General:horsesXX, female, 81 years old, from Zhengzhou, Henan. No history of drug allergy was found. 2018year07month31day.
Complaint: span>Intermittent chest tightness and chest pain for half a month.
History of present illness:Have chest tightness and chest pain without obvious incentive half a month ago, which can radiate to the back. After a few minutes, it resolved spontaneously, with occasional palpitations, and an electrocardiogram showed abnormal T waves. Now she is taking Shexiang Baoxin Pills for treatment. Narmian is normal, stool is dry, and urination is normal. Past history: Diabetes20more than 20 years, hypertension20more than 20 years. History of atrial fibrillation1 years. Red tongue, thin white fur, deep and stringy pulse.
Traditional Chinese Medicine Diagnosis: chest pain disease
Syndromes:Heart-yang insufficiency and blood stasis syndrome
Treatment Method: Wenzhen Xinyang, promote blood circulation and remove blood stasis
Preliminary prescription:< /strong>
2018
Processing:7Month31 Japanese side plus gardenia12g, light tempeh10g. Traditional Chinese medicine 10pay, one dose per day, decoct in water.
Note:According to the patient’s tongue, pulse, symptoms, Traditional Chinese medicine belongs to the category of “chest pain and heart pain”, and the syndrome is a combination of heart-yang insufficiency and blood stasis. The addition and subtraction of Zhishi Xiebaiguizhi decoction combined with Guanxin No. 2 formula was used. In “Golden Chamber Synopsis: Chest Bi, Heart Pain, Shortness of Breath, Syndrome and Syndrome Combination Treatment No. 9”, it says: “Chest Bi, suffocation in the heart, Qi knot in the chest, full chest, under the flank and grabbing the heart, Zhi Shi Xie Bai Guizhi Decoction is the main , Ginseng soup is also the main “. Citrus Xiebaiguizhi Decoction is the basic prescription for the treatment of thoracic arthralgia. The treatment of coronary heart disease is inseparable from promoting blood circulation and removing blood stasis, so the basic formula of promoting blood circulation and removing blood stasis is added, namely Guanxin No. 2 formula. At the same time, Rhodiola rosea, Tongxuexiang, peach kernel, Panax notoginseng flowers, and hematoxylin are added to the prescription to assist Qi and blood circulation, and relieve pain. The second patient complained of chest tightness, relief of chest pain, and sometimes irritability, so Zhizizhitang was added to clear the heart and relieve anxiety.