General condition:Patient Xi, female, < /span>45 years old, Zhengzhou, freelance, Han nationality, married, no history of allergies. 2017year3month 24First visit.
Complaint: span>Paroxysmal chest tightness and chest pain3more than 3 months.
History of Present Illness:Patient Complaints3months ago, there was no obvious incentive for paroxysmal chest tightness and chest pain, which occurred more often than cold or fatigue, and lasted for about 3 -5min spontaneously relieved, once in Zhengzhou People’s Hospital, coronary angiography showed: anterior descending artery10-15%< span>Narrow, usually sleepy, and two will adjust. Past thyroid cyst4more than 4 months. The tongue is dull, the coating is white and greasy, and the pulse is thin and thin. Bp:146/86mmHg, span>HR:62times/ points, auscultation: law together.
Traditional Chinese Medicine Diagnosis: chest pain and heartache
< span>Syndromes:Qi deficiency and blood stasis
Treatment:< /strong>Replenishing Qi and Activating Blood
Preliminary Prescriptions :
<640" span>Second Clinic:March 31, 2017 , After taking the medicine, the chest pain is relieved, and the duration is shorter than before. Pale red tongue with tooth marks on the sides, thin white fur, and thin pulse. Bp: 136/88mmHg.
Processing:3Month24Japanese plus Chaihu10g, raw oysters30g, bellflower 15g, Tongxuexiang changed to 20g, 7dose in water for simmering, Japanese1 dose to be warmed in two divided doses.
Three Clinics:On AprilMonth 18, 2017, after taking the medicine, her condition was relatively stable, and she did not complain. Obvious discomfort, sleep can be satisfied, two will adjust. Pale tongue, thin white fur, thin pulse. Bp: 121/75mmHg.
Processing:3Month31Poria cocos in Japan is changed to24g, Atractylodes changed to 30g, Tongxuexiang changed to 15g, 14dose Shui Jianbi, Japanese1dose,Take two warm servings .
Note:Traditional Chinese medicine believes that “the tongue is the seedling of the heart” “Lingshu·Meridians” says: “The difference between the Shaoyin of the hand and the yin of the hand is that it enters the heart through the meridian, and is tied to the tongue.” The collaterals of the heart are directly connected to the tongue, and the physiological functions and pathological changes of the heart are directly reflected on the tongue through the meridians. . The patient has a history of coronary heart disease and is presenting with pain in the precordial area and numbness at the tip of the tongue, which should be viewed as a whole and treated together. Check the tongue and pulse, the tongue is dark red, the coating is thin and white, and the pulse is deep and thin. Syndrome differentiation: “Qi and Yin Deficiency” dogwood meat and mulberry nourish the liver and kidney, consolidate the root and cultivate Yuan; Compatible with Salvia miltiorrhiza, safflower, and Chixueteng to promote blood circulation and remove blood stasis. Papaya, white peony root, mulberry branch nourishing yin and activating collaterals, earth element, whole worm, black-headed snake and other flesh-and-blood sentient products, promote blood circulation and dispel wind.