Coronary heart disease, called “chest paralysis” in Chinese medicine, has complex clinical manifestations and pathological changes due to the manifestation of this disease, which is based on the deficiency of the symptoms. Chinese medicine treatment is a holistic approach with the advantage of comprehensive action, and therefore has received wide attention.
What is “chest paralysis”? It is a disease that is caused by insufficient positive qi, phlegm, stagnant blood, stagnant qi and cold clotting, resulting in paralysis and obstruction of the heart and veins, with episodes of suffocation and pain in the left chest as the main clinical manifestation. Yang Ming, Department of Traditional Chinese Medicine, Henan Provincial People’s Hospital
Identification and typing.
1.Stuffing of the heart chakra
Symptoms: Sudden heart pain like strangulation, cold form, even the hands and feet are not warm, cold sweat.
Slow heart and shortness of breath or heart pain through the back, back pain through the heart, mostly due to sudden cold or wind-cold climate and onset or aggravation, thin white coating, sunken thin or rapid pulse.
Treatment: Expel cold and invigorate blood, promote paralysis and promote Yang.
Prescription: Danggui Sihui San
Chinese patent medicine: Suhexiang pill, coronary heart Suhexiang pill, etc., (composition: Suhexiang, ice chips, vermilion, wood incense, sandalwood, etc.)
Ginseng and sophora injection: ginseng, sophora
Bitter butterfly seed injection: (Bitter butterfly seed is the seedling of bitter selling vegetable, bitter and cold in taste, growing in the northeast. (Function: activating blood circulation, detoxifying and draining pus, relieving pain.)
Ginseng capsule, heart and brain relief capsule, etc.
2.Qi stagnation in the heart and chest
Symptoms: Heart and chest full of stuffiness, vague pain, pain without a fixed place, sometimes wanting to rest, easily triggered or aggravated by emotional and moral disorders, or with distension and stuffiness in the epigastrium, with belching or sagging then relieved, with thin or thin greasy coating and thin string pulse.
Treatment: De-regulate the Qi and harmonize the Blood to soothe the veins.
Treatment: De-regulate the Qi and harmonize the Blood to relieve the Blood.
This type is used according to the condition: wood incense, incense, descending incense, sandalwood, sandalwood, Sichuan park, hedgehog, hedgehog, sweet pine, fragrant edge, neem, etc.
Proprietary Chinese medicines: quick-acting heart-saving pills, coronary heart sulforaphane pills, safflower injection, Xiangdan injection
Ginkgo biloba preparation (tablet, injection, oral liquid), etc.
3.Phlegm blockage
Symptoms: heavy chest tightness and light heart pain, obesity and body sinking, phlegm and shortness of breath, easily attacked or aggravated by cloudy and rainy days, accompanied by tiredness and weakness, dullness and loose stools, sticky mouth, nausea, coughing and sputum saliva, white greasy moss or white smooth, slippery pulse.
Treatment: Drain turbidity, open phlegm and open knots.
If the phlegm is depressed and heated, add Huanglian Wenzhi Tang and Yujin. If phlegm and blood stasis are intertwined, add peach and red four things soup, etc. This type of medicine is used in accordance with the condition: half asia, Tianzhu Huang, Tiannanxing, Brachycarpus, Zhushu, Atractylodes, Platycodon grandiflorus, Lycopodium, etc.
Chinese medicine: Brain Heart Capsules, Awakening Brain Rejuvenation Pill, Guanxin Suhexiang Pill, Tianma Su Needle, etc.
4.Blood stasis and paralysis
Symptoms: severe pain in the heart and chest, such as stabbing like strangulation, pain with a fixed location, or even heart pain through the back, back pain through the heart, or pain leading to the shoulders and back, accompanied by chest tightness, which does not heal over time and can be aggravated by anger, dark red tongue, or purple, with petechiae, stasis tendons under the tongue, thin moss, pulse string or knot, generation, promotion, etc.
Treatment: Invigorate blood circulation to remove blood stasis, clear the veins and relieve pain.
Remedies: Blood Mansion and Blood Stasis Tang with addition and subtraction.
In severe cases of blood stasis and paralysis: add frankincense, myrrh, yujin, yuanhu, surrender incense, salvia, etc. If blood stasis and qi stagnation are combined, add incense, sandalwood, wicker spinach, etc. If cold clotting and blood stasis or yang deficiency and blood rain are present, add Hsiang Xin, Gui Zhi or Cinnamon, Liang Jiang and other warming and dispersing products, or Ginseng, Radix et Rhizoma, etc. to warm yang and benefit qi. If accompanied by signs of qi deficiency and blood stasis, appearing weakness and sweating, thin and slow pulse or knotted generation, when benefiting qi and invigorating blood, reuse Ginseng, Huang Qi, etc.
If blood stasis is paralyzed, clinically we can use Panax ginseng, Chuanxiong, Danshen, Angelica sinensis, Safflower, Sumac, Radix Paeoniae, Zelenia, Niubizi, Peach kernel, Gynostemma, Icari, Leech, Wang Bu Liuxing, Dampi, Hawthorn, etc. However, according to the clinical situation, we must combine with drugs to benefit Qi, warm Yang, disperse cold, resolve phlegm, and regulate Qi, so as to strengthen the efficacy of removing blood stasis by identifying the evidence.
Chinese patent medicine: activating blood circulation and removing blood stasis is the most important part of the whole treatment process. For example, to benefit qi and invigorate blood: Musk Fragrance Heart Protection Pill, Panax ginseng saponin preparations (such as blood plugging, blood clotting injection, etc.), Nordicom, Shanhai Dan granules, etc.
Nourishing blood and invigorating blood: Salvia preparations (granules, tablets, drops, needles, etc.)
Blood Mansions and Blood Stasis Pills, Oral Liquid, Li Brain Heart Capsules, Blood Drainage Needles, etc.
Warming Yang and invigorating Blood: Ginseng and Gui capsules, Bitter Dish Needles, Heart and Brain Shu Tong capsules, etc.
Nourishing Yin and invigorating Blood: pulse luo ning needles, etc.
Nourishing the Kidney and invigorating Blood: Heart Treasure Pills, Heart Element Capsules, etc.
Relieving blood stasis and broadening the chest: Coronary heart Suhexiang pill, quick-acting heart saving pill, Ginkgo biloba preparation, etc.
Relieving blood stasis and opening the veins: langshang hua suohua preparation, coronary heart nimble injection, anti-bolus and tongluo capsule, xindakang capsule, heart and brain tablets, etc.
5.Insufficient heart energy (this is a deficiency)
Symptoms: heart and chest bouts of vague pain, chest tightness and shortness of breath, moving is more, heart palpitations, tiredness, fatigue, lazy speech, white face or benefit sweating, light red tongue, fat tongue body and side teeth marks, thin white moss, weak, thin, slow or knotted pulse.
Treatment: Nourish the heart qi and stimulate the heart pulse.
Treatment: Nourish the heart qi and stimulate the heart pulse. In case of deficiency of both qi and yin: Sheng Wei San and Gui Shen Tang.
The heart qi tonic is often used with ginseng, codonopsis, astragalus, jujube and prunus ginseng. If the deficiency of Qi is significant, less cinnamon can be used, and Cun Dong, Yu Zhu, Huang Jing can be added.
Chinese patent medicines: raw vein preparation, Yudan Rongxin Wan, Tonic Zhong Yi Qi Wan, Sinclair preparation, Heart Qi oral liquid, Ginseng Paeoniae tablets, Ginseng Astragalus capsule, Panax notoginseng saponin injection (blood clotting pass, etc.) , Musk Heart Protection Pill, etc.
6.Deficiency of heart yin
Symptoms: pain in the heart and chest, with occasional attacks, or burning pain, or hidden pain, palpitations and palpitations, five heartburn, dry mouth and night sweating, facial flushing, red tongue with little fluid, thin or flaking moss, thin pulse or knotted generation.
Treatment: Nourish Yin and clear heat, invigorate Blood and nourish the heart.
Remedy: Tien Wang Tonic Heart Dan plus or minus.
If the pulse is obvious: use roasted licorice soup.
If Yin deficiency of the heart and kidney is obvious: use Zuo Gui Drink
If Yin deficiency and Yang hyperactivity: use antelope and hooked vine soup with mother-of-pearl and magnetic stone.
If true yin of heart and kidney wants to be exhausted: when large doses of American ginseng, maitong, etc.
Prepared Chinese medicines: Tianwang tonic heart dan, pulse nimble needle, Shengve needle, nourishing heart yin oral liquid, Zhenyuan capsule, Yudan Rongxin pill, etc.
7.Inactivation of heart yang
Symptoms: palpitations and pain, chest tightness and shortness of breath, spontaneous sweating, especially when moving, fatigue and coldness, pale face, lack of warmth or swelling of the limbs, pale and fat tongue, white or greasy moss, sunken and sluggish pulse.
Treatment: Tonify Yang Qi, warm the heart and invigorate Yang.
Radix et Rhizoma Ginseng and Radix Glycyrrhiza Glabra
If the heart and kidney yang deficiency is combined with kidney qi pills, and water drink is combined with true wu tang for those who have upper lung.
If the heart and kidney yang is deficient, the deficient yang wants to escape, and the person is in coma, use Si Wei Tang, use ginseng to warm yang and benefit qi, return yang to rescue the rebellion, if the sweat is dripping, the pulse is weak and wants to die, etc., apply Ginseng and Long Mu Tang, to warm yang and fix the escape.
Chinese patent medicines: Musk Fragrance Heart Protection Pill, Oral Liquid for Tonic Heart and Qi, Panax Ginseng Saponin Preparation (Blood Cypress and Blood Embolism), Ginseng Gui Capsules, Ginseng Injection, Shanhai Dan, Nordicom, etc.
Conclusion: Thoracic paralysis is located in the heart, the pathogenesis of the original deficiency and the symptoms of the real, the acute attack period is mainly the symptoms of the real, the remission period is mostly the manifestation of the original deficiency, treatment should be discriminatory treatment, not to stick to one side of the rope to treat the disease, nor to stick to one side of the rope to treat a particular symptom of the disease.