The story of Zou Xu's consultation room | Turn turbidity and blood circulation and kidney, virtual reality and dizziness

Author:Guangdong Provincial Hospital Time:2022.07.02

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, and at the same time introduce some daily conditional tricks with accurate effects, operability, simple and honest daily conditioning to achieve the role of nourishing spirit, cultivating righteousness, and improving resistance. Bleak

Diagnosis

Grandpa He, 78, had a tightening pain after sternum tightening in the night due to no obvious inducement of at night. He was diagnosed with "acute and extensive front wall myocardial infarction" in the emergency department of the foreign hospital. Before January, patients were dizzy and dizzy, and they were unstable. The left limbs were weak, dumped to the left, and the left upper limb paralysis and other symptoms were admitted to the hospital again. The side brain has white quality degeneration and atrophy of the brain; 3. The bilateral internal neck arteries and vertebral artery intracranial sections are diagnosed as "short -term brain ischemia." Western medicine gives anti -agglomeration, lipid regulation and other treatment, and the symptoms are discharged after the symptoms improve. Since then, the patients have developed dizziness and weakness, and they have been diagnosed and treated in major Chinese and Western hospitals, and their symptoms have not improved. One day, Guangdong Provincial Hospital of Traditional Chinese Medicine held a free clinic activity. Patients with difficult and disease diseases went. Under this chance, Grandpa He came to Professor Zou Xu's free consultation table:

Seeing the symptoms: expression, spirit, dizziness, dizziness, feelings, unstable walking, worsening after meals; a little chest tightness and palpitations, more sweat and sticky, dry mouth. Naimen can be used, the stool is good, the stool is dry, and the discharge is not smooth. The tongue is dark red, the moss is white, double -off, the pulse strings are slippery, and the ruler veins are slightly sunken, and the yin veins are explicit. Cardiac ultrasound: After the Coronary Heart disease PCI; abnormalities in segmental ventricular walls; aortic distinguishing a small amount of reflux; a small amount of valve in a small amount of valve; the left ventricular diastolic function decreases; the aortic artery sclerosis. Skull CT: 1. A small cavity -like cerebral infarction in the bilateral base section area; 2. White quality degeneration of the side brain, brain atrophy: 3. Bilateral internal cervical arteries and vertebral artery intracranial sections. TNT: 0.018ug/L. In the past, the history of hypertension was more than 8 years, and the maximum systolic blood pressure was 160mmHg. It was plainly taken to worship the same one, QD, and the self -prosecution blood pressure control was still available. Two years ago, the acute myocardial infarction was hospitalized in the hospital for hospitalization and performed PCI. For a long time after surgery, aspirin, Bolvi, and Lipcke drug control have been taken for about 1 year.

Traditional Chinese medicine diagnosis: dizziness (phlegm stasis resistance)

Western medicine diagnosis: 1. ischemic cerebrovascular disease 2. Coronary atherosclerotic heart disease (postprandal postoperative) 2. High blood layer 3 (high -risk group)

According to the theory of Changsang's pulse method, Professor Zou, according to the patient's pulse and symptoms, through the method of six classics and internal organs, considering the patient's disease position in the brain tips, and the liver, kidney, and spleen. Inside, and the liver and kidney are not enough, yin deficiency and yang are hyperactive, the phlegm and stasis are disturbed, the upper and lower reality, the cure is to reduce phlegm, the spleen and stomach, nourish the liver and kidney as the method. Yu Guayu Bai Banxia Decoction is treated and subtracted, adding Mingzi, Jewuzi, and Mountains of Mountains to nourish the liver and kidney; Poria, Zexie, Shijia Pu Huatian phlegm and dampness; Rest the intestines; Instructed the patient to decoct and take it at any time.

Three years later, the patient accompanied his son to Professor Zou Xu's outpatient clinic. After taking more than ten doses of the medicine, the dizziness had no attack, chest tightness and palpitations, dizziness was significantly reduced compared to the previous, and the quality of daily life was greatly improved. If the patient has dizziness and discomfort in three years, it will be effective. Patients with regular medical examinations and no obvious abnormalities in the examination and examination.

Professor Zou Xu pointed out: "Physical" is not the only element of dizziness. Zhu Danxi, who ranks the four people in Jinyuan, the cause of dizziness in his book "Danxi Mind" is "phlegm and qi and fire ... No dizziness, sputum is caused by fire. "It can be seen that" phlegm turbidity "and" phase fire "are used as the two factors of dizziness, and it is believed that only the phase fire is acting, can it cause the phlegm to dizziness. And the Chinese medicine classic "Nei Jing" also mentioned: "What is the heat in the yin deficiency? ... There are tiredness, the shape of the shape is too small, the valley is not full, the upper focus is not available, the lower the lower is not connected. Internal heat. "This shows that the" phase fire "is closely related to the" qi deficiency ". The referral of qi and the deficiency of qi can be caused by the excessive fire of the fire, and the volatile motion of the fire can also be caused by qi deficiency. The so -called "phase fire, the fire of the lower coke, the thief of the vitality", the vitality and the fire cannot be standing, the qi is more deficient, and the fire becomes more blazing, and vice versa.

According to the theory of internal organs, the relationship between the kidneys and the liver is closely related. The so -called meteriomy is the same. Nephrine inflammatory losses cannot nourish the liver, water does not culprit wood, yin does not diminish yang, liver yang is hyperactive; liver yin is insufficient, "child disease and mother" can also cause kidney yin deficiency and cause each other. Just as "Certificate of Certificate of Certificate and Dynamic", the so -called "good hepatobiliary is the dirt of the wind and the wind, the fire is sent inside the fire, and the sexual active is promoted." Born, burning into sputum. The phlegm turbidity can also cause dizziness; the liver and kidney are the dirt of the mother and child, the kidney yin deficiency does not have water, the wood does not sparse soil, the spleen is not healthy Raising it, so the head is dizzy.

When the patient first saw the double pass, the pulse string was slippery, and the ruler was depressed. According to the theory of the Changsangjun pulse method, the double pass was moving, and the depression of the ruler was damaged by the lower coke of the liver and kidney. Hypertrophic, water does not culprit the image of trees; the explication of the Taiyin pulse is spleen deficiency and sputum, depression and vulgar endogenous, and yin deficiency and fire refining fluid into sputum. The patient is over seventy years old, the vitality is gradually declining, the kidney essence is insufficient, the kidney main collection of fine marrow, the kidney yin does not charge, the water is not culprit, and the liver yang is hyperactive, so it is dizzy. Vitality and vitality destructive, the fierce fire is even more prosperous; the temper is deficient, the diet enters the inside. The sputum stasis related to the above reasons for the formation of phlegm turbidity is stagnant in the pulse path, brewing blood stasis, phlegm stasis and stasis, blocking the pulse road, the clear tactics are not through, and the hair is dizziness. The dry mouth is bitter, which is the phenomenon of liver qi stagnation, and the inflammation of the virtual fire; chest tightness and palpitations are intertwined with phlegm and stasis. Cardinals are unfavorable and blocked in the chest. Turbid deficiency and heat interconnection, spleen and stomach do not transport, closed depression, and stomach yang cannot be applied; the kidney divisions can not be applied, the kidney deficiency is insufficient, and the kidney essence is less. Row. For such patients, Professor Zou drinks phlegm and drinking blood, promoting blood circulation and removing blood stasis, and pays more attention to nourishing liver and kidney, replenishing vitality, and cure. Regarding the treatment of dizziness, the "Danxi Mind Law" clearly proposes "mainly phlegm". Choose Guayan Baixia Soup as the main recipe. Dry soil, diarrhea drinking and eliminating phlegm; salvia and red blood circulation and blood stasis, and wide breasts; Shifang Po is more than the effect of reducing phlegm and dehumidification. The matching of female virgin and rectification, the meaning of the traditional famous recipe "Erzhi Pill", nourishes liver and kidney, nourishes blood, but not greasy; dogwood can make up for astringent, can converge and fire, so that the fire can not be inverse. It does not disturb the sputum of its ilcus; in addition to the tingling and the intestines, it can also nourish the yin and nourish blood; the prince ginseng is sweet and warm, can return to the vitality, so that the vitality is full, and then the vitality is restricted. The relationship can be returned to normal, reaching the purpose of turning phlegm drinking, and reducing qi to reduce fire.

Virtual reality and regulating dizziness

"Danxi Mind Method" emphasizes "no phlegm is not dazzling", and "Jingyue Quanshu" pointed out: "Nothing is not dazzling", the dizziness mechanism is the two ends of the virtual reality, and the deficiency is insufficient marrow or qi and blood deficiency. Disability; the actual is wind, fire, phlegm and stasis.

Traditional Chinese medicine believes that dizziness is based on virtual reality and can be summarized as five categories:

1. Hyperture of liver yang, symptoms see dizziness, tinnitus, bloated head, bitter mouth. In the inflammation of the fiery fire, you can see insomnia and dreams, irritability and anger, red tongue and red, pulse strings or numbers. It is better to treat the liver and dive the sun, and clear the fire.

2. Qi and blood are deficient, and the symptoms of the symptoms are intensifying, and the fatigue is hair. Face, fatigue, burnout laziness, lip armor is not blooming, hair color is not lustful White and weak pulse.

3. Insufficient renal essence, symptoms of dizziness for a long time, mental deficiency, backache and knee softness, forgetful nocturnal emission, tinnitus and tongue tongue red and less moss pulse. It should nourish the liver and kidney, and fill the marrow.

4. The phlegm is dampness, and the symptoms see dizziness.

5. Blood stasis and obstruction, symptoms see dizziness headache, forgetfulness insomnia, palpitations, mental weakness, tongue with bruises, astringent pulse. It is better to remove stasis and live new, promoting blood circulation.

In real life, the dizziness machine is intricate, and the cause of the cause of the cause is wrong. Because the positive deficiency is easy to keep evil, the evil is easy to hurt, so the reality and seeing the main reason can be described as dizziness and lingering. Professor Zou Xu believes that the viscera is related, the viscera affects each other, and the functional disorders are the basis of dizziness, and it is the main internal factors that determine the development of its development. , Similarly with the development of the disease. Do not blindly correct it during treatment, or only take care of the evil; you must be good at distinguishing the severity of the false and reality when discriminating the syndrome.

Prevention and daily health care of cerebrovascular disease

1. Reasonable diet: Properly limit the intake of fat, sugar and salt, and eat more foods rich in potassium, calcium, and vitamin C. Such as potatoes, bananas, kelp, purple, fungus, mushrooms, yam, soybeans, fish, shrimp, tomatoes, celery, onion, Hero Bu, etc. To control weight, eat seven or eight full meals.

2. Moderate exercise: You can choose a exercise that suits you, insist on aerobic exercise (walking, simplifying Tai Chi, ball sports, etc.), you must persist in persistence, it is advisable to adhere to 30 to 60 minutes daily; At about/min, persist 3 to 5 times a week. In this kind of exercise, oxygen can be fully fermented in the sugar in the body. It can also consume the fat in the body for a long time. The exercise itself can reduce blood pressure and increase the content of high density lipoprotein. It is the main way to exercise fitness and weight loss. However, pay attention to avoid cold and scorching exercise, do not advocate morning exercise and fasting exercise, avoid excessive bowing, bending and force during exercise.

3. Quit smoking and restriction: Chinese medicine believes that wine is fumigated by the fermentation of Water Valley. It is the liquid of cooked valley, which is hot and humid, and is a product of damp heat. The human body is hot, sputum and dampness, and dampness and heat. In the long run, "damp heat" is accumulated in the body, forming damp -heat constitution. Cigarettes are hot and poisonous. If the heat of the hot, adding fire, the heat is heated, plus the coking oil, which is easy to combine with the phlegm in the lungs, and the heat and the yin, the fire, and the qi. Both phlegm blocked. "No sputum is not dazzling", damp -heat phlegm turbid glue is knotted in the body, blocked the brain tips, and suffocated the astringent veins, which will induce cerebrovascular disease. 4. Maintaining a peaceful mindset: The reason why the brain is used to exert its main Yuanshen must be based on the support of qi and blood and the elevation of the gas machine. You should learn to relax your spirit after intense life and work, so that the rest of the brain can help reduce the impact of psychological and social factors on blood pressure. Brain diseases are mostly caused by seven emotions. Seven emotions are mostly injured in internal injuries, qi and blood are chaotic. Therefore, we must be fame and fortune, develop a peaceful mentality, and less disputes with others, and internally keep internally.

5. Develop good living habits: there must be regular life, ensure sufficient sleep, maintain the body's metabolism and the normal operation of the viscera. Prevent dry stool: Eat more fruits and vegetables, drink plenty of water to prevent overweight and obesity; pay attention to checked every year, measure blood pressure regularly, and detect blood lipids and blood sugar levels.

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 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 to conduct joint Chinese and Western medicine joint diagnosis 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

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