Professor Wang Zhentao’s sharing of typical cases in the diagnosis and treatment of palpitations (485)

General condition:Patient Liu , male, 50 years old, Han, from Anyang City, drug allergy history: none. First visit on May 4, 2016.

Complaint:Paroxysmal palpitations for 2 months.

History of present illness:The patient had palpitations for no apparent reason in the past 2 months, and occasionally There was chest tightness and fatigue; he checked the dynamic electrocardiogram in the local hospital: 5084 times of premature ventricular contractions/24h, 12481 times of supraventricular premature beats/24h, and the effect of drug treatment was not good. Na can, poor sleep, two can. The tongue is dark red, the coating is white and greasy, and the pulse is deep and thin. Past medical history: Denied other medical history. Blood pressure: 130/86mmHg, heart rate 86 beats/min.

Traditional Chinese Medicine Diagnosis:palpitations

Syndromes:Internal disturbance of phlegm-heat, mindrestless

Treatment:clearing heat and resolving phlegm, tranquilizing the heart God

Prescription for initial diagnosis: < /span>Review on May 31, 2016:

Treatment: The decoction on May 4th was added with 12g of fried apricot constant. 20 doses, decocted in water, one dose a day, divided into two warm doses.

Notes:Patient symptoms, signs and related Medical history, traditional Chinese medicine diagnosis “palpitations” combined with tongue and pulse, four diagnostics combined with ginseng, the syndrome differentiation is “phlegm-heat disturbs the mind and restlessness”, and Huanglian Wendan Decoction is selected for treatment. This recipe has the effect of clearing the heart and reducing fire, resolving phlegm and relieving the middle, and is mainly used for phlegm-heat disturbing heart palpitations, chest tightness, restlessness, insomnia and dreaminess. In the recipe, huanglian, turmeric, and lotus seeds can clear the heart and eliminate vexation; tangerine peel, pinellia, and Zhuru clear phlegm and heat; Poria, Fushen, Huixincao, and Acacia skin nourish the heart and soothe the mind; raw keel, raw oysters soothe the mind; Tea tree root clears heat and calms palpitations; Danshen activates blood and removes blood stasis. Lvfukang Capsules are mixed with decoction three times a day to nourish qi and nourish yin, clear heat and activate blood and calm palpitations.