General:SuXX, female, 60 years old, farmer, from Xuchang, Henan. No history of drug allergy was found. 2018year06month06day.
Complaint:Intermittent chest tightness and chest pain10more than 10 years, and relapsed for 4days.
History of present illness:10 More than a few years ago, the patient had chest tightness, chest pain, and retrosternal tightness without obvious incentives, which had no obvious relationship with the amount of activity. The electrocardiogram showed myocardial ischemia. Now he is taking aspirin, atorvastatin, and Shexiang Baoxin Pill. /span>4day attacks were more frequent than before, accompanied by shortness of breath, paroxysmal palpitations, dizziness, neck and head pain, waist and leg pain. Nanomian can, foamy urine, stool1-2 times, and the quality is acceptable. Dark tongue, thin white fur, and thin pulse. Previous hypertension20more than 20 years, blood pressure control is acceptable, diabetes 10more than 10 years, blood sugar control is still Can. Hyperlipidemia10more than 10 years.
Traditional Chinese Medicine Diagnosis: chest pain disease
Syndromes:Heart-yang insufficiency and blood stasis syndrome
< p>Treatment:Wen Zhen Xin Yang< /p>
Preliminary prescriptions:
2018year0 span>SundayTwoClinic: After taking the medicine, the chest tightness is relieved, but there is still chest pain, occipital pain, poor appetite, poor appetite, normal sleep, loose stools, normal urination, pale tongue, thin white coating, and thin pulse.
Processing: 6months 6Japanese Fangchuanxiong reformed30g, Bupleurum reformed24g, five-clawed dragon reformed45g, plus pueraria30g< span>, Amomum 10g. Traditional Chinese medicine 10pay, one dose per day, decoct in water.
Notes:Patients referred to “chest pain” as the The main symptoms, diagnosed as “coronary heart disease”, can belong to the category of “chest pain and heart pain” in traditional Chinese medicine. The name of chest paralysis was first seen in the “Golden Chamber Synopsis”, in which it is believed that its pathogenesis is “yang micro-yin string”, that is, the upper focus is yang deficiency, the yin evil is superior, and the evil and the good are fighting each other. In this case, the syndrome was identified as insufficiency of heart yang combined with blood stasis syndrome. The treatment is to warm the heart yang, promote blood circulation and remove blood stasis. > recipe, Gualou Xiebai Guizhi Decoction is derived from “The Synopsis of the Golden Chamber” Gualou Xiebai Decoction increases the yang-warming and qi-invigorating herbs. Sanjie, promoting Qi and leading stagnation; Cinnamomum cinnamon and cinnamon to warm meridians, Pingchong and Jiangni; Guanxin 2 prescription and peach kernel to promote blood circulation and remove blood stasis, Panax notoginseng, Bupleurum, Tongxuexiang invigorating Qi and promoting blood circulation, Five-clawed dragon and Rhodiola rosea invigorating Qi and promoting blood circulation. The combination of various medicines has the effect of clearing yang and dissipating stasis, promoting blood circulation and removing blood stasis. In the second visit, the patient’s symptoms were relieved, and he complained of pain in the posterior occipital region and poor appetite. Then Pueraria lobata was added to relieve muscle and dredging collaterals, and Amomum glutinosa to strengthen the spleen and neutralize the middle.