigue, hyperhidrosis, insomnia and dreaminess, pale or sallow complexion, pale tongue with thin white fur, and weak pulse. Treatment should be nourishing the heart, nourishing the heart and nourishing the nature, and reassuring the nature. Ginseng Guipi Decoction plus Ligusticum Chuanxiong, Salvia Miltiorrhiza and calcined Os Draconis was used for treatment.
Autumn and winter are the high incidence seasons of cardiovascular diseases. In this season, personal protection should be strengthened to avoid cold stimulation and reduce the occurrence of cardiovascular diseases. On the basis of syndrome differentiation and treatment, cassia twig and cinnamon are added appropriately.
Yang, female, 60 years old, farmer. The main reasons are palpitation, shortness of breath, fatigue, chest tightness and ECG showing "myocardial ischemia". The patient has sallow complexion, pale eyelids, weak breathing, loss of appetite, sweating when moving, pale tongue with thin white fur and weak pulse.
Syndrome Differentiation: Qi and blood deficiency, heart and pulse dystrophy. It is suggested that ginseng Guipi decoction be used for treatment. Radix Astragali 30g, Radix Codonopsis 15g, Poria 12g, Atractylodis Macrocephala 10g, Bulbus Allii Macrostemon 10g, Radix Salviae Miltiorrhizae 30g, Rhizoma Chuanxiong 15g, parched jujube kernel 30g, burnt hawthorn 10g, etc. After taking 5 doses, the symptoms were obviously relieved. After taking the dose of 10, the patient's symptoms disappeared and returned to normal work.
Deficiency of both qi and yin, cardiac dystrophy and abnormal pulse rate
Symptoms include palpitation, increased activity, affecting work, emaciation, fatigue and insomnia, sores on the mouth and tongue, dry stool, weak tongue, red and tender tongue with little fur, and pulse knot. Treatment should be nourishing blood, calming nerves, activating yang and restoring pulse. Treating with Zhigancao Decoction as the main prescription.
Tian, male, 68 years old. 13 has a history of "coronary heart disease", with frequent ventricular premature beats and sinus bradycardia on ECG, and has been hospitalized for heart failure many times. Since then, the disease has recurred, and I am tired of being hospitalized for infusion and require Chinese medicine treatment. Check that his face is dark, his body is emaciated, his breathing is weak, his tongue is bright red, his fur is thin and white, he has teeth marks, his pulse is slow, and his heart rate is 48 beats per minute. Self-reported palpitation, shortness of breath, dare not move, chest tightness and tongue pain.
Syndrome differentiation and classification: deficiency of both qi and yin, deficiency of both heart and yang, deficiency of both heart and pulse. It is suggested to treat with fried licorice soup. Codonopsis pilosula 15g, Ramulus Cinnamomi 12g, Zingiberis Rhizoma 12g, Poria cocos 15g, Cundong 12g, Radix Rehmanniae 12g, Colla Corii Asini 10g and Fructus Cannabis 650. Decoct with water, one dose a day. After taking 5 doses, all the symptoms of the patients were relieved to varying degrees. All patients will be treated with this prescription in the future, and continue to take 15 dose to eliminate symptoms and return to normal work.