General condition:Patient Cui, male, < /span>68 years old, Zhengzhou, retired, married, with no history of allergies. 2017year1month 13First visit.
Complaint: span>Paroxysmal chest tightness, shortness of breath10more than 10 years, worsening20days.
History of Present Illness:Patient Complaints10 years ago, there was no obvious incentive for paroxysmal chest tightness and shortness of breath, which could be relieved after rest, and treatment was not emphasized. 20days ago, the above symptoms were aggravated, and the attacks were more frequent than before. Previous hypertension12 years; chronic superficial gastritis8 span>years; esophageal reflux disease2more than 2 months; impaired glucose tolerance1month. Tongue dark red, with cracks, thin white greasy fur, thin pulse. Bp:118/94mmHg, span>HR:70times/ points, auscultation: law together.
Traditional Chinese Medicine Diagnosis: chest pain and heartache
< span>Pattern:Phlegm and blood stasis syndrome
Treatment:resolving phlegm and promoting blood circulation
prescription for initial diagnosis span>:
2017year5month17, the patient complained that the chest tightness and shortness of breath were significantly relieved after taking the drug. , Sometimes there is headache, dizziness and discomfort, dry mouth, bitter taste, sticky mouth, sleeplessness, and two stools. Dark red tongue, greasy coating, and thin pulse. Bp:138/80mmHg.
Processing:
Note:Traditional Chinese medicine believes that “the tongue is the seedling of the heart” “Lingshu·Meridian” says: “The hand The difference between Shaoyin and the yin is… it enters the heart through the meridians, and is the root of 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.
