General condition:Patient Han, female, 38 Aged, from Huaxian County, Henan Province, was first diagnosed on September 5, 2017.
Complaint:Intermittent palpitations, chest tightness, shortness of breath for 5 months, aggravating for 4 days.
History of present illness:The patient developed palpitations, chest tightness, and shortness of breath after exertion before 5 months With cough, no systemic treatment. One week ago, the above situation aggravated because of a cold. Check ECG: HR: 41bpm, and the possibility of lateral myocardial infarction. Hypertension for more than 2 years. Na sleep can be adjusted. BP: 153/83mmHg, red tongue, thin yellow and greasy fur, fine and slow pulse.
Traditional Chinese Medicine Diagnosis:palpitations
Syndromes:Internal disturbance of phlegm heat
< strong>Treatment:clearing heat and resolving phlegm
Prescription for initial diagnosis:
Note:The patient has palpitations, chest tightness, and shortness of breath. , damages the spleen and stomach, the yang qi does not work, the spleen loses its healthy movement, helps dampness and produces phlegm, blocks the heart and blood vessels, burns the body into phlegm, and damages the qi and yin. Slow, slow pulse. The patient not only has phlegm-heat in the internal organs, but also has a lack of heart-yang, the prescription is to choose Huanglian Wendan Decoction and Erxian Decoction. In the decoction, Huanglian changed Scutellaria baicalensis to reduce its bitterness and coldness, clearing heat and resolving phlegm, regulating qi and stomach; Curcuma radix, Xianling spleen warm and invigorating kidney-yang; Tea tree root, Huixin grass invigorating Qi and promoting blood circulation, clearing away heat and calming palpitations. Gorgon invigorates the spleen and qi, and licorice harmonizes various medicines.