What are the traditional Chinese medical rehabilitation treatments for coronary heart disease?

Coronary atherosclerotic heart disease, referred to as coronary heart disease, refers to coronary artery atherosclerosis caused by myocardial ischemia and heart disease.

Coronary heart disease belongs to the category of Chinese medicine "chest paralysis", "true heart pain", "heart pain". Su Wen Diao Qi Fa Shi Lun (素问脏气法时论) describes "heart disease, pain in the chest, fullness in the dorsal branches, pain under the dorsal branches, pain in the back of the shoulders and scapulae, pain in the arms", which is very similar to the main points of identification of coronary heart disease.

Thoracic paralytic heartache is one of the most important cardiac diseases that threaten the life and health of middle-aged and old people, and with the change of lifestyle and dietary structure in the modern society, the incidence of this disease has been gradually increasing, and thus this disease has attracted more and more people's attention. As this disease is characterized by the deficiency of this standard, with complex clinical manifestations and pathological changes, and Chinese medicine treatment from the whole, has the advantage of comprehensive effect and has received widespread attention.

I. Etiology and pathogenesis

The name "chest paralysis" was first mentioned in the "Neijing", which is divided into two types: heart paralysis and lung paralysis, and the etiology, general diagnostic points, and pain manifestations of the disease are all documented. The name "heart pain" was first found in the "52 Disease Formulas" unearthed from the ancient Han tombs in Mawangdui. The Jin Gui Yao Liao recorded the manifestation of chest paralysis, "Chest paralysis is slow and urgent", that is, the heart pain occurs slowly at times, and its pathology is characterized by Yang Wei Yin Yin Yin as the insufficiency of heart qi, so it is equipped with Gua Pou Allium Bianxia Tang, Gua Pou Allium Bianbai Baijiu Tang, and Ginseng Tang to treat this disease. Later medical doctors, such as the Yuan Dynasty Gui Yilin "World Medical Doctor Getting Effective Formula" with Suhexiang Pill, the Ming Dynasty Wang Kentang "Certificate and Treatment Quasi-Rule" with Lost Smile San and large doses of saffron and descending incense, the Qing Dynasty Wang Qingren "Medical Forest Correction" with Blood Palace and Blood Stasis Soup and so on, all of them have a better therapeutic effect on this disease.

Suwen Jingjian: "Cold accumulates in the chest and does not diarrhea, not diarrhea is warm to go, cold alone to stay in the blood coagulation sobbing, coagulation is the veins do not pass". Jin Gui Yao Liao chest paralysis, heartache and shortness of breath disease pulse evidence treatment: "Chest paralysis, heart plaque. Gas knotted in the chest, chest fullness, coercion against robbing the heart, Citrus aurantium cotyledonii cinnamon branch soup main. Ginseng Soup is also the main treatment"; "Heart pain through the back, back pain through the heart, aconite and red stone resin pill is the main treatment"; "Chest paralysis disease, wheezing, coughing and spitting, chest and back pain, shortness of breath, the pulse at the inches of the mouth is sunken and late, and the shutdown is tight and counting, gua gua gua bou bai bai bai bai bai bai bai bai bai bai soup is the main treatment"; "Chest paralysis, not being able to lie down, heart pain through the back, Gua Piao Allium bai bai bai half-sia Tang is the mainstay". Taiping Shenghui Fang for Heart Paralysis: "If the heart is damaged by thinking and worrying too much, the heart is weak, so the evil multiplies it, and if the evil accumulates and doesn't go away, then it harms the food and drink, and the heart is as full as a full stomach, and the pain is called heart paralysis". Jade Machine Micro-Yi Cardiac Pain: "However, there are also people who suffer from cardiac pain due to prolonged illness and weak labor, all of them are suffering from deficiency pain. The doctor's door law in the cold door: "chest paralysis heart pain, but always due to Yang deficiency, so the Yin get multiplied.

(I) old age and physical weakness

This disease occurs in the middle-aged and elderly people, more than half a hundred years old, kidney qi gradually decline. Kidney yang deficiency and decline can not drum the yang of the five organs, resulting in heart qi insufficiency or heart yang not vibrant, blood loss of warmth, drumming and paralysis obstruction; if the kidney yin deficiency, can not nourish the yin of the five organs, can make the heart of yin internal depletion, the heart of yin deficiency, the veins are not moistened; or the heart of the fire, burned into a phlegm, phlegm paralysis blockage of the heart veins, the development of the heart of the chest paralysis pain.

(2) improper diet

Wanton food sweet and thick taste, day long damage to the spleen and stomach, transport and transformation failure, the gathering of moisture into phlegm, up against the heart and chest of the clear open area, the clear yang does not show, the gas is not smooth, the heart pulse paralysis blockage, and then the cost of the disease; or phlegm for a long time, phlegm stasis and interlocking obstruction, but also the cost of the disease; or a full meal hurt the qi, to promote the powerlessness of the blood and qi running poorly, and the development of this disease.

(3) emotional disorders sadness injury to the spleen, spleen deficiency gas knot, transport failure, fluid can not be transported, gathered into phlegm, phlegm and blood stasis obstruction, qi and blood is not smooth, the heart pulse paralysis, hair chest paralysis and heart pain. Or depressed anger injury to the liver, liver loss of excretion, liver depression and stagnation of qi, depression for a long time into a fire, burn the fluid into phlegm, stagnation of phlegm paralysis obstruction of the heart veins, and become thoracic paralysis and heart pain. Since liver qi leads to heart qi, liver qi stagnation is heart qi lack, so the seven emotions are too much, is a common cause of this disease.

(4) cold evil internal invasion

Principal body Yang deficiency, chest Yang not vibration, the evil of Yin and cold to take advantage of the weakness, cold condensation stagnant gas, chest Yang not show, the blood line is not smooth, and the development of this disease.

The medical door law in the cold door" cloud: "chest paralysis heart pain, but always due to Yang deficiency, so Yin get multiplied. It explains that this disease is caused by Yang deficiency and attacked by cold, so it is easy to have heartache due to weather change and sudden encounter with cold.

The main mechanism of thoracic paralysis and heart pain is paralysis and obstruction of the heart, which is mainly centered on the heart, but its onset is mostly related to the dysfunction of the liver, spleen, and kidneys, such as kidney deficiency, liver depression, and loss of healthy transport of the spleen. The pathological changes of this disease are mainly manifested as deficiency and mixed substance. The deficiency can be qi deficiency, yang deficiency, yin deficiency, blood deficiency, and yin loss and yang, yang loss and yin, and the performance of qi and yin deficiency, qi and blood deficiency, yin and yang deficiency, or even yang and yin exhaustion, the heart of yang outside; the standard solid for qi stagnation, cold congealed, phlegm, blood stasis, and each other for the disease, such as stagnation of qi, blood stasis, cold congealed stagnation of qi, phlegm stagnation and interlocking obstruction, etc. Clinically, the disease is often manifested as a combination of deficiency and solid, and mixed deficiency and solid. Clinically, it is often manifested as a combination of deficiency and reality, such as yin deficiency and phlegm-heat, and yang deficiency and phlegm-drinking, etc. The episodes are mainly characterized by the manifestation of standard and solid. The episodes are mainly characterized by the manifestation of standard and solid, and blood stasis is prominent, and in the remission period, there are mainly deficiencies in the heart, spleen, kidney, qi, blood, yin and yang, of which qi deficiency is the most common.

Second, the identification of drugs

For the disease mechanism manifests itself as this deficiency, mixed with the real, the episodic period of the standard solid is dominated by this deficiency, the remission period of this deficiency is dominated by the characteristics of the treatment should be complementary to its insufficiency, and diarrhea of its surplus. This deficiency should be supplemented, weighing the deficiency of heart qi, blood, yin and yang, with or without concomitant deficiencies of the liver, spleen and kidneys, adjusting yin and yang to replenish qi and blood, adjusting the bias of the internal organs, in particular, should pay attention to replenish the deficiency of the heart qi; the standard solid when the diarrhea, for stagnation of qi, blood stasis, cold congealment, phlegm and Qi, activate blood circulation, warming, and transforming phlegm, in particular, activate the blood circulation method. Because the disease is mostly mixed, in the attack period, although the standard real, but often hidden in the original deficiency; in the relief period, although the main deficiency, but can also see the evil real, so the treatment should be complementary in the Tong Tong, Tong Tong in the complementary, through the complementary and the implementation of the same, can not be attacked, when the complementary positive and does not impede the evil, eliminate the evil and does not injure the positive as a matter of principle, as for the complementary and diarrhea of the number of when according to the clinical specific circumstances. In the treatment of thoracic paralytic heartache, especially the treatment of true heart pain, in the first three or four days of the onset of the disease, vigilance and prevention of de-evidence occurs, is more important to reduce the mortality rate and improve the cure rate. It is necessary to recognize the converse of the symptoms, and once the precursors of deregulation are found, such as severe pain, persistent unresolved pain, cold extremities, spontaneous sweating, atrophy or irritability, shortness of breath, rapid pulse, delayed pulse, knotted pulse, substituted pulse, or weak pulse, etc., the products of qi consolidation and deregulation must be administered as soon as possible.

(I) Identification and typing

1. Cold condensation of the heart pulse

[Points of identification] sudden heart pain like a strangulation, the shape of the cold, or even the hands and feet are not warm, cold sweat, palpitation and shortness of breath, or heart pain through the back, back pain through the heart, mostly due to the climate of the sudden cold or the sudden encounter with the wind and cold and the onset of the aggravation, the moss is thin and white, the pulse is heavy tight or rapid.

[Treatment] Dispel cold and activate blood, promote paralysis and Yang.

[Prescription] Danggui Siwei Tang: 9g of Gui Zhi, 6g of Xin Xin, 9g of Danggui, 9g of Paeoniae Lactiflorae, 6g of Licorice, 6g of Tongcao, and 6 jujubes.

The formula is based on Gui Zhi and Xin Xin warming and dispersing the cold, and relieving pain through Yang; Angelica sinensis and Paeonia lactiflora nourishing and activating blood; Paeonia lactiflora and licorice matching, with the effect of easing and relieving pain; Tongcao entering into the meridian and opening the veins; and jujube nourishing the spleen and camping. The whole formula **** into dispelling cold blood, through the Yang pain relief effect.

If the pain is severe and the limbs are not warm, cold sweating, that is contained in the chemical Suhui Xiang Pill or coronary heart Suhui Xiang Pill, aroma and turbidity, the gas temperature through the opening of the orifices, each Por instant pain efficacy.

Because of the cold is easy to invade the yang deficiency of people, depletion of yang, and yang deficiency is easy to feel the external cold, the evil of yin and cold, so cold congealed heart clinical often accompanied by the phenomenon of yang deficiency, it is appropriate to cooperate with warming yang qi agent, in order to take warm yang dispersal of cold, not a flavor of the Xinxin dispersal of the cold, so as not to depletion of the yang.

2. Qi stagnation heart and chest

[Points for identification] heart and chest full of tightness, hidden pain paroxysm, pain is not fixed, sometimes want to rest, easily triggered or aggravated by emotional upset, or both chest and epigastric distension, belching or vector gas is comfortable, thin or thin greasy moss, thin and stringy pulse.

[Treatment] To regulate the qi, activate blood circulation and relax the veins.

[prescription] Chai Hu Shun Liver San: 12g of Chai Hu, 10g of Citrus aurantium, 10g of Paeonia lactiflora, 10g of licorice.

This formula is based on the addition and subtraction of Si-Wei San (Citrus aurantium changed to Citrus aurantium), Si-Wei San can dredge the liver and regulate the flow of qi, which is matched by the combination of Chai Hu and Citrus aurantium to elevate and lower qi, and Paeonia lactiflora and licorice can be used to alleviate the urgency of relieving the flow and relieve the pain, with the addition of Xiangshu and Chenpi to enhance the function of regulating and relieving the depression. The whole formula **** play to ease and regulate the qi, and blood and soothe the efficacy of the veins.

Qi stagnation chest paralysis heart pain, according to the needs of the condition, the use of wood, incense, incense, sandalwood, Yanhuosuo, sand nuts, thick Park, hedge hedgehog, hedgehog, and other aromatic gas and break the gas of the products, but can only be used temporarily, can not be used for a long time, so as not to avoid dissipate the positive qi.

3. Phlegm obstruction

[Points for identification] chest tightness and heart pain is slight, obese body sinking, phlegm and shortness of breath, easy to attack or aggravated by rainy days, accompanied by tiredness and fatigue, loose stools, mucus, nausea, spitting phlegm and saliva, moss white greasy or white slippery, slippery pulse.

[Treatment] Passing the Yang and draining the turbid, open up the phlegm and open the knot.

[prescription] piper betel scallion and half-summer soup with flavor: piper betel 30g, scallion 10g, half-summer 6g.

The formula to piper betel, scallion phlegm through the yang, qi and pain; half-summer plus thick Park, Hovenia, hard and warm stagnation of qi and break phlegm knot; gui zhi warming yang and qi through the veins with poria, licorice, strengthen the spleen and diuresis of drink; add ginger, fine Xin warm yang and drinks, dispersal of cold to stop the pain. The whole formula plus flavor *** play through the yang to resolve the drink, drain the turbid phlegm, disperse the knot pain efficacy.

If the patient's phlegm is viscous, yellow in color, dry stools, yellow and greasy moss, for the phlegm and heat, use Huanglian Wengdian Tang plus tulip gold to clear phlegm and heat, and regulate the qi and blood, the formula to two Chen Tang, Poria, tangerine red, licorice phlegm, Huanglian, Bamboo Roots, Hovenia to clear phlegm and heat, and tulip gold to enhance the power of the qi and blood. Chest paralysis and heart pain, phlegm obstruction, can often be used as appropriate, Tianzhuhuang, Tiannanxing, half-summer, guayule, bamboo, Cangzhu, Platycodonopsis, Leptosphaeria, Zhebeimu and other phlegm drink drugs, but because the spleen is the source of phlegm, the clinic should be applied to strengthen the spleen and dissolve the dampness of the product.

4. Blood stasis paralysis

[Points for identification] chest pain is severe, such as stabbing like strangulation, the pain has a fixed place, or even the heart pain through the back, back pain through the heart, or pain in the shoulders and back, the day does not heal, can be aggravated by anger, the tongue is dark red, or purple, with ecchymosis, the tongue under the stasis, moss is thin, the pulse is astringent, or knotted, urged.

[Treatment] Activate blood circulation and eliminate blood stasis, clear the veins and relieve pain.

[Prescription] Hematopoietic Stasis Relieving Tang: 12g of peach kernel, 9g of safflower, 9g of angelica sinensis, 9g of Radix et rhizoma Sengdi, 5g of Rhizoma Ligustici Chuanxiong, 6g of Paeonia lactiflora, 9g of Achillea Millefolium, 3g of Chai Hu, 6g of Hovenia Citrus shells, 3g of licorice. Angelica sinensis, Rhizoma Ligustici Chuanxiong, peach kernel, safflower activate blood circulation and eliminate blood stasis; Chaihu, Platycodonopsis, and Citrus aurantium, combined with Citrus aurantium and Cortex, one ascending and one descending, regulate the qi mechanism, move qi and activate blood circulation. Shengdi flavor, blood paralysis, "Materia Medica" that there is "cool blood stasis" function, and can nourish the yin and moisturize the blood dryness, medicine **** into the elimination of blood stasis through the veins, gas and pain relief agents.

If blood stasis is serious and chest pain is severe, frankincense, myrrh, tulip, yu jin, yanhuisuo, descending incense, danshen, etc. can be added to strengthen the function of activating blood and regulating qi; if blood stasis and qi stagnation are both serious and the chest pain is very serious, add Shenxiang, sandalwood, wicker, etc., and swallow panax ginseng; if blood stasis is caused by cold coagulation or yang deficiency, with coldness and coldness of limbs, and the pulse is fine or slow, add xin xin, gui zhi, or cinnamon, gaoliangangjiang, etc., and warm and dissipate cold, or ginseng. If accompanied by shortness of breath and fatigue, it may be added. If accompanied by shortness of breath, fatigue, spontaneous sweating, pulse is thin and slow or nodding, when the benefit of qi and blood, with ginseng and ying ying tang combined with peach red four things tang plus subtractions, heavy use of ginseng, astragalus and other qi and blood stasis removal products.

When there is blood stasis and paralysis, clinically speaking, we can use drugs to promote blood circulation and eliminate blood stasis, such as Panax ginseng, Chuanxiong ligustici, Danshen, Angelica sinensis, safflower, Sumac, Paeonia lactiflora, Zephyrhosia japonica, Cortex officinalis, peach kernel, motherwort, hirudinea officinalis, Wang Bulei xing, Danshi, Hawthorn, etc., but according to the clinical conditions, we must mix and match with the drugs of benefiting the qi, warming up the yang, dispersing the cold, dissolving phlegm, and regulating the qi, so as to use the medication according to the evidence and strengthen the therapeutic efficacy of eliminating blood stasis. In addition, the disease is mostly deficient in essence, with lingering condition, so blood-breaking drugs should be used with caution, and should not be used for a long time, so as not to deplete the vital energy. In the application of blood activation, blood-breaking drugs, must be depending on whether there is bleeding tendency or signs, once found, immediately stop using, and be dealt with accordingly.

5. Heart qi insufficiency

[Points for identification] heart and chest pain, chest tightness and shortness of breath, movement is worse, palpitations in the heart, fatigue, fatigue, white face, easy to sweat, the tongue is light and red, the tongue is fat and the edge of the teeth marks, moss is thin and white, the pulse is weak and slow or knot generation.

[Treatment] Nourish and nourish the heart qi and stimulate the heart pulse.

[prescription] Bao Yuan Tang combined with Gan Mai Dazao Tang: 10g of ginseng, 15g of astragalus, 10g of licorice, 6g of cinnamon, 9g of ginger.

The formula is based on ginseng and astragalus to replenish the vital energy and support the heart qi; licorice is used for sweet and warmth to benefit the qi, to open up the meridian and facilitate the pulse, and to treat palpitation by promoting the flow of blood and qi; cinnamon is pungent and hot to replenish the yang and to disperse the cold qi to treat the pain in the heart and to return qi to the kidneys to alleviate the shortage of qi and the shortness of breath; or to Gui Zhi, with the function of promoting Yang and blood stasis, is used to treat heart qi deficiency and blood stagnation in the heart; remove ginger, add Danshen or Angelica sinensis, and Ganmai Dazao Soup to benefit the heart qi, nourish the heart and mind, and sweeten the heart and slow down the urgency. The two parties **** play to replenish and nourish the heart qi, drumming the efficacy of the heart veins.

Where the heart gas is insufficient, with gas stagnation, blood stasis, phlegm, the heart gas medicine should be chosen to calm and light tonic products, to observe the reaction to the drug, as appropriate, to increase or reduce the amount of tonic drugs, and with gas, blood, phlegm medicines, but should not be broken heart gas to the extent of the blood, phlegm should be used with caution or not used. If there is also fatigue, tiredness, dullness, insomnia, dreaminess and other deficiency of heart and spleen, the formula is Baoyuan Tang with ginger to replenish heart qi; add Poria, Poria, Yuanzhi and Semixia to strengthen the spleen and stomach, replenish the heart and tranquilize the mind; sour jujube nut and Schisandra to astringe heart qi, nourish the heart and tranquilize the mind; Angelica sinensis and Rhizoma Ligustici Chuanxiong to move the qi and activate the blood, the entire formula has the effect of replenishing the heart and spleen, nourishing the heart and tranquillizing the mind. If you also see palpitations, shortness of breath, dizziness and fatigue, chest tightness and pain, dry mouth and throat, insomnia, red tongue with teeth marks, for the deficiency of qi and yin, with the use of pulse powder combined with gui spleen soup plus subtractions.

Complementary heart gas medicine commonly used ginseng, Radix et Rhizoma Ginseng, Astragalus, jujube, Radix et Rhizoma Ginseng, etc., such as a significant deficiency of qi can be used as less cinnamon, supplementing the lesser fire yuan qi, and can also be used with maitake, bamboo, yellow essence, etc., beneficial to qi and nourishing yin products.

6. Heart yin deficiency

[Points for identification] heart and chest pain, or burning pain, or boring pain, palpitations, palpitations and anxiety, the five heart hot, dry mouth and night sweating, face hot, tongue, thin or peeling thin moss, pulse or knot generation.

[Treatment] Nourishing Yin and clearing heat, promoting blood circulation and nourishing the heart.

[prescription] the heavenly king tonifying the heart Dan: 120g of raw earth, schizandra, angelica body, asparagus, maitake, cyperus, sour jujube kernel 30g, ginseng, xuan ginseng, danshen, Poria, farzhi, platycodon, 15g. refined honey for small pills.

This formula can make the heart yin restored, the deficiency fire leveled, the blood veins favorable, then the burning pain in the heart and chest can be relieved.

7. Heart Yang is not vibrant

[Identification points] palpitations and pain, chest tightness and shortness of breath, spontaneous sweating, movement is worse, tiredness, cold, white face, limbs warm or swollen, tongue fat, moss white or greasy, pulse is thin and slow.

[Treatment] Nourish yang qi and warm the heart yang.

[prescription] ginseng and sorghum soup with subtraction: ginseng 12g, 9g sorghum, cinnamon stick 6g, licorice 10g.

The formula ginseng, sorghum, warming the true yang; cinnamon stick, licorice, warming yang, revitalization of the heart yang, the two **** play the warming of the heart of the yang of the work.

If the heart and kidney yang deficiency, can be combined with the kidney qi pill treatment, the formula to the epimedium, cinnamon (or cinnamon) to make up for the fire in the water, with six flavors of dihuang pills to strengthen the water main, from the yin to attract the yang, and the combination of warming and tonifying kidney yang agent, and the above combined, warming and tonifying the heart and kidney and the elimination of the cataracts. If kidney-yang deficiency is accompanied by water-drinking on the heart and lungs, oedema, shortness of breath and palpitation, use Zhenwu Tang to tonify kidney-yang and drive away cold evils with Radix Polygoni Multiflori, combined with Paeonia lactiflori, which can enter the yin to break up the knot and astringe the yin, Poria and Atractylodis Macrocephalae to strengthen the spleen and induce diuresis, and ginger to warm and dissipate the water-drinking qi, and combined with the above to warm the kidney-yang and transform the cold-drinking. If the heart and kidney yang is deficient, and the deficient yang wants to go off, use Four Reversals plus Ginseng Soup to warm the yang and benefit the qi, and return the yang to save the reverse. If you see profuse sweating, the pulse is weak and want to die and other evidence of death of yang, the application of ginseng and auxiliary soup, and add a large dose of cornelian cherry meat, in order to warm the yang and benefit the qi and solid off. If Yang deficiency and cold congeal the heart veins, and the heart pain is more severe, add antler slices, Cornu Cervi Pantotrichum, Wicker Welfare, Liang Jiang, Xin Xin, Chuan Wu, and Chishu Lipstick as appropriate. If Yang deficiency and cold condensation is accompanied by Qi stagnation and blood stasis, warmer Qi and blood regulating drugs such as Allium cepa, Shen Xiang, Descending Fragrance, Sandalwood, Fragrant Fragrance, Chickweed, Zelan, Rhizoma Ligustici Chuanxiong, Peach Kernel, Safflower, Yanhuosuo, Frankincense, Myrrh, etc., can be used.

(2) proprietary Chinese medicines

1. Quick-acting heart pill (chuanxiong, ice chips, etc.) 3 times a day, each time 4 to 6 capsules containing, acute attack each time 10 to 15 capsules. Efficacy of blood circulation, increase coronary flow, relieve angina pectoris, treatment of coronary heart disease chest tightness and breathlessness, pain in the precordial area.

2. Suhexiang Pill (Taiping Huimin Hejiaobingfang) 1 to 4 pills per dose, when in pain, efficacy of aroma and warm through the gas and relieve pain, treatment of chest paralysis and heart pain, cold condensation and stagnation of qi evidence.

3. Su Bing Duo Pill (Sulforaphane, Ice Tablet) contains 2 to 4 pills each time, 3 times a day. Efficacy of aroma to open the orifices, regulate qi and relieve pain, treatment of chest paralysis and heart pain, true heart pain is cold condensation and stagnation of qi evidence.

4. Coronary heart Suha Pill (Suha Xiang, ice tablet, cinnabar, wooden incense, sandalwood) 1 pill (3g) per dose. Efficacy aroma to open the orifices, the treatment of qi pain, for chest paralysis and heart pain qi stagnation and cold condensation, can also be used for true heart pain.

5. The heart qi oral liquid (astragalus, ginseng, etc.) each 10 ml, 2 times a day. Effective in replenishing qi, nourishing the heart and relieving pain, used for chest paralysis, qi deficiency is obvious.

6. Nourish the heart yin oral liquid (maitong, sasanqua, etc.) 10m1 each time, 2 times a day. Effective in nourishing yin, harmonizing blood and relieving pain, used in chest paralysis and obvious yin deficiency.

(C) eliminate paralysis pain

Thoracic paralysis heart pain is an internal medicine emergency, its onset of acute, rapid changes, easy to deteriorate into true heart pain, in the acute attack should be to eliminate pain as the primary task, can be selected or combined with the use of the following measures:

1.cold evidence of heart pain aerosol (cinnamon, fragrant adenosine, etc.) warm menstruation disperses cold, regulating qi pain, for the pain in the heart, the moss is white, each time the spray under the tongue 1 to 2 times. The following is a list of the most common types of painkillers

2. Heat evidence of heart pain aerosol (dandelion, chuanxiong, etc.) cool blood and clear heat, blood pain relief, used for heart pain moss yellow, each sublingual spray 1 to 2 times.

3. Musk heart pill (musk, toadstool, ginseng, etc.) aroma and warmth, beneficial to qi and strong heart, each time contained or swallowed 1 to 2 pills.

4. Heart pill (ginseng, ganoderma lucidum, musk, bear bile, etc.) to nourish the heart and activate the blood, each time contained or swallowed 1 to 2 pills.

5. Angina Ning Cream (Salvia miltiorrhiza, saffron, etc.) activates blood circulation, removes blood stasis, and opens the mind with aroma. Apply to the anterior region of the heart. With the use of chuanxiongzine injection, danshen injection, shengxin injection drip.

6. Applying drugs to the skin can directly affect the internal organs through the meridians. Currently commonly used drugs for blood circulation and stasis and aromatic warming drugs, such as angelica, frankincense, myrrh, safflower, ice.

Three, acupuncture treatment so far, acupuncture treatment of coronary heart disease system of research is not complete. The following are clinically effective common points:

Heart Yu, syncope Yu, with the foot Sanli, Tongli, between the make, and combined with the identification of additional and reduced selection of points, 10 to 20 times for a course of treatment, daily or every other day. Generally 3 to 5 times can be effective.

Four, other therapies

(A) massage rehabilitation therapy

Commonly used points: lung Yu, heart Yu, diaphragm Yu, Neiguan, Shenmen, danzhong, the sea of blood, the syncope Yu, Fenglong, the foot Sanli, the sea of qi and other points.

Specific methods of operation: pressing, kneading, one-finger meditation,, rubbing method. The patient takes a sitting position, press and knead the lung Yu, heart Yu, diaphragm Yu, Neiguan. The operation of both sides at the same time, the technique should be gentle and gentle, to the extent that the patient slightly feel soreness and swelling, each point kneaded for 2 min. and then kneaded or one-finger Zen push method in the cervical vertebrae on both sides of the up and down back and forth treatment for about 4 min. then with the gentle method on both sides of the back of the bladder meridian back and forth treatment for about 4 min. and then straight rub on both sides of the back of the back of the bladder meridian and the back of the ducal meridian, are in order to penetrate the heat to the extent of the.

For those who suffer from cold condensation of blood vessels, press and knead Shenmen and Tanzhong points. For those who have stagnation of qi and blood stasis, press and knead the Sea of Blood and Sycosis points. For those with phlegm obstruction:

Press and knead Fenglong, Foot Sanli points. If the internal organs are deficient, press and knead the Qihai and Foot Sanli points.

The therapeutic techniques should not be too heavy, to the extent that the patient feels soreness and swelling, the technique is too heavy on the contrary, the symptoms are aggravated. The treatment of angina pectoris should be carried out in conjunction with internal medicine, and special attention should be paid to changes in clinical conditions.

(2) daily life, diet and living

1. abnormal mood can lead to disorders of the internal organs and the onset of disease, especially with the heart disease is more closely related to the prevention and treatment of this disease must attach great importance to the mental regulation, to avoid too much excitement or joy, anger and worry about the excessive, to maintain a calm and happy mood.

2. Climate changes in cold, heat, rain and sunshine also have a significant impact on the development of this disease, "the source of all diseases on the cardiac pain in the disease of all the symptoms" recorded: "heartache, wind and cold evil multiplied by the heart," so this disease should not feel the cold, in addition to the residence must be kept quiet, ventilation, but also pay attention to the appropriate cold and temperature.

3. Diet regimen should not eat too much fat and sweet, should quit smoking and drink less alcohol, low-salt diet, eat more fruits and fiber-rich foods, to maintain smooth stools, diet should be light, do not eat too full. Patients should rest in bed immediately during the onset of the attack, and pay attention to appropriate rest during the relief period, adhere to the activities within their capabilities, to achieve the movement of the quiet, to ensure sufficient sleep.

(C) traditional exercise methods

The previous mentioned for passive treatment, on this basis should also be combined with the patient's own active exercise, but the amount of active exercise to have a certain degree of scientific, should be carried out under the guidance of the doctor. Coronary heart disease in the acute stage of rehabilitation reference to the corresponding chapter. Traditional Chinese medicine rehabilitation in the recovery period can use taijiquan.

Taijiquan is widely practiced in China and is easy to promote. Its movements are loose and natural, rigid and flexible, and the movement seeks quietness, which is more suitable for patients with coronary heart disease combined with hypertension. Taijiquan exercise is very small, it is reported that practicing simplified taijiquan can be the highest heart rate of 105 times/minute, practicing the old-style taijiquan heart rate up to 134 times/minute, and its intensity does not exceed 50% of the maximum oxygen uptake rate. Old-style taijiquan due to isometric exercise school, exercise heart rate than simplified taijiquan increased by 26%, but does not prevent patients with coronary heart disease application. Simplified Taijiquan is generally used. Taijiquan, eight-duanjin, five bird play and so on can be used accordingly.