Professor Wang Zhentao’s sharing of typical cases in the diagnosis and treatment of chest pain and heart pain (387)

General:horsesXX, male, 64 years old, farmer, from Zhoukou, Henan. No history of drug allergy was found. 2018year06month12the first visit.

Complaint:Intermittent chest tightness and chest pain for more than 1 year, and then for 1 month.

History of present illness: 1years ago with no obvious cause for chest tightness, Chest pain, lasting for several days, intermittent oral trimetazidine and Tongxinluo treatment, electrocardiogram showed bradycardia, echocardiography showed right atrial enlargement, the above symptoms 1month ago Reappearance, lasting for 3 days and then relieved. He was in good health and denied other medical history. The tongue is dark red, the coating is yellow and greasy, and the pulse is deep and stringy.

Traditional Chinese Medicine Diagnosis: chest pain disease

Syndromes:Shaoyang Syndrome

Treatment:Reconciling Shaoyang

Prescriptions for Initial Diagnosis :

SecondConsultation:Stool is not formed after taking the medicine, 1 day 1 – 2 times, Yu Wei complained of obvious discomfort, sleep well, and two stools were normal. The tongue is pale red, with tooth marks on the sides, yellow and greasy fur, and thin pulse.

Processing:6month< /span>12Remove paeonol in Japanese, add safflower12g, Gorgon30g span>, myrobalan20g. Traditional Chinese medicine 15paid, one dose per day, decoct in water.

Note:Xiao Chai Hu Tang is derived from the medical saint Zhang Zhongjing The classic prescription of “Treatise on Febrile Diseases” has the functions of dredging the cardinal, reconciling Shaoyang, clearing the exterior and interior, reconciling qi and blood, regulating the spleen and stomach, regulating the three burners, strengthening the zheng and dispelling pathogens. The principal of the certificate. The disease identified in this case belongs to “chest pain and heart pain”. The selected prescription takes Xiaochaihu Decoction as the basis, and the prescription is used as a tonic, and the addition and subtraction of the prescription is based on the principles of regulating qi, promoting blood circulation, removing blood stasis, and removing stagnation. The patient has been ill for a long time, and the tongue is dark red. Considering the obstruction of blood stasis, Guizhi Fuling Pill is combined to promote blood circulation and remove blood stasis and dredging collaterals. Poria cocos, in which Guizhi warms the meridians and dissipates blood stasis, Danpi dissipates blood stasis and reduces swelling, peach kernel promotes blood circulation and removes blood stasis, peony is for nourishing blood and dredging collaterals. In addition, Rhodiola rosea, five-clawed dragon nourishing qi and promoting blood circulation, Tongxuexiang, Panax notoginseng flower activating qi and promoting blood circulation, and licorice reconcile various medicines.