General condition:Patient Tang, female, 53 Aged, from Xinxian County, Xinyang, first visit on May 12, 2017.
Complaint:Intermittent palpitations, chest tightness, shortness of breath for 4 years, aggravated for 1 week.
History of present illness: 4 years ago with no The obvious incentives are palpitations, chest tightness, shortness of breath and other symptoms, and the local oral treatment with related Chinese and Western medicines is generally effective. Present symptoms include palpitations, chest tightness, shortness of breath, aggravated by exertion, sleeplessness, and loose stools, red tongue, thin white coating, and thin pulse. A 2-year history of hyperlipidemia. BP: 140/90mmHg. Electrocardiogram: generally normal.
Traditional Chinese Medicine Diagnosis:palpitations
Syndromes:Qi and Yin deficiency and blood stasis p>
Treatment method:Reinforce Qi, nourish Yin, activate blood and calm palpitations
Preliminary prescription:
2017.7.25 follow-up visit: I still have shortness of breath after taking the medicine, and other symptoms are relieved. It will be adjusted. Red tongue with cracks, thin white fur, thin pulse. BP:130/84mmHg.
Treatment: On 5.12, add 24g of dogwood meat and 12g of Polygonatum. 15 doses to be simmered in water, one dose per day.
Note:“The Yellow Emperor’s Classic of Internal Medicine, Su Wen, Jutong Theory” points out that “the shocking Then the heart has no place to rely on, the spirit has nowhere to return, and the anxiety has no place to settle.” Heart palpitations should be treated according to the facts. Deficiency syndrome should be supplemented with qi, nourishing yin, nourishing blood, and warming yang; However, this disease is more common because of the mixed reality, and the priority and priority of the reality are different, so it should be taken into account in the treatment. At the same time, because palpitations have pathological characteristics of restlessness, it should be combined with the method of calming the nerves or calming the heart as appropriate. Combined with the case, the patient’s syndrome is qi and yin deficiency and blood stasis.