General condition: Patient Zhou, male, 61 years old, from Zhengzhou City, Henan Province, allergy history: not found. First visit2019-02-15.
Chief complaint: intermittent palpitations for 6 days.
History of present illness: the patient has palpitations for no obvious reason in the past 6 days, relieved after rest, more frequent in the morning, activity can be induced, sleep can be, and two stools are adjusted. Anamnesis: left lower lobectomy in 2014; Hypercholesterolemia for 6 years. BP：128 / 70mmHg。 The tongue is red, white and thick, and the pulse is heavy and thin.
Traditional Chinese medicine diagnosis: palpitations
Syndrome type: Hypocardiogram syndrome
Treatment: Wen Tong Xinyang
Initial Prescription:
2019-03-08Follow-up visit: After taking the drug, the patient's palpitations were reduced, the frequency was reduced, the patient's heart palpitations were reduced, the patient's long sigh improved, the patient's heart was red, the moss was thin and white, and the pulse was thin.
Treatment: Guard the top to go to cimicifuga, 30g of Huixin grass, add 20g of jujube kernels, 7 doses.
According to the language: the patient's main complaint of "palpitations" belongs to the category of "palpitations" in traditional Chinese medicine, and the syndrome differentiation is the syndrome of heart yang insufficiency. Guizhi licorice keel oyster soup is from "Treatise on Typhoid Fever: Distinguishing the Pulse of Sun Disease and Treating the Sixth" "The fire is reversed, and those who are irritable due to burning needles are the main ones of the cinnamon licorice keel oyster soup." "Fangzhong Guizhi is sweet and warm, which not only warms and invigorates the heart and yang, but also warms the blood and blood to smooth the blood; Licorice is the basic structure of warming and replenishing the heart and yang, and the second is to strengthen the spleen, and the qi and blood are biochemically active. Keel, oysters are heavily submerged, calm the nerves and palpitations, make the mind calm and upset to be relieved, the four medicines work together, the yang energy is restored, the mind is at ease, the blood is smooth, and all the symptoms are eliminated. Hesheng trap soup (Bupleurum, Platycodon, Cimicifuga, Astragalus, Zhimu) to benefit qi and rise; Codonopsis, bran fried atractylodes to nourish the spleen; Poria cocos and cocos are calming and calming; The patient has a history of hypercholesterolemia, and modern pharmacological studies have shown that Ze diarrhea has a hypolipidemic effect; The patient's moss is white and greasy, considering that the water in the body is damp and vigorous, and the water is soaked with Zhu Ling and Ze Yuanli; Coptis chinensis, salvia, bitter cold, clear heart fire; The system is far away to calm the nerves, communicate the heart and kidneys; The combination of various medicines can play the role of warming the heart and yang, absorbing the mind, and benefiting the qi.