Pulmonary infection, chronic pulmonary heart disease (referred to as pulmonary heart disease) is a disease caused by increased resistance to pulmonary circulation and pulmonary hypertension due to chronic lesions of the lungs, thorax or pulmonary arteries, which in turn causes hypertrophy and enlargement of the right ventricle and even the development of right heart failure. Clinically, it is characterized by recurrent coughing and wheezing, coughing and sputum, edema and cyanosis. It can be divided into compensated and decompensated aspects. The age of onset is mostly above 40 years. The disease is perennial and acute attacks are more common in winter and spring. Most links in the course of pulmonary heart disease are reversible, and with appropriate treatment, cardiac function can be recovered to some extent; the disease is critical in the later stages. Chronic pulmonary heart disease belongs to the category of “asthma”, “phlegm”, “lung swelling” and “edema” in Chinese medicine.
Etiology and pathology
Lung infection, chronic pulmonary heart disease is caused by the body’s lack of positive qi, repeatedly feeling wind and cold, lung injury and weak qi, phlegm and drinks remain stagnant, the airway is not smooth. The lung injury will affect the heart over time, and the blood stasis in the lung will damage the heart qi and cause the disease.
The first pathological change is that the body is deficient in righteousness and low resistance.
If repeatedly feel the evil qi test lung injury qi weak, phlegm and drink stagnation, day long positive qi will decline, and further involved in the heart, spleen, kidney organs. “The lung is injured for a long time and will be affected by the heart. Breathing, the lung qi should go down to the kidney, and the kidney qi has the role of taking in the lung qi, if the kidney qi deficiency can not take in the lung qi, it will develop into a false asthma. Therefore, the occurrence of pulmonary heart disease lies in the dysfunction of the lung, heart, spleen and kidney.
Diagnostic points]
1. History of chronic lung disease, early functional compensation with cough, sputum, weakness, dyspnea, right heart failure and respiratory failure as the disease progresses, such as increased palpitations and shortness of breath, cyanosis, headache, irritability, delirium, convulsions, and even coma.
2, signs Early manifestations of emphysema, breath sounds are weakened, can be heard dry and wet ? sound, the heart turbid boundary is not easily percussive, the heart sound is low and obtuse, the second sound of pulmonary valve is hyperactive; later, jugular vein anger, hepatomegaly, swelling, ascites, accelerated heart rate, etc.
3.Electrocardiogram Early low voltage, cis-clockwise transposition of the heart and pulmonary P waves, and right-sided electrical axis; later right atrial and ventricular hypertrophy.
4.X-ray examination The lungs may have the manifestation of the original disease, right ventricular enlargement sign, and even whole heart enlargement.
5.Blood gas analysis In respiratory failure, there may be different degrees of hypoxemia and hypercarbia.
Typing]
1. Cold and phlegm congestion symptoms: coughing and shortness of breath, coughing and shortness of breath, coughing and shortness of breath, coughing and shortness of breath. The tongue coating is thin, white and greasy, and the pulse is slippery. Most often seen in pulmonary insufficiency combined with respiratory tract infection.
Analysis of the symptoms: the disease is prolonged and the lung is deficient and the spleen is weak, so it is seen that there is little lassitude; the positive deficiency is compounded by cold, the lung qi is not promoted, phlegm and turbidity are invaded, so the cough and asthma are increased.
The bitter, thin and greasy tongue and slippery pulse are the symptoms of cold phlegm internal obstruction.
Treatment: Warming the lung and resolving phlegm.
Remedy: Warming and dissolving cold drinks soup.
Ginseng and Fu Pill and Chen Pi Pill are taken orally.
2, hot phlegm in the lung symptoms: cough shortness of breath, yellow and thick phlegm, not easy to cough, dry stool, yellow and red urine, mouth in. The tongue is red, the coating is yellow or yellowish greasy, and the pulse is slippery or stringy. Most often seen in pulmonary insufficiency combined with respiratory tract infection.
Treatment: Clearing the lung and resolving phlegm, lowering rebellion and calming asthma.
Remedy: Clear the lung.
Fishy grass pills and snake bile pills are taken orally.
3.Phlegm clouding the clear orifice symptoms: confusion, restlessness, or indifferent expression, drowsiness, or even coma, or convulsions of the limbs, coughing and shortness of breath, coughing and sputum. The tongue is dull red or pale purple, with white or yellowish greasy coating and fine slippery pulse. Mostly seen in pulmonary encephalopathy.
Analysis of symptoms: Phlegm confuses the heart and closes the qi flow, thus seeing confusion, restlessness, indifference, drowsiness and coma; phlegm induces liver wind, thus seeing twitching of limbs; phlegm turbidity congests the lung and reverses the qi flow, thus seeing shortness of breath and coughing and unpleasant sputum; dull red or pale purple tongue is a sign of stagnation of heart and blood; white or yellowish greasy moss and thin slippery pulse are signs of phlegm turbidity.
Treatment: To resolve phlegm and open the orifice, extinguish wind and activate blood.
Remedy: Cleansing phlegm and clearing the palace.
Angong Niuhuang Wan and Monkey Jujube San are taken orally.
4, Lung and kidney Qi deficiency symptoms: coughing and shortness of breath, aggravated by activity, or even opening the mouth and lifting the shoulders, unable to lie down, white and thin sputum, weak coughing, chest tightness and palpitation, sweating. The tongue is pale or dull, and the pulse is sunken and thin or with knotted generation.
Treatment: Tonify the lung and kidney, remove dampness and resolve phlegm.
Remedy: Lung and kidney double tonic soup.
Ginseng 10g, Astragalus membranaceus 50g, Radix Rehmanniae 20g, Mealybug 10g, White Mustard Seed 12g, Su Zi 12g, Wu Wei Zi 15g, Aster 12g, Sang Bai Pi 12g, Cornus Officinalis 15g, Poria 12g, Ze Di 12g, Radix Aconiti 9g, Gui Zhi 12g, Radix Ginger 12g, Radix Panax Notoginseng 12g, Chen Pi 12g, Roasted Licorice 10g. Ginseng clam pills and ginseng and wheat pills are taken orally.
5.Spleen and kidney Yang deficiency symptoms: swollen face and limbs, palpitations and wheezing, coughing and sputum, poor appetite, cold form and limbs, soreness and weakness of the waist and knees, clear and long urine, loose stools. The tongue is fat and dull, the coating is white and smooth, and the pulse is sunken and thin.
Treatment: Warming the kidneys and strengthening the spleen, resolving drinks and relieving water.
Recipe: Strengthening the spleen and warming the kidney.
Gram, decoction with water. Take Shengvewan and Huichunwan orally.