Acute inferior wall infarction

  He, a female, 67 years old, was seen on April 29, 1988.  Complaint: Chest pain and palpitation for 4 days.  History: The patient had sudden onset of chest pain and tightness due to overexertion, nausea and vomiting in the Spring Festival of the year and the year, all relieved by themselves. On the day of January, he was unable to relieve the chest tightness and palpitation with nitroglycerin, so he was admitted to the hospital for acute inferior wall infarction.  He was admitted to the hospital for treatment of acute inferior wall heart infarction with a crushing pain in the precordial region, radiating to the left shoulder and back, dizziness and headache, depression, weakness, inability to think about eating and drinking, and failure to pass stool.  Traditional Chinese medicine diagnosis: true heart pain, evidence of heart qi deficiency, chest yang paralysis, and inaccessibility of heart veins.  Diagnosis in Western medicine: acute inferior wall infarction.  Treatment: Benefit Qi, invigorate Blood, resolve phlegm and promote paralysis.  Treatment: electrocardiographic monitoring, continuous low-flow oxygenation.  1.5% glucose injection 500 ml plus 40 ml of raw pulse injection; glucose injection 500 ml plus 20 ml of salvia injection. Intravenous dosing, once a day.  2. 15 g of Astragalus membranaceus, 15 g of Radix Codonopsis pilosulae, 10 g of Radix Medlar, 15 g of Psidium guajava, 10 g of Allium sativum, 9 g of Semen Cassia, 10 g of Chen Pi, 15 g of Yun Ling, 10 g of Radix Paeoniae Alba, 15 g of Salviae Miltiorrhizae, 10 g of Radix Salviae Miltiorrhizae, 6 g of Glycyrrhiza glabra. Treatment with Sheng Wei Qi and Dan Shen to activate the blood, administered intravenously to save the dangerous. The formula is based on Astragalus membranaceus, Radix Codonopsis pilosulae, Mai Dong and Yun Ling to benefit qi and nourish yin, Gua Pao and Allium sativum to warm chest yang, Radix Panax notoginseng and Chen Pi to dissolve phlegm to help broaden the chest, Radix Paeoniae, Salviae Miltiorrhizae and Citrus aurantium to invigorate blood and regulate qi, and Glycyrrhiza glabra to harmonize all medicines. The effect is to benefit Qi, invigorate Blood, resolve phlegm and broaden the chest.  Second diagnosis: occasional pain in the precordial region, chest tightness, swelling of the left lower extremity, fat, light and dark purple tongue with teeth marks, thin and astringent pulse. The soup was used to treat the previous method, removing Chen Pi, Panax, Allium, Yun Ling, and Mai Dong, etc., and increasing the power of fostering and invigorating the blood. The medicine used: Huang Qi 15 g, Dang Shen 15 g, Huang Jing 15 g, Dan Shen 15 g, Red Peony 10 g, Yu Jin 15 g, Calamus 10 g, Quan Gua Pou 15 g, Angelica 10 g, Chicken Blood Vine 10 g, Niubizi 10 g, Fang He 10 g. Third diagnosis: the patient had a cold, fever, nasal congestion, runny nose, dry throat and pain, light cough, not evil wind-cold. The evidence belongs to wind-heat external sensation, first treat the new sensation, suspend the previous medicine, treat with pungent cooling to relieve the symptoms.  The symptoms of cold disappeared after the first dose, followed by the first 15 doses of the soup to benefit qi and nourish yin and to invigorate blood circulation and resolve blood stasis.  Note: “The Golden Horoscope? The “Evidence of the pulse of successive diseases of the internal organs and meridians” says: “If a chronic disease is combined with a stroke disease, the stroke disease should be treated first, and then the chronic disease should be treated.” Cardiovascular diseases are mostly chronic diseases, and the body’s vital energy is already deficient, so there is a tendency to add new sensation to stroke diseases. In this case, we stopped the treatment of the root of the disease and dispersed the wind-heat first, so that the root of the disease could be treated after the evil was removed.