Summer is here, cardiovascular disease patients should not be careless! When summer arrives, many patients with cardiovascular disease have such a misconception. They think that the blood pressure is the lowest in the summer and the disease will be relatively stable. In fact, summer is the peak period for the onset of cardiovascular diseases. Some information shows that the hospitalization rate of stroke and coronary heart disease patients increases significantly after entering May, and the mortality rate of cardiovascular and cerebrovascular diseases increases significantly in hot weather above 35 degrees Celsius, so high temperature is very harmful to patients with cardiovascular and cerebrovascular diseases. This is because the human body metabolism accelerates in summer and the demand for oxygen and nutrients increases, but at this time the temperature is higher, the air humidity is higher, and the oxygen content decreases, and the human body will make the blood set on the body surface for heat dissipation, so the blood supply to the heart brain decreases, which will aggravate the ischemic-hypoxic reaction. Due to the low air pressure, the body sweats a lot, the body loses more water, so that the blood viscosity rises, blood circulation is blocked, easy to induce thrombosis, heart attack, coronary heart disease, stroke and other cardiovascular diseases. Therefore, when summer comes, we would like to give a warning to patients with cardio-cerebral vascular disease, please pay attention to the changes in the body and use some regimen of traditional Chinese medicine to get through the hot summer. Shanghai Tenth People’s Hospital TCM Cardiovascular and Cerebrovascular Disease Clinical Medical Center Han Tianxiong Tianren: A look at the effects of the heat on the human body Chinese medicine advocates the natural and human view of the unity of nature and the human body, believing that man and nature are one whole, and that climate and seasons will have an impact on the human body. In summer, the hot climate, people’s appetite decreases, the intake of nutrition is relatively reduced, and the day time is longer and the night time is shorter, coupled with the hot climate, sleep is often insufficient, all of which will cause the deficiency of vital energy, easily causing human weakness. Chinese medicine believes that the heat of the summer heat rise and spread, easy to consume gas and injury, and summer must hold moisture, often summer heat and moisture image and see. Due to the heat forced steam, the coup open drainage is sweating tearful, a lot of sweat out, so the fluid depletion, and the gas with the fluid drainage can lead to qi deficiency. In addition, dampness also hurts qi, easy to block the qi of clear yang, so patients often feel tired and weak, short of breath and palpitations, limbs sleepy head heavy, thirsty lips dry. Summer heat can disturbs the blood for stasis, and can also block the qi, as Wu Kunan pointed out: “heat toxins steam and burn, the qi and blood meridians are blocked”. In the hot summer, people tend to trigger “heart fire” and “liver fire” and become impatient, irritable and angry, especially in the elderly. This can lead to myocardial ischemia, arrhythmia, increased blood pressure, and even intracranial hemorrhage or myocardial infarction, which can lead to cardiovascular accidents. Resistance to summer is a seasonal disease with peak incidence in the summer, summer solstice and summer heat, and can continue until the summer heat. Resistance to summer is a disease with obvious regional characteristics, mostly seen in the humid and rainy watery areas of Jiangnan. The pathogenesis of resistance to summer is also related to the physical condition of the person. Patients with cardiovascular disease are mostly middle-aged and elderly people, who have been ill for a long time and have a mixture of deficiency and reality, so it is important to prevent resistance to summer. Patients are unable to eat normally, and the lingering period can last for several weeks. The lack of nutrients in the body makes the body increasingly thin, combined with dampness and heat, general discomfort, mental agitation, low and lingering fever, light and sweet mouth, sticky and unpleasant, loose ambassador, and short and red urine. According to the characteristics of resistance summer and the clinical manifestations of the patient, it is believed that the pathogenesis of resistance summer is a deficiency of Qi and Yin, and the summer heat and dampness are abundant. Therefore, the treatment should be based on clearing summer heat and relieving heat, relieving dampness and relaxing the middle of the body, while benefiting the qi-yin of old and weak people. Commonly used formula is introduced as follows: Stomach: Atractylodes Macrocephalae 9g, Ginger Chuan Park 6g, Guang Chen Pi 6g, Acorus calamus 6g, Yu Jin 9g, Forsythia 6g, coarse powder, each time take 9g, water decoction three or five boiling to remove the slag to take juice, twice a day. Indicated for dullness, chest tightness and abdominal distension, heavy head and body sleepiness, etc. Su Spleen Drink: 9g of patchouli, 9g of pelargonium, 9g of artemisia japonica, 9g of liuyi san (decoction), a corner of fresh lotus leaf, 4.5g of cardamom, decocted twice with water, divided into 2 doses, suitable for those who are hot, heavy and weak, with muscle pain and loose stools. In the face of the many risk factors in summer, how should patients with cardiovascular disease spend the hot summer? First of all, to prevent “emotional heatstroke”, “the heart is quiet and naturally cool”. When the day is hot, people tend to look irritable, to prevent “emotional heatstroke”, we should pay special attention to “meditation” health. You should let your mind calm down, clear and happy, full of confidence in life, free from the interference of external bad emotions, do not “heat for heat”, resulting in heart fire, emotional out of control, excessive anger or tension and induced cardiovascular disease. At the same time, in the summer should also try to speak less, not to do intense brain thinking, so as not to strain the mind and hurt the gas. This is an important part of summer health, and has an irreplaceable role in the prevention of cardiovascular and cerebrovascular diseases by drugs. Secondly, we must be disciplined in our living and exercise at the right time. According to Chinese medicine, summer should be the season for the elderly to “quietly recuperate” and not to exercise a lot. Many elderly people are willing to get up early for morning exercise because of the early dawn in summer, but according to the survey, 70% to 80% of cardiovascular and cerebrovascular diseases occur in the morning 6 to l0, which is considered to be a good time for cardiovascular and cerebrovascular diseases, so exercise should try to avoid this time. In recent years, the use of air conditioning families more and more, the temperature difference between inside and outside the room, and if you go outside at noon, the temperature difference will be even greater. Cardiovascular patients for this change is difficult to adapt to, because the rapid change in temperature will cause the body’s blood vessels constantly contraction and diastole, directly leading to changes in blood pressure, causing blood circulation disorders, inducing heart attacks or strokes. Therefore, elderly people with a history of cardiovascular disease should pay attention to reduce outdoor activities, rest more indoors, and it is best to take a nap for one hour after lunch to supplement the lack of sleep in the evening. Third, pay attention to a light diet and ensure adequate water intake. Summer time heat and humidity, prone to dampness and heat, so the summer diet should be light and soft, easy to digest food, eat less high fat and thick and spicy things, especially to avoid overeating, because people suffering from cardiovascular disease overeating easily induced angina, myocardial infarction and other sudden diseases. People with hypertension should pay attention to the daily salt intake control below 5 grams, while increasing the intake of potassium-rich foods, eat more fresh vegetables, fruits and bean products. For example, watermelon is sweet and cold in nature, and watermelon juice has the name of “natural white tiger soup”, which can lead to the heat of the pericardium, from the small intestine and bladder down the drainage, with the effect of clearing heat and detoxification, eliminating summer heat and generating fluid. Pay attention to drink more water, timely replenishment of water, even if you do not feel thirsty to drink more than 1,000 ml of water every day, and increase the amount of water when sweating. Especially before going to bed at night and after getting up in the morning should drink a glass of water, such as waking up in the middle of the night can also be moderate into some water, this can reduce blood viscosity, can prevent thrombosis, reduce the possibility of sudden cardiovascular disease. Conditions can drink more such as green bean soup, lily soup, lotus seed porridge, sour plum soup and other beverages, both to replenish water, but also to clear the heat and appetite. Such as according to the folk formula “chrysanthemum, acacia, green tea, three grams of each into the tea cup, boiling water, drink frequently, several times a day, not only to quench thirst, but also to reduce blood viscosity. Fourth, in the summer can be food therapy. Food therapy for China’s cooking a major feature of a long history, both the enjoyment of beauty, but also to achieve the purpose of disease prevention. Many of our natural medicines are of the same origin as medicine and food, with the nature and function of medicine and food, to adjust the balance of Yin and Yang in the human body. Here are a few commonly used summer food therapy recipes for patients with cardiovascular and cerebrovascular diseases. 1, corn beard watermelon rind soup corn beard has a good antihypertensive and diuretic and stomachic effect, with the treatment of hypertension is effective and stable. Method to take 60 grams of corn beard, 60 grams of watermelon cui, 3 peeled bananas, plus 4 bowls of water decoction to 1 bowl and a half, you can add the right amount of rock sugar to drink, 3 times a day, can cure hypertension. 2, cold bitter melon shreds bitter melon can be edible, but also for medicinal purposes, in addition to the evil, relieving fatigue, dispel heat and heat, nourish the blood and liver, moisten the spleen and kidney role, eat more bitter melon in summer, not only can relieve the heat and clear the heart, but also has a high nutritional value. Bitter gourd can be cut into shreds, hot with boiling water and drained, then add shrimp, sesame oil, salt, soy sauce, monosodium glutamate and other seasonings, stirred into a delicacy. 3, American ginseng lily lotus seed soup Take 3 grams of American ginseng, 15 grams of lily, 10 lotus seeds with core, sugar, add water and stew, often taken to benefit the qi and nourish the yin, tranquilize the mind, can be used for the prevention and treatment of coronary heart disease. 4, lotus seeds drink bitter cold, good at clearing the heart fire, communicate with the heart and kidneys, mainly for the treatment of heartburn and dizziness, palpitations and insomnia, but loose stools are used with caution. You can take 15 lotus hearts, put them in a cup of boiling water and drink them frequently as tea. Fifth, the summer can also be moderate tonic. Summer due to high temperatures, pore expansion, easy to sweat, people often feel tired and weak, poor appetite, sleep restlessness, poor spirit, if not timely support the right qi, increase resistance, often cause other pathologies. Therefore, as long as the tongue moss is not white, thick or yellow, or if there is fever, you can take appropriate tonic, which is the most effective way to increase resistance, called “Fu tonic”. But some people think that people suffering from coronary heart disease and hypertension are mostly caused by careless diet, eating high-fat and high-sugar foods, so not only do they not need to supplement, but they can no longer supplement. In fact, Chinese medicine believes that coronary heart disease is “the original deficiency and the standard real” evidence, in the angina attack is frequent, should be the main treatment “symptoms”, but in ordinary times should be the main treatment “root”. Of course, supplementation should be appropriate, not indiscriminate, brutal supplementation, but should be adjusted, clear supplementation. In summer, the main manifestations of “deficiency” are qi deficiency and yin deficiency. The main manifestations of Qi deficiency are chest pain, panic and shortness of breath, depression, easy sweating, and thin and weak pulse. At this time, Chinese herbal medicine should be taken to nourish the middle and benefit the qi, such as stew with Radix et Rhizoma Ginseng, Astragali, Rhizoma Atractylodis Macrocephalae, Licorice, etc., or take raw sun ginseng; on the basis of nourishment, some blood activators can be added appropriately, such as Salviae Miltiorrhizae, Angelicae Sinensis, etc.; and attention should be paid to protecting the digestive and absorption functions of the spleen and stomach, such as using Atractylodes Macrocephalae to transport the spleen. If the symptoms are mainly Yin deficiency, such as chest tightness and night sweating, heart trouble and insomnia, waist pain and tinnitus, etc., Yin can be nourished and fluid can be generated, such as Shengdi, Angelica, Cornu Cervi Pantotrichum, Fructus Lycii, Medlar, Wuweizi, Dendrobium, etc. in stewed soup, but should not be overly nourishing, so as not to affect the digestion and absorption function of the spleen and stomach. If there are symptoms of both qi deficiency and yin deficiency, this is called yin and yang deficiency, yin medicine can be used together with qi medicine. In addition, if you have high blood pressure, you can add drugs that can both nourish and lower blood pressure, such as Eucommia, Sambucus and Lycium. When the blood lipids are elevated, you can also add yellow essence, yu zhu, gorgonian, cherry, shou wu and other drugs that can nourish the kidneys and nourish yin, but also reduce blood lipids, and at the same time can be combined with raw hawthorn, cassia seeds and other products that can eliminate. Sixth, summer is a good time for external treatment of Chinese medicine. The external treatment of Chinese medicine is a treatment method guided by the theory of Chinese medicine, through the skin, orifices, acupuncture points, etc., acting on the qi and blood meridians, organs and foci, to achieve the efficacy of external treatment of internal diseases. The three volts of summer is the time when the body’s meridians and blood are flourishing, and it is easier to apply the medicine at this time than in winter, so it is suitable for patients with cardiovascular and cerebrovascular diseases to be treated externally in summer. Such as coronary heart disease patients can be ground into fine powder 150 grams of tulip, and then 100 grams of calamus, 100 grams of raw hawthorn, 100 grams of Chuanxiong, 100 grams of red peony, 100 grams of ginseng, 100 grams of maitake 100 grams into the pot, add 4000 ml of water, decoction for 30 minutes, filter the juice, add tulip powder and evenly, dry over low heat, when used to take 1 ~ 2 grams of ointment, put in the umbilicus, gauze fixed, 1 day 1 change, 14 Day 1 change, 14 days for a course of treatment. Patients with hypertension can put 200 grams of white chrysanthemum, 60 grams of orange peel, 100 grams of poria, 200 grams of cassia and mix well, put it into a long gauze bag, put it around the neck in a circle, 1 change in 3 days, 14 days as a course of treatment. Seventh, do not ignore the disease aura. If the elderly often have headache, vertigo, limb numbness, chest pain, palpitations, or transient syncope and unfavorable language and other symptoms in summer, do not use poor sleep or overexertion and other reasons to explain themselves, should be regarded as disease aura, to go to the hospital as soon as possible to check and take timely treatment measures.