Professor Wang Zhentao’s sharing of typical cases in the diagnosis and treatment of palpitations (470)

General:PatientsLi, female, 37 years old, from Zhengzhou, was first diagnosed on February 27, 2015.

Complaint:Viral myocarditis was discovered for 2 years.

History of present illness: Patient complained of a viral diagnosis 2 years ago Myocarditis, sometimes has symptoms of discomfort in the left precordial area and back, and is now taking metoprolol, trimetazidine, coenzyme Q10 and other drugs for treatment, Naco, poor sleep, and two stools. Denied other medical history, BP: 120/90mmHg, pale tongue, fat tongue, thin white coating, thin pulse.

Traditional Chinese Medicine Diagnosis:palpitations

Syndromes:Qi deficiency and blood stasis p>

Treatment method: replenishing qi and promoting blood circulation, soothing the nerves and calming palpitations< /span>

Preliminary prescriptions: 2015.03.06 >The patient complained of less discomfort, occasional seizures, poor appetite, poor sleep, and loose stools. Pale red tongue, thin white fur, thin pulse.

Treatment:2.27 Days Fangjia Pueraria 24g , Qianghuo 10g

Notes:Patient “palpitations” “The medical history is clear, according to the tongue and pulse syndrome, the syndrome can be differentiated as qi deficiency and blood stasis. The occurrence of viral myocarditis is mostly caused by feeling warm or damp heat toxins or wind-cold invading the human body, resulting in heat toxins, which penetrate deep into the pericardium, depleting the qi and yin of the heart. , Instigation of weak blood flow, poor blood flow and the formation of blood stasis. When blood stasis is established, it blocks the collaterals, further suffocates qi and blood, and aggravates the disease. That is, the so-called deficiency can cause stasis, and stasis can also clamp deficiency. Fang used Sijunzi Decoction combined with Xuefu Zhuyu Decoction to nourish Qi and soothe the nerves. In the recipe, Codonopsis, Poria, and Atractylodes are used to invigorate the heart and qi and strengthen the spleen; Xuefu Zhuyu Decoction promotes blood circulation and dredging collaterals; the roots of old tea tree, Wuzhulong benefit qi and activate blood, and Huixincao is used as a special medicine for the treatment of arrhythmia, clearing heat and calming palpitations. Licorice also reconciles various medicines.