Moderator: In ancient Chinese medical theory, is there the term of hypertension and coronary heart disease?
Director Liu: In ancient times, the clinical symptoms of coronary heart disease are classified as “chest paralysis” and “heart pain”, while the clinical symptoms of hypertension are classified as “palpitation”, “vertigo” and “headache”. The clinical symptoms of hypertension are classified as “palpitation”, “vertigo” and “headache”.
Moderator: What is the theoretical basis of hypertension and coronary heart disease in Chinese medicine?
Director Liu: The occurrence of coronary heart disease is related to the strength and weakness of the heart, liver, spleen and kidney. On the basis of deficiencies in the heart’s qi, blood, yin and yang or imbalances in the liver, spleen and kidney, there are also pathological products such as phlegm, blood stasis, qi stagnation and cold condensation blocking the heart vessels. The onset of hypertension is caused by cold stimulation, full meals, emotional excitement, overexertion and other triggers, which cause paralysis and obstruction of the chest and yang, as well as the lack of smooth flow of qi and contracture or occlusion of the heart vessels. The onset of hypertension is triggered by a combination of factors, especially the imbalance of qi, blood, yin and yang of the heart, liver and kidney, with the early stage being dominated by liver fire. In the middle stage, liver and kidney yin deficiency, kidney essence deficiency and yin deficiency and yang hyperactivity are seen. In the later stage, Yin loss and Yang, Yin and Yang deficiency.
Moderator: In Chinese medicine, there is a saying that “if it passes, it does not hurt; if it hurts, it does not pass”, right?
Director Liu: Yes, the blood runs in the blood vessels, if the blood vessels are narrowed or spasmed, the blood is stagnant in the heart veins, and the veins are blocked, it will cause pain, which can be seen as stabbing pain in the chest, fixed, or even sweating profusely, with white and blue face and weak pulse. If you give aromatic and warming drugs or western medicine such as thrombolytic and interventional treatment to make the blood vessels smooth, the pain will be relieved.
Moderator: Hypertension is prone to coronary heart disease, are these two diseases sister diseases?
Director Liu: There is some truth to it, long-term increase in blood pressure will cause certain damage to the blood vessel wall, that is to say, hypertension is an independent risk factor for coronary heart disease.
Moderator: How to understand the risk factors of hypertension coronary heart disease?
Director Liu: First of all, the onset of coronary heart disease and hypertension is a multifactorial joint action. The major risk factors are age, gender, dyslipidemia, hypertension, diabetes and abnormal glucose tolerance, smoking, etc. The secondary risk factors are obesity, low activity, high calorie and high fat diet, family history of coronary heart disease, impatient personality; insulin resistance, increased fibrinogen, viral and chlamydial infections. According to Chinese medicine, “when the righteousness exists within, the evil cannot dry up, and when the evil comes together, its qi will be deficient”. The onset of hypertension and coronary heart disease is due to deficiency of qi, blood, yin and yang or dysfunction of liver, spleen and kidney, followed by phlegm, blood stasis, qi stagnation and cold condensation.
Moderator: How old is the age of onset?
Director Liu: The age of onset of hypertension and coronary heart disease has been trending towards lower age in recent years, and the incidence is getting higher and higher. On the one hand, the incidence rate is increasing due to poor lifestyle, on the other hand, it may be related to increasing age.
Audience: hypertensive cerebral infarction hospitalized for more than a month, speech is not clear, but can understand others, clear thinking condition will get better?
Director Liu: Active and standardized treatment can make the blood pressure stabilized and the sequelae of cerebral infarction improved. The rehabilitation exercise of the limbs should be persistent.
Listener: What happened when I saw my family members crying?
Director Liu: This is related to cerebrovascular disease, vascular dementia, etc. It can be treated with Chinese herbal medicine conditioning under the diagnosis and treatment of Chinese medicine.
Patient: can exercise?
Director Liu: advocate early functional calcination, after the acute phase of cerebral infarction, appropriate exercise, such as walking, trotting, taijiquan, to develop the habit of daily exercise.
Moderator: Why is rehabilitation training important?
Director Liu: Stroke patients, most of them will have sequelae and limb dysfunction. Generally speaking, nerve cell damage, repair takes about six months, active functional training is conducive to recovery. Not to seize the time to functional calcination, there will be muscle atrophy, joint stiffness, then it is not easy to recover. If you have language dysfunction, you should also actively conduct language training. Thought exercise has a delaying effect on the atrophy of the brain.
Moderator: For the sequelae of the elderly stroke, how can family members cooperate with functional calcination, and what guidance can doctors give?
Director Liu: For elderly patients with stroke, they must carry out functional exercises under the guidance of doctors, and family members should cooperate with muscle massage, joint flexion and extension exercises, encourage patients’ physical functional training, language responsiveness and thinking training, Chinese herbal medicine conditioning, and psychological infusion also have a positive effect.
Moderator: Is there any good method to regulate hypertension and coronary heart disease in Chinese medicine?
Director Liu: Chinese medicine is not as fast as Western medicine in the treatment of hypertension and coronary heart disease in the middle and late stages, but Chinese medicine can significantly relieve the clinical symptoms of patients, reduce the toxic side effects of Western medicine, improve the function of damaged blood vessels, and enhance the physical condition of patients.
Moderator: What can’t patients with hypertension and coronary heart disease eat?
Director Liu: Emphasize a low-salt, low-fat diet, control calorie intake, and eat more vegetables. Fatty foods can cause elevation of triglycerides and cholesterol, accelerating the hardening of arterial vessels. Spicy foods have an elevating effect and can affect the stability of blood pressure, so don’t eat too much of them.
Listener: I’ve had high blood pressure for more than 10 years, does taking medication for a long time affect my heart? Usually there will be chest tightness and blurred vision.
Director Liu:Regardless of how long the onset of hypertension, blood pressure must be controlled below 140mmHg/ 90mmHg, and if a hypertensive patient with diabetes must be controlled below 130mmHg/ 80mmHg. In order to avoid cardiovascular accidents, it is very necessary to adhere to the medication, and hypertension requires long-term medication.
Moderator: Can Chinese medicine and Western medicine be taken together?
Director Liu: Yes, you can. Western medicine can lower blood pressure more smoothly, and Chinese medicine can improve clinical symptoms significantly. Chinese medicine can reduce the toxic side effects and dosage of western medicine.
Moderator: Why is it necessary to have regular exercise?
Director Liu: Strenuous, explosive anaerobic exercise is not suitable for patients with hypertension and coronary artery disease, which will increase the oxygen consumption of the heart, increase adrenaline secretion, increase blood pressure and coronary spasm, etc.; regular slow aerobic exercise is only suitable for patients with cardiovascular and cerebrovascular disease.
Moderator; crawling exercise for cardiovascular disease is feasible?
Director Liu: Crawling is a good exercise for healthy people, but it is not necessarily suitable for patients with cardiovascular disease, patients with unstable blood pressure have cardiovascular injury, and the increase in blood circulation when people crawl, which increases the burden on the heart, it is recommended that patients with unstable blood pressure and cardiac insufficiency do not perform this exercise.
Moderator: Can you introduce a few simple medical methods to prevent these diseases?
Director Liu: The following methods may be helpful in relieving tension, relaxing muscles and stabilizing blood pressure.
1.Massage the neck and shoulders.
2.Massage behind the ears.
3.Knead the muscles of the face.
4.Gently tap the back of the head.
5.Massage the solar plexus.
6.Rub the palms and feet.
Moderator: What kind of medicine should be used in the treatment of hypertension in Chinese medicine?
Director Liu: Prescriptions are given according to the patient’s symptoms after diagnosis and treatment, not all hypertension with the same prescription, it is different from person to person. Patients with hypertension and coronary heart disease can also take tonic medicine in winter to harmonize qi, blood, yin and yang, and to get rid of the evil of phlegm, stagnation and cold. Do not use hot and dry products in the tonic.
Moderator: What are the problems that patients with hypertension should pay attention to when taking the cream medicine?
Director Liu: Take it before breakfast and before going to bed on an empty stomach. If the body is too weak, it is recommended to take it after meals.
Moderator: Is there any food that needs to be avoided after taking the cream formula?
Director Liu: Do not eat radish when taking the cream, it will reduce the effectiveness of the medicine. Indigestible and stimulating food should be avoided, tea and coffee should be avoided.
Moderator: What do I need to pay attention to when storing the cream at home?
Director Liu: Put it in the refrigerator and pay attention to sealing.
Moderator: What are the bad habits that can lead to the occurrence of hypertension coronary heart disease?
Director Liu: Bad dietary habits have a pushing effect on hypertension and coronary heart disease.
1, in the diet, such as taste too heavy, excessive salt intake, like to eat spicy.
2, smoking and alcoholism is one of the factors that cause coronary heart disease hypertension.
3, constipation can affect the stability of blood pressure. Patients with hypertension and coronary heart disease should keep their bowels open, eat more fruits and vegetables, and develop the habit of regular bowel movements.
4, do not put the pillow too high for sleeping, it will cause the instability of blood pressure and aggravation of vertigo symptoms.
Moderator: For people who have emotions, where do you need to start to control them?
Director Liu: Be content with what you have, and if you can’t reach your goal, you can retreat to the next best thing, lower your standards and maintain a healthy state of mind. When you are in a good mood, your blood pressure will be easily stabilized and your coronary heart disease can be well controlled.