Qi stagnation blood stasis type coronary heart disease, use this square, to avoid the pain of stenting
Patient Fan Mou, male, 61 years old, chest tightness, palpitation, shortness of breath 7 years ago, symptoms worsened in the past six months, accompanied by chest pain, in the local hospital, do coronary CTA: the first section of the right coronary trunk of the tube wall calcified plaque shadow, mild stenosis; Lipid plaque shadow of the second segment of the right crown trunk, severe stenosis of about 85%; The sixth stage of the left crown anterior descending branch is mildly narrowed, according to the situation of coronary stenosis, the local hospital recommends stenting, the patient refuses, and wants to find Chinese medicine treatment.
Symptoms: chest tightness, palpitation, shortness of breath, fatigue, sweating, each time lasting 5-10 minutes can be relieved by itself, purple tongue, moss yellow and white, fine pulse, electrocardiogram did not see obvious abnormalities, hypertension history of 3 years, the most hypertension 170, plain maintenance at 135.
Traditional Chinese medicine dialectics: qi stagnation and blood stasis, hepatic yang hyperactivity, treatment to activate blood stasis, rational qi and relieve pain as the main principles.
Prescription: Seven flavor three herbs soup plus or minus
Composition: Salvia, safflower, Sichuan root, sandalwood, panax ginseng, peach kernel, tianma, hook vine, earth dragon, whole scorpion, yanhusuo, mulberry parasite, stone cassia, hot licorice, water frying.
Solution: Sandalwood warm in the middle of the line; Sanchi activates the blood to dissolve the stasis; Salvia activates blood stasis, nourishes the heart and calms the mind; Safflower, peach kernels to activate blood and dispel stasis; Sichuan Root invigorates blood and qi, dispels wind and relieves pain; Yanhusuo breaks blood and dispels stasis; Tianma, hook vine, stone ming and qing heat ping liver latent yang; Mulberry parasitism tonic liver and kidneys; The earth dragon and the whole scorpion use the veins around the body to enhance the power of activating blood and dissolving stasis; Burning licorice blends herbs.
Second diagnosis: After taking the drug for 1 month, the patient feedback that the chest pain disappeared, occasionally there was chest tightness, shortness of breath, there was no obvious discomfort in the residual symptoms, blood pressure 115, so in the original formula to go to peach kernel, Sichuan root, add wood incense, tulips, and instruct the patient to continue to take the drug.
Third diagnosis: symptoms are significantly reduced, slight chest tightness and shortness of breath after strenuous activity, blood pressure 120. After several times of this before and after adjustment, the patient's condition has been stable, and the re-examination of coronary CTA shows: a little calcium plaque is formed in the proximal segment of the anterior descending branch; The local walls of the proximal left branch and the proximal part of the right coronary artery trunk are slightly thickened and rough (coronary artery stenosis is basically absent compared with before). #Cardiovascular and cerebrovascular diseases ##Bring health home ##健康明星计划 #
