Acute myocardial infarction is a critical condition. According to Chinese medicine, its main pathogenesis is stagnation of the heart veins and weakening of the heart qi, which is a deficiency of the heart and a symptom of the symptoms. This deficiency is mainly a deficiency of heart qi, which further develops into a deficiency of heart yang, and in severe cases, yang is removed or yang is lost, or even both yin and yang are exhausted.
In general, TCM treats acute myocardial infarction in three stages.
1. Qi-Yin deficiency stage
Symptoms: Two weeks after the disease, the tongue coating gradually changes from thick and greasy to thin and white, and in a few cases, the coating is peeling off or the tongue is bare without coating.
Treatment: The treatment is to benefit Qi and nourish Yin, invigorate Blood and open the veins.
Herbs: Astragalus, Ginseng, Medlar, Wu Wei Zi, Atractylodes, Angelica, Radix Paeoniae, Salviae Miltiorrhizae, Yu Jin, etc.
2.Phlegm-dampness middle blockage stage
Symptoms: Generally for about two weeks, the symptoms include stuffiness and pain in the heart and chest, distention and fullness in the abdomen and stomach, greasy mouth and dullness, tiredness in the limbs, loose stools, slippery or moist pulse, transformation of the tongue coating from white to thick and greasy, and gradually turning yellow and greasy coating after a week, the treatment is based on drying dampness and dispelling phlegm and aromatizing turbidity.
Treatment: The formula is based on the combination of warm gall bladder soup and Gua Gua Bai Bai Han Xia Tang, plus products that benefit Qi and invigorate Blood.
Herbs: Psidium guajava, Allium sativum, Chenpi, Poria, Citrus aurantium, Zhu Ru, Huo Xiang, Sha Ren, Astragalus, Radix Angelicae Sinensis, Salviae Sinensis, Peach kernel, Safflower, etc.
3.Stage of Qi deficiency and blood stasis
Symptoms: Generally within 5 days of onset, but there are also those who transform to the second stage after 24 hours from onset. Symptoms include chest tightness and shortness of breath, chest pain through the back, pain like a cone, fixed and immovable, sweating and cold limbs, laziness and lazy speech.
Treatment: The treatment is to benefit the Qi and activate the Blood, and the formula is Sheng Gui Tang with Peach Red Four Elements Soup.
Herbs: Radix et Rhizoma Ginseng, Radix Astragali, Radix Angelicae Sinensis, Radix Paeoniae Alba, Radix et Rhizoma Macrocephala, Fructus Schisandrae, Rhizoma Chuanxiong, Radix Panax Ginseng, etc.
Chinese medicine on the regulation of lipid metabolism characteristic drugs are listed.
1, inhibit lipid absorption: such as He Shou Wu, cassia seeds, etc. can increase intestinal peristalsis and inhibit fat and cholesterol absorption.
2, inhibit lipid synthesis in the body: such as hawthorn, he shou wu, rhubarb, cassia seeds, etc. can inhibit 3-lite-3-methylglutaryl coenzyme A reductase, thereby inhibiting cholesterol synthesis.
3. promote lipid transport and clearance; such as Ginseng, Phellodendron, Evening Primrose and He Shou Wu can raise HDL-C and lower LDL-C. Under the guidance of discriminative theory, the correct application of the above drugs can improve the clinical effect of lipid regulation.
Food therapy for health can help people to prevent and treat cardiovascular diseases.
Healthy diet with.
Referring to the recommendations of the Chinese Nutrition Society, it is summarized as: one, two, three, four, five; red, yellow, green, white, black.
1, one, two, three, four, five
(1) One refers to one bag of milk per day. Milk is rich in high-quality protein, and can supplement the body’s calcium needs of about 300mg, while our dietary common calcium deficiency, generally at about 500mg. Milk is advisable to start from one year old, adhere to lifelong drinking.
(2) Two is about 250g of carbohydrates per day, equivalent to 6 taels of staple food, and this amount varies from person to person. It can be as little as 3 taels or as much as 1 pound. By regulating staple foods, blood sugar, blood lipids and body weight can be regulated.
(3) Three refers to three servings of high-protein foods daily. This is an important material basis for health and should not be neglected, but can also be increased to four portions. Each portion of high protein is equivalent to one or two lean meat, two or two tofu, one large egg, half a dozen soybeans, two or two fish and shrimp, or two or two chicken and duck;
(4) four refers to four phrases: coarse and fine; not sweet and not salty; three, four, five meals; seven or eight portions full.
(5) Five refers to 500g of vegetables and fruits per day. The Chinese Nutrition Society recommends eating 400g of vegetables and 100g of fruits daily.
2.Red, yellow, green, white and black
(1) Red refers to red wine drinking 50ml daily, which can raise HDL cholesterol and reduce atherosclerosis in middle and old age. The World Health Organization has changed the view that a small amount of alcohol is good for health to the less alcohol the better.
(2) yellow refers to yellow vegetables such as carrots, sweet potatoes, pumpkins, corn, tomatoes.
(3) green refers to green tea, green tea has the most tea polyphenols, has a strong anti-oxidant free radicals, anti-atherosclerosis and anti-cancer effects.
(4) White refers to white oat flour and oatmeal, it has the effect of lowering triglycerides.
(5) Black refers to black fungus, which has anti-platelet aggregation, anticoagulation and cholesterol-lowering effects.
Chinese medicine characteristic food therapy conditioning.
1, ginseng drink: 10 grams of raw sun ginseng.
Raw ginseng is steamed with water in a stewing pot, and the ginseng soup is drunk.
2.Ginseng and Panax ginseng drink: 5-10 grams of raw sun ginseng and 3 grams of Panax ginseng. Steam the raw sun ginseng with water in a stewing pot, and take the juice to serve Panax ginseng powder.
3.Ginseng Panax ginseng stewed chicken: 10 grams of ginseng, 5 grams of Panax ginseng, 100 grams of chicken. Put the stewing pot together and stew for 1 and a half hours with water. Eat chicken, drink soup.
Suitable for people: Heart Qi deficiency, chest tightness and vague pain, palpitation and shortness of breath, tiredness, white face, or easy to sweat, light red and fat tongue, thin moss, weak and slow pulse, etc.
4.Sansai drink: 5 grams of ginseng, 5 grams of American ginseng and 3 grams of Panax ginseng. Take Panax ginseng and Radix et Rhizoma ginseng in a stewing pot and steam them under water, then take Panax ginseng in juice. Formula 4, Raw pulse drink: 30 grams of prunus ginseng, 12 grams of maitake, 6 grams of schisandra. Take with water decoction. Also can add 20 grams of Salvia miltiorrhiza.
5.Double Ear Soup: 10 grams each of white fungus and black fungus, and appropriate amount of rock sugar. Soak and wash the fungus, stew with rock sugar for 1 hour with water. 1 time or divided consumption.
Suitable for people: qi and yin deficiency type, chest pain, palpitations and panic, shortness of breath and weakness, heartburn, sometimes rising fire, dry mouth, red and fat tongue with thin moss, or light red and fat with little moss, weak and thin pulse with number.
6.Gourdou allium and half-hsia soup: 12 grams of gua pourdou skin, 10 grams of allium head, 10 grams of half-hsia, and the right amount of yellow wine. Boil the soup together and drink.
7, Hawthorn, lotus leaf and coix seed soup: Hawthorn 20 grams, lotus leaf, coix seed 12 grams each, 10 grams of white onion. Decocted in water and drink as tea.
8.Hawthorn and lentil soup: 30 grams of hawthorn, 20 grams of white lentil, 30 grams of leek and 40 grams of brown sugar. The first three flavors are decocted in water and served with brown sugar.
Suitable for people: phlegm paralysis type, chest tightness mainly, or with chest pain, phlegm sticky, white greasy coating with dry, or thin yellow greasy, smooth pulse.
9.Danshen Panax notoginseng tea: 20 grams of danshen and 3 grams of Panax notoginseng. Decoction of Salvia miltiorrhiza, brew Panax notoginseng, drink as tea.
10, peach kernel porridge: 20 grams of peach kernel, 50-100 grams of round-grained rice, a little oil and salt. Decoct the peach kernel with water, remove the slag and extract the juice, cook the porridge with round-grained rice, and serve with oil and salt.
11, panax pseudoginseng chicken: chicken about 250 grams, wash and cut, remove the guts and skin, panax pseudoginseng 10 grams, broken, boil soup
Suitable for people: Heart vein stasis type, chest pain mainly, pain like stabbing, or even through the back, grayish yellow face, tongue with petechiae or dark tongue, blue veins under the tongue, heavy tongue blue, grayish black face, thin string or astringent pulse.
Herbal tea therapy for cardiovascular disease.
1, hawthorn lotus leaf tea.
Hawthorn can activate blood stasis, lotus leaf can dilate blood vessels. This tea is very beneficial to patients with hyperlipidemia, atherosclerosis and coronary heart disease. Take 30 grams of hawthorn and 12 grams of lotus leaves daily, add 500 ml of water, decoct for 15-20 minutes, then remove the residue and take the juice as tea.
2. Chrysanthemum oolong tea.
Chrysanthemum can expand the coronary arteries, and the tea can enhance the toughness and elasticity of blood vessels. This tea has a better effect on the prevention and treatment of hyperlipidemia and atherosclerosis. Take 10 grams of Hang Chrysanthemum and 3 grams of Oolong tea (or Longjing tea) daily, brewed with boiling water and drink.
Lotus heart tea: lotus heart can lower blood pressure, often drinking lotus heart tea on hypertension patients are very beneficial. Each time you take 6 grams of lotus heart, boiling water to drink, once in the morning and once in the evening.
3, cassia seed tea.
Cassia seeds can inhibit the formation of serum cholesterol and aortic atheroma plaque, and has a hypotensive effect. Hyperlipidemia, hypertension patients can take it as a health tea for a long time. Take 15 grams of cassia seeds, fried until slightly bulging with aroma, let cool, broken or coarsely ground, brewed with boiling water as tea.
4, Salvia tea.
Salvia can dilate the coronary arteries and improve blood circulation. This tea is suitable for the prevention and treatment of coronary heart disease. Danshen research into coarse powder, plus tea brewed with boiling water for 10 minutes and then drink, a daily dose.
5. Sophora tea.
Used to prevent and treat hypertension and cerebral hemorrhage. Every morning and evening with 6 grams of acacia flowers, boiling water and drink it.
6, mulberry tea.
Mulberry for the kidney and blood tonic. The decoction of mulberry sorrel as tea, as an adjunct therapy to lower blood pressure; take 15 grams of mulberry sorrel dried crystal, decoction 5-15 minutes and drink, once a day in the morning and once in the evening.
Develop good habits to prevent cardiovascular diseases.
1, half an hour after dinner every day to choose the appropriate form of exercise moderate exercise, can be brisk walking, jogging, playing badminton, dancing, playing Tai Chi and other sports. Enhance physical fitness, improve the quality of life, both for health and will not produce anaerobic metabolism due to excessive exercise, resulting in adverse effects or accidents.
2, quit smoking, quit drinking. Cigarettes contain nicotine, carbon monoxide and tar, long-term smoking will cause vasoconstriction, increase blood viscosity and platelet viscosity, while reducing the ability to dissolve blood clots and oxygen-carrying capacity of hemoglobin, so easy to produce cerebral ischemia and cerebral infarction.
3. Pay attention to weather changes. Under the influence of severe cold or strong cold air, the coronary arteries can spasm and cause acute myocardial infarction secondary to thrombosis. When the weather changes sharply and the air pressure is low, patients with coronary heart disease will feel obvious discomfort. Data show that persistent low temperature, high wind and rain is one of the triggers of acute myocardial infarction. Therefore, in case of bad weather, patients with coronary heart disease should pay attention to keep warm or take nitroglycerin-like crown-expanding drugs for protection.
4, to maintain an optimistic state of mind, relaxed spirit, happy life, on any matter to put a calm mind. A good state of mind is the key to preventing myocardial infarction.
5, do not lift too heavy items. Because lifting heavy objects is bound to bend over and hold the breath, which is similar to the impact on the respiratory and circulatory system and forceful breath holding stool, which is also the usual cause of myocardial infarction in elderly coronary heart patients.
6, take special care when bathing. Do not take a bath with a full meal or hunger. The water temperature is best with the body temperature, the water temperature is too hot can make the skin vascular expansion significantly, a large amount of blood flow to the body surface, can cause cardiac ischemia. Bathing time should not be too long, the bath room is generally hot and airless, in such an environment of high metabolic level, easy to lack of oxygen, fatigue, elderly coronary heart patients are more so. The more serious degree of coronary heart disease patients bathing, should be carried out with the help of others.
7, strengthen the general knowledge of myocardial infarction. Pay special attention to some aura symptoms about myocardial infarction: for example, sudden and obvious aggravation of angina attack; pain accompanied by nausea, vomiting, sweating or obvious bradycardia; angina attack occurs when cardiac insufficiency is thus aggravated; arrhythmia. Sudden onset of arrhythmias of unknown origin, heart failure, shock, dyspnea or syncope in elderly patients with coronary artery disease. Myocardial infarction aura symptoms mostly occur 1 week before the attack, a few patients even weeks earlier, about 40% of patients occurred 1-2 days before the infarction; angina pectoris nature than in the past change or the use of nitroglycerin is not easy to reduce
In the diet should not be “partial to the five flavors”: 1.
1, food is not sweet
Limit sugar: foods with high sugar content are mainly rice, noodles, pastries, etc. Our staple foods should be coarse and fine, such as corn, millet, beans, buckwheat, potatoes, etc.. It is best not to eat or eat less fritters, doughnuts, fried cakes, cream cakes, chocolate, milk ice-cream, etc.
2, food is not salty
Limit salt: the daily salt intake of healthy adults should not exceed 6 grams (ordinary beer cap after removing the rubber cushion, a flat cap of salt about 6g), diabetic non-hypertensive patients do not exceed 5g, hypertensive patients do not exceed 3g, diabetic hypertensive patients do not exceed 2g. which includes the amount of salt intake through soy sauce, pickled vegetables, MSG and other condiments.
3.Eating without bitterness
Over-eating can cause loss of appetite: bitter food is mainly bitter wheat cabbage, celery, mustard, bitter gourd, etc.. Bitter can clear heat, appropriate to eat some bitter vegetables is beneficial, can clear hepatitis, heart fire. However, the bitter taste after all cold, over-eating will damage the spleen and stomach, resulting in loss of appetite, or abdominal pain and diarrhea, etc., affecting the digestion and absorption of food.
4.Food is not spicy
Limit alcohol consumption: wine also belongs to the “pungent” food, drinking 100g of alcohol after the systolic blood pressure rose 10 to 30mmHg, lasting about 2 to 4 hours; drinking 500g of alcohol will make blood pressure fluctuations for one to two days, a large number of long-term alcohol consumption, more likely to induce atherosclerosis and arrhythmia, aggravating hypertension. Therefore, it is recommended that men drink no more than 30 grams of alcohol per day, that is, less than 100 ml of wine, for example, 2 to 3 two women are reduced by half the amount, pregnant women do not drink alcohol. Do not advocate drinking highly potent alcohol.
5, food is not greasy
Limit fatty foods: Limit the intake of high-fat foods such as livestock meat (especially fatty meat), animal fat (such as lard), cream pastry, palm oil and egg products, egg yolk, animal offal, fish roe and chicken skin, duck skin, etc. in your life. No more than 250 grams of fresh milk or yogurt per day. Control meat within 75 grams per day, mainly lean meat, such as pork, beef, sheep, chicken, duck and other poultry meats.
The abdomen is concentrated with a large number of meridians and acupuncture points, which is the place of digestion. The actual fact is that you will be able to get to the top and bottom of the body, to sort out the yin and yang, to get rid of the old and to get the new, and to strengthen the spleen and stomach.” Dr. Wu Huanlin said, can be supine or sitting position, first do several deep breathing, to relax the muscles, eliminate distractions, and then the right hand palm on the umbilicus, the left hand palm on the back of the right hand, the umbilicus as the center, a little force, for clockwise massage, massage from small to large, and then from large to small, continuous massage 50 times; and then change the position of the left and right hand, 50 times counterclockwise massage, so repeated 3-5 times.
Choose aerobic exercise that does not consume vital energy: you can also choose aerobic exercise that does not consume vital energy, such as: walking, brisk walking, jogging, bicycling, swimming, choose the appropriate exercise for your age, exercise tolerance. Aerobic exercise is characterized by low intensity, rhythm, uninterrupted and continuous, and long duration. Dr. Huanlin Wu said to calculate the amount of exercise: heart rate after exercise + age = 170 beats per minute, around the heart rate is appropriate. For example, a 60-year-old person should preferably have a post-exercise heart rate of about 110 beats/min, 3-5 times a week, for about 30 minutes each time.