Paste regimen for cardiovascular patients

  According to the survey, the number of people hospitalized due to cardiovascular diseases in winter can increase about 5 times compared with other seasons, therefore, it is especially important to strengthen comprehensive prevention and treatment. Poultice is a traditional Chinese medicine formula used in Chinese medicine to nourish and strengthen the body, resist aging and prolong life, prevent and cure diseases, and has unique efficacy in the prevention and treatment of cardiovascular diseases.  Cardiovascular system diseases are most commonly associated with hypertension, coronary heart disease, cardiomyopathy, pulmonary heart disease and chronic congestive heart failure, often accompanied by hyperlipidemia, hyperglycemia, hyperviscosity and atherosclerosis, etc. The disease process is long and the pathogenesis is complicated, and the onset of the disease is mostly related to deficiency of endowment, old age and physical deterioration, diet disorders, emotional and mental disorders, and disorders of labor and relaxation, resulting in imbalance of qi and yin and yang in the internal organs. In the pathogenesis of the disease, it has the characteristics of long-standing disease and deficiency, long-standing disease and kidney, long-standing disease into the complex, long-standing disease causes depression, long-standing depression generates phlegm and so on.  Therefore, it has a unique effect on the prevention and treatment of chronic, persistent and consuming diseases in cardiovascular diseases, which are caused by deficiency and deficiency.  1, cardiovascular disease cream recipe identification production points (1) cream prescription principles should follow the principle of “treating the disease to seek the root”, to regulate the qi, blood, yin and yang, to calm the period.  To focus on the identification of evidence combined with the identification of disease, to clarify the patient’s disease (such as coronary heart disease, hypertension, pulmonary heart disease, cardiomyopathy, etc.), and whether the combination of diabetes, hyperlipidemia, hyperuricemia, chronic gastritis, chronic cholecystitis, etc.; but also to understand the changes in the physical and chemical indicators, and need to master the modern pharmacological knowledge of Chinese medicine.  We should focus on strengthening the source and regulating the spleen and stomach. The kidney is the origin of the first day, the spleen is the origin of the second day, and the spleen and kidney are mutually supportive. The spleen and kidney are mutually supportive. The spleen likes dryness and hates dampness, and it is important to be healthy and healthy, so it is important to supplement the spleen without forgetting to help transport. In the regulation of the spleen and stomach, more products are administered to nourish the kidneys and benefit the qi, such as raw rehmannia, shouwu, Xianling spleen, bacopa monniera and wolfberry.  (2) The characteristics of the medicine used in the cream formula are often matched with Shu Di, Colla Corii Asini, Tortoise Gum, Deer Horns Gum, Raw Sun Ginseng and He Che Powder, Shu Di and Colla Corii Asini nourish blood and nourish Yin, Tortoise Gum tonifies Kidney Yin and opens the Ren Vessel, Deer Horns Gum and He Che Powder benefit Kidney Yang and tonify the Governor Vessel, Raw Sun Ginseng is a great tonic for the vital energy, Yin is still and Yang is moving, Yin and Yang match each other and restrain each other. In the cream formula, qi, blood, yin and yang are complemented together but with some emphasis, the deficiency of the kidney element is often used with Eucommia, Chuanjian, Cistanches, Bacopa monniera, Boneset, Cuscuta, and Puzzle Nut, etc., to which are often added flesh and blood sentient products such as Kan Navel, Aconite, Tortoise Plate Gum, Deer horn gum, etc., to replenish the marrow and fill the essence, with the intention of seeking yang in yin and tonifying the odd meridian.  For example, for patients with coronary heart disease, ginseng and astragalus are often used to nourish the heart qi to help the blood flow; maidenhair, yu zhu and wu wei zi to nourish the heart body; salvia, angelica, chuanxiong, red peony, safflower, rhodiola, kudzu, and sanguinaria to invigorate the blood to facilitate the flow of qi and blood; more heliotrope shell, wide moxa, buddha’s hand, descending incense, yujin, and bupleurum to move the qi and relieve depression and unblock the qi flow of the three jiao; gua gua bark, allium, made semen, and poria to broaden the chest and resolve phlegm; hawthorn, fried grain and malt, It can also prevent the paste from sticking and being difficult to dissolve, so that the qi can move and the qi and blood can flow smoothly. For example, for hypertensive patients with hyperactivity, while tonifying the kidneys and pacifying the liver, attention should be paid to clearing and lowering qi and fire, eliminating phlegm and resolving blood stasis to prevent the creams from sticking and retaining stagnation and helping phlegm to generate fire.  The Qi tonic is often chosen from Astragalus, Huang Jing, Atractylodes, Huai Shan Yao, etc. Red ginseng, prunus ginseng, American ginseng is also commonly used. Most of the Yin tonics are selected from Six Flavors Dihuang Tang, Er Zhi Wan, Zuo Gui Wan, etc. as the basic formula with addition and subtraction, and most of the medicines are made of flesh and blood sentient products such as Agaricus, Tortoise Plate Gum, Zi He Che, Asparagus, Mai Dong, Yu Zhu, Dendrobium, Ling Zhi, Sheng Di, Cornu Cervi Pantotrichum, Fructus Lycii, Fructus Maidenhair, Morinda Citrifolia, Shou Wu, Mulberry Seed. Qi and yin are mostly tonified with raw pulse san and roasted licorice soup. In the choice of warming Yang medicine, sizzling sage, sizzling cinnamon stick, Epimedium, and deer horn gum are often used. In heart failure patients with Yang deficiency, the short-term application of the tablet can have a similar effect to cardiac stimulation and improve the symptoms to a certain extent, but long-term use may activate the neuroendocrine system and be detrimental to the prognosis of the disease. (such as heliotrope, cereus, six quarters, Chen Pi, sand, mullein, etc.), phlegm-eliminating and dampness-transforming herbs (such as yujin, guajia, calamus, farmer’s root, etc.), and water-relieving herbs (such as poria, poria, zedoary, saffron, atractylodes, coix seed, etc.). Patients with hyperlipidemia often add drugs with certain lipid-lowering effects, such as turmeric, tiger scepter, leaky reed, Tribulus terrestris, raw hawthorn, zedoary, cassia, gibberellic acid, etc.. Turmeric, in particular, contains curcumin, which has the effect of lowering lipids, expanding the coronary heart, antiplatelet, etc. It can also inhibit myocardial remodeling by inhibiting inflammatory cytokines, so it is mostly used in patients with coronary heart disease and heart failure combined with hyperlipidemia.  (3) The cream collection requirements The cream collection of cream medicine emphasizes the selection of appropriate gums and sugars for cream collection. The cream for cardiovascular patients should use Agaricus blazei as little as possible because it is warm and sticky, nourishes blood and stops bleeding, which is not suitable for patients with hot body and blood stasis. It can be replaced by turtle shell gum, which can nourish liver yin, nourish liver blood, eliminate blood stasis and disperse nodules, etc. Because of its viscosity, tonicity and taste, it can often be combined with turtle and deer gum to close the paste. It is also used with food eliminating and stagnation inducing products to make the tonic but not greasy. As for the flavoring agent, for cardiovascular patients, ice sugar and white sugar are generally used with caution, and xylitol is preferred to avoid raising blood sugar and blood lipids. Those with normal blood sugar can use honey, not only for flavoring, but also for moistening, tonic, detoxification and antiseptic effects.  2, cardiovascular disease poultice patients taking points (1) serving and preservation: poultice is generally required to take around the beginning of winter to the following spring, that is, from early November to early February of the following year, taking about 3 months. It can also be taken within a month and a half from the winter solstice to the beginning of spring. Generally is once a day in the morning and evening, each time about a spoonful (30ml) or so, with warm boiled water, to take on an empty stomach is better. At this time, the stomach and intestines are empty, strong absorption, and not disturbed by food, the drug is easy to work. If you have gastrointestinal discomfort on an empty stomach, you can also take it half an hour to one hour after a meal. A material cream should be divided into jars, stored in the refrigerator, after taking a jar and then open another jar. Or store it in a dry, light and airy place, and pay attention to cooling down and preventing moisture. Paste should be taken with a special spoon, dried after use, put elsewhere and taken out for next use, not inside the poultice medicine to avoid bringing in moisture. If raw water enters, it will become moldy. After moldy, do not continue to eat the paste.  (2) Dietary taboos: During the period of taking the cream, you should be careful to eat cold, greasy, seafood, shrimp and crab, spicy and other indigestible and strongly stimulating food. Avoid eating radish when taking ginseng. You can drink tea but it should not be too strong. Avoid smoking and limit alcohol.  (3) Precautions: If patients with poor gastrointestinal function and poor digestion and absorption need to take the cream, they should take open-road medicine first so that their gastrointestinal function can be restored to a certain extent and they can eat without feeling full, and then the doctor will identify the evidence and decide whether they can take the cream. During the period when cardiovascular patients take the cream, the antihypertensive drugs, anti-anginal drugs, anti-platelet drugs, lipid-lowering and blood sugar-lowering drugs being used should continue to be used. For the Chinese medicine soup and pill, in principle, should be stopped, so as to avoid too many drugs, pang, repeat, such as really need to use the soup can be suspended to take the cream. In case of fever, coughing and spitting, vomiting, diarrhea, or acute illnesses such as angina pectoris attacks, the use of poultices should be suspended. If the condition changes or suddenly worsens, you should go to the hospital in time to avoid delays.