The story of Zou Xu diagnosis room | Slow and slow heart, Wenyang's drinking cure heart disease

Author:Guangdong Provincial Hospital Time:2022.09.13

Open column: [Zou Xu Diagnosis Room Story] The column is a special issue column led by Professor Zou Xu, director of the Department of Critical Medicine, the Department of Critical Medicine, Guangdong Province, and will focus on the real cases of Zou Xu's diagnosis room. Guidance, there is a professional medical analysis, while introducing some daily conditional tricks with accurate effects, operability, and simple and honest, to achieve the role of nourishing spirit, cultivating righteousness, and improving resistance. Bleak

Diagnosis

Mr. Chen, 35, has recently appeared uncomfortable with heart palpitations and shortness of chest tightness. It was found that the right ventricle was increased and suspicious of fibrosis. Symptoms increased day by day, which seriously affected Mr. Chen's quality of life. For the treatment of Chinese medicine, Mr. Chen then went to Professor Zou Xu's outpatient clinic.

Seeing the symptoms: palpitations, short chest tightness, shortness of breath, eating or slightly severe activities, symptoms of shortness of breath, sweating, lumbar acid, dry mouth bitter, obvious abdominal distension, poor nasal, poor stool, and small urination. The pulse is slippery and late, and the right pulse is weak. The tongue image is the keel tongue, and the moss is yellow and greasy. Auxiliary examination: 2021-02 Heart MR: The right ventricle is enlarged, the contraction is 51mm, the right ventricular EF 41%, the right ventricle is suspicious fibrosis, and the left ventricular contraction function is normal; 2021-03 Dynamic ECG: The frequent ventricular premature battle is 11019. Professor Zou's comprehensive patients with symptoms and auxiliary examinations, considering western medicine diagnosis: suspicious expansion myocardial disease; frequent ventricular premature beats.

In terms of traditional Chinese medicine, Professor Zou considers Shaoyin and Taiyin as a disease based on the theory of Changsang's Junmai Law and the theory of dirty dirty dialectical theory. In terms of treatment, it is mainly based on Wenyang Lihua Drinking, which is given to Yicheng Wuling San, combined with melon and white, and puppets with wide breasts. Strengthen the power of drinking drinking drinking, five -finger Maotao to nourish qi and the spleen, and the Schisandra to converge yin and peace of mind, and give the chicken in the chicken to eliminate the healthy spleen, and a small amount of rhubarb with comfortable qi. Fang Yu 14 doses and instructed the patients to avoid too much work and usually bask in the sun.

The second diagnosis: The patient's chest tightness and breath, the feeling of breath and abdominal distension are slightly alleviated. There is still a shortage of shortness of breath after activity. Self -testing of blood pressure fluctuations on weekdays is 100 ~ 105/60-65mmHg, and the heart rate is less than 60/min. On the basis of treatment, the Ephedra Fuzi Asarum soup helps the sun with Wenyang, Guizhi strengthens the power of Wenyang Tongyang. French Pinellia uses dampness and phlegm, cat's claws and phlegm disperse, and Xuan Ginseng nourishes kidney water, and nourish kidney water, and nourish kidney water. Clear heart fire. Continue to give 14 doses.

Three diagnosis: Patients have increased exercise tolerance at present, and there is no shortness of breath after daily activities. The chest tightness is significantly reduced. The pulse is weak, slippery and weak. In terms of treatment, the amount of aconite, ginger, and licorice is increased on the basis of the treatment.

Fourth diagnosis: Patients' complaints of exercise have been further improved, chest tightness and palpitations are reduced. On the basis of the medication, add oats to nourishing the heart to nourish the heart, and give the Chinese medicine warm heart capsules to enhance the power of warming and drinking, and consolidate the efficacy.

note

The patient takes palpitations, short chest tightness, slow heart rate, and low blood pressure. Professor Zou believes that its symptoms are related to myocardial degeneration. From the perspective of traditional Chinese medicine, they can be investigated in phlegm and sullen fire and heart yang. The spleen and yang of Taiyin, the power of the transportation, the phlegm dampness stops, the fire will be depressed for a long time, and the heart is disturbing the mind, so it can cause the heart palpitations and premature beats. Physical pulse, heart yang cannot be raised, heart yang is damaged, and the heart yang is damaged, which causes chest tightness and discomfort, and the heart rate and blood pressure are low.

Regarding such dilated cardiomyopathy, Professor Zou believes that its main contradictions can be attributed to the words "fast, slow, low", that is, "heartbroken (fast fighting such as fast heart rhythm), slow heart rate (sinus arrhythmia), low blood pressure low blood pressure, low blood pressure ", Chinese medicine mainly focuses on the cause of phlegm fire, yang deficiency, and phlegm.

In terms of treatment, the heart throbbing caused by phlegm fire can be used to drink sputum and drink phlegm, such as Wuling San, 苈治, Qu Mai, etc., and raw land, Ophiopogon, Zhigancao Decoction, etc. , Low blood pressure, Wenyang, such as aconite, ephedra, asarum, Guizhi, etc., overall, the cause of the cause of sputum, phlegm, heart pulse, heart failure, and loss of regulation, so the arrhythmia, the heart rate is fast, the heart rate is slow and slow, the heart rate is slow and slow. Unexpectedly, the cat's claw grass, Pinellia, saponin thorns, etc.

Professor Zou pointed out that there is a contradictory point of rapid heart rate in the clinical manifestation of this disease. It is too slow to nourish the yin too much and the heart rate is too slow. Pay attention to dynamic adjustment, balance the strength of yin and stability and Wen Yang.

Wen Zhenxinyang -Ephedra Mochi Aichi Decoction

The Episplaid Acrobonic Soup comes from the "Shayin Disease" in "Treatment of Febrile Diseases", which has been obtained. According to the provisions, the prescription is mainly used for the evidence of the two feelings of the sun. However, its main role is to warm through the cold and cold, and it is also useful for many diseases. Among them, the prescription can warm the heart yang, which can have a significant effect on the slow arrhythmia of Yang deficiency and cold. Ephedra, ascetic Wenxin San, is the good medicine of Wen Jing San cold and Xuantong Yangqi; aconite flavor, warmth, the Lord returns to the yang to save the reverse, replenish the fire to help the yang, the cold and the pain and the pain, the two products of ephedra and Huixin With the aconite, it can enhance the effects of the Fuzi Wenyang and applling the yang qi.

Modern Pharmacology found that ephedra has a significant effect of adrenaline neurotic excitement, which can increase blood pressure and increase heart rate; aconite has a significant strong heart effect, which can also improve the conduction between the rooms, accelerate the heart rate, increase the output volume of the heart rate ; Asara has a clear excitement for the heart, plays the role of positive muscle strength and frequency, and can also improve metabolism and expand peripheral blood vessels. Many clinical trials also clarify the view that ephedra Mochi Affordite Decoction can improve slow arrhythmia. Wenyang nourish heart and prevent heart disease

For patients who are prone to panic, insomnia, cold limbs, chills, etc., Professor Zou has a few suggestions to help prevent the occurrence of heart disease.

1. Caiyang Nourishing

The sun is the most direct and effective method for the human body to supplement yang. Professor Zou suggested that people with cold constitutions must pay attention to the health measures during the day. For those who are weak, they can choose a softer time in the morning and act in the daylight. It can be 1 hour; you can enjoy the sunlight for the young people with strong body.

2. Dietary camera

In terms of diet, many foods have a warm -toned effect, such as mutton, ginger, white white, brown sugar, etc. In addition, some Chinese medicines can also use daily tea, such as cinnamon, cinnamon, etc., and 5-10g cinnamon or 1-3g cinnamon can be placed when cooking tea or porridge on weekdays.

3. Acupoint health care

As the original acupoint of the kidney meridian, the Taixi Acupoint is one of the nine -pointer acupoints in the return of the Yangyang. He can be thorns to return to the Yang to save the inverse. Zusanli belongs to the Foot Yangming Stomach Meridian, and it is also one of the Jiuxiang acupoints of Huiyang. It is a health care point for strong physical and mental health. It can moxibustion this point to strengthen the spleen and warmth, nourish the heart and nourish the blood. Nei Guan acupoint, belongs to Jueyin Heartbase, according to the characteristics of "pericardium can be affected by evil", often according to this acupoint to prevent heart disease.

Zou Xu, professor, chief physician, doctoral supervisor, director of the Department of Critical Medicine, Department of Critical Medicine, Guangdong Provincial Hospital of Traditional Chinese Medicine. Professor Deng Tietao, a master of Chinese medicine, the heir, the seventh batch of academic experience inheritance of academic experience in the academic experience of old traditional Chinese medicine experts, the third batch of national outstanding Chinese medicine clinical talents, the second national outstanding youth traditional Chinese medicine, Guangdong Province famous Chinese medicine, the Chinese Academy of Traditional Chinese Medical Sciences Name Chinese medicine. He is good at treating cardiovascular diseases, urgency and critical illness, infectious diseases, and suspicious diseases in the treatment of cardiovascular disease.

He served as the leader of the Guangdong team leader in Hubei ’s fourth Chinese medicine medical team and the head of the C6 ward of the Leishan Hospital in Wuhan. The title of "Model of Times" of the Central Propaganda Department.

Later, as a member of the State Council ’s joint prevention and control mechanism and a member group of the New Crown Pneumonia Epidemic Extraction of the State Administration of Traditional Chinese Medicine, he assisted Hebei Xingtai, Guangzhou Eighth People's Hospital, Yunnan Ruili, Fujian Xiamen, Shaanxi and other places. In 2022, as a member of the Central Expert of the Central Division of the Central Affairs of the Central Affairs of the Central Committee, they all achieved good results and were recognized by patients and Chinese and Western medicine.

Won the Central Civilization Office, the National Health and Health Commission "China Good Doctor", the Guangdong Provincial Party Committee and Provincial Government "Guangdong Provincial Advanced Personal Personal Personal Personal Personal Extraordinary Personal", the Provincial Health Commission of the Propaganda Department of the Guangdong Provincial Party Committee, "Guangdong Good Doctor" The title of "the most beautiful retrograde of the new crown virus COVID-19" and the "People's Good Doctor-Medical People Special Contributors" and other titles.

Supply: Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital Lingnan Deng's Nei Keliu Panging Studio