Elderly heart failure can be treated with Baoyuan Tang combining Blood Capital and Blood Stasis, Qi and Yin Deficiency, Yang Deficiency and Water Flooding according to different types of evidence, such as Baoyuan Tang combining Blood Capital and Blood Stasis, Zhenwu Tang combining Drabanemerosa hebecarpa jujube Lung Diarrhea Soup, Zhenwu Tang combining Drabanemerosa hebecarpa jujube Lung Diarrhea Soup, and so on.
1. Qi deficiency and blood stasis: clinical manifestations include chest tightness and shortness of breath, palpitation, triggered or aggravated by activities, and fatigue, etc., which can be treated with Baoyuan Tang combining with Haifu yiubu Tang. Baoyuan Tang is composed of ginseng, astragalus, cinnamon, ginger and licorice; Blood and Blood Stasis Tang is composed of Angelica sinensis, Radix et Rhizoma Dioscoreae, peach kernel, etc., and the combination of the two plays the role of tonifying the heart and lungs, activating blood circulation and removing blood stasis.
2. Deficiency of qi and yin: manifested as chest tightness and shortness of breath, palpitation, aggravated by movement, fatigue, dry mouth, and heartburn and heat, etc. The treatment is to benefit qi and nourish yin, activate blood circulation and remove blood stasis, which can be treated by combining Shengmansan with Blood Mansion and Blood Stasis Relieving Soup. Sheng Wei San is composed of ginseng, maitake and schizandra.
3. Yang deficiency and water flooding: the main manifestations are palpitations, gasping and not being able to lie down, swelling of the face and limbs, and urination, etc. Zhenwu Tang can be used in combination with Drabanemerosa hebecarpa jujube Lung Laxative Soup. Zhenwu Tang is composed of Radix Polygoni Multiflori, Rhizoma Atractylodis Macrocephalae, Radix Paeoniae Alba, Poria, and Ginger; Drabanemerosa Dandanemerosa Zizao Lung Laxative Tang is composed of Drabanemerosa hebecarpa and Ziziphi jujubae, both of which can benefit qi and warm yang, and dissolve blood stasis to relieve water flood.
The use of the above medicines should be in accordance with the doctor’s prescription, if the condition does not improve, it is necessary to go to the hospital for treatment in a timely manner.