Treatment of coronary heart disease by the scripture Zhenwu Tang

Patient Zhang Yongxue, male, 79 years old, suffering from coronary atherosclerotic heart disease, atrial fibrillation, cardiac insufficiency for 3 years. 2 years ago, hospitalized many times, treatment to expand the coronary, improve the blood supply to the myocardium, cardioplegia diuretic and other symptomatic treatment, the condition of recurrent episodes. 2 years of hospitalization for more than 10 times, a year before the hospital, the patient chest tightness, palpitations, shortness of breath after activity, stomach and wrists and the two hypochondrium distension discomfort, double lower limbs mild swelling, face color s white, limbs not warm. His face was white, his limbs were not warm, he was afraid of cold, urinated frequently when he was cold, had poor appetite, and had poor sleep at night. The tongue is pale and dark with petechiae, the tongue coating is watery and slippery, and the pulse is sunken and stringy. The diagnosis was edema – spleen and kidney yang deficiency with stasis. The formula was Zhen Wu Tang plus reduction. Poria 15g Paeonia lactiflora 15g Rhizoma Atractylodis Macrocephalae two money 6g ginger 5 slices of epiphyllum (first decocted for 30 minutes) 15g Salviae Miltiorrhizae 30g, sandalwood 10g, sandalwood 10g Drabanemerosa hebecarpa 20g Jujubae 7 7 doses, one dose of water decoction twice a day to take warmly. After the patient served, chest tightness, asthma and swelling of the lower limbs are reduced, the effect is not more square, continue to take 10 doses. The patient’s condition improved significantly, and he was not hospitalized for one year. Experience: (1) Zhenwu Tang from the “theory of typhoid fever”, the composition of the drug is: Poria three money 9g peony three money 9g atractylodes two money 6g ginger three money 9g epiphyllum cannons peeled, a broken eight pieces of 9g. has the effect of warming yang and water, the main treatment of spleen and kidney yang deficiency, water and gas within the stopping evidence. Urine is unfavorable, heavy pain in the limbs, abdominal pain and discharging, or swelling of the limbs, white moss, no thirst, sunken pulse; “sun disease sweating, sweating does not resolve, the person is still feverish, palpitations under the heart, head dizzy body p movement, vibration to beat the ground, Zhenwu Tang main”. Excessive use of Zhen Wu Tang may cause toxic reaction, occasionally dry mouth, stool, pregnant women should not take. Modern pharmacological research, Zhenwu Tang has to improve myocardial contractility, improve myocardial ischemia blood oxygen supply, increase urinary output, etc., mostly used for liver, kidney edema, cardiogenic edema, auricular vertigo, chronic colitis and other evidence. In the formula, ginger, art and ling three drugs to cultivate the soil system of water, epiphyllum warm and strong kidney yang, “bottom of the cauldron” so that the scattered scattered, the benefit of the benefit, the health of the health, has been stopped dampness can be discharged. The combination of all the drugs, warm spleen and kidney, water and dampness, playing the effect of warming Yang and water. (2) Dan Shen Drink was added to this case because of the Yang deficiency and siltation. Danshen Drink is recorded in “Gezuo Zhifang”, which is composed of 30g of Danshen, 5g of Sandalwood, 5g of Sandalwood, with the efficacy of activating blood circulation, eliminating blood stasis, promoting qi circulation and relieving pain, and is mainly used for treating blood stasis syndrome. Salvia miltiorrhiza is good at activating blood circulation and removing blood stasis, so it is commonly known as “one flavor of Salvia miltiorrhiza is good for four things”. This formula is the basic formula for treating pain in the heart and stomach due to Qi stagnation and blood stasis. (3) The patient’s stomach and wrists and both hypochondriacs were distended and uncomfortable, so Drabanemerosa hebecarpa and Jujube Lung Laxative Tang was added. This formula is a basic formula for the treatment of pain in the heart and stomach due to Qi stagnation and blood stasis. Lung impotence, lung carbuncle, cough and upper air disease pulse evidence and treatment” chapter “Drabanemerosa hebecarpa big jujube diarrhea lung soup”, by the Drabanemerosa hebecarpa, jujube two flavors composition. Drabanemerosa hebecarpa and jujube are composed of two flavors, which can diarrhoea the lungs, move water, dispel phlegm and calm asthma, and specifically treat phlegm and water congestion of lungs. Drabanemerosa hebecarpa cathartic lung expectorant phlegm, lowering the gas and asthma, diuresis and swelling, and its active ingredient has obvious cardiac effect, so it is very suitable for heart failure asthma and edema, can be regarded as the effect of heart failure. Raw use can lead to diarrhea, to prevent its grim and strong with jujube to ease and nourish the stomach gas. Songyuan City Hospital of Traditional Chinese Medicine massage Zhao Dongqi clinical evidence of heart failure can also add flavor: to enhance the strength of the heart, choose to add astragalus, fried atractylodes; to increase the power of water, choose to add zedoary, zeolan, plantain, winter melon kernel; in order to increase the power of expectorant, choose to add the whole gua-puerel, lysergic acid, bamboo; in order to increase the power of asthma, choose to add the astragalus, Sambucus, white chrysanthemums, platanum, almonds; in order to increase the power to clean the lungs, choose to add the fritillaries, Scutellariae barbatae, Zhebei. This formula has been used many times in the clinic for patients with coronary heart disease, cardiac insufficiency, edema, wheezing and not lying down, and has achieved very good clinical efficacy, reflecting the advantages of combining traditional Chinese medicine and the combination of traditional Chinese medicine and current prescription, which is also a specific manifestation of the development of traditional Chinese medicine on the basis of inheriting traditional Chinese medicine.