Coronary heart disease refers to heart disease caused by coronary atherosclerosis leading to myocardial ischemia and hypoxia. Clinically, it is generally divided into five types. Among them, angina pectoris and myocardial infarction type belong to the categories of "heartache", "heartache " and "chest pain" in traditional Chinese medicine. Nowadays, they are mostly classified as "chest pain" or "heartache " Call it. The main symptoms are chest tightness and pain, or even chest pain all over the back, shortness of breath and wheezing, and inability to lie down. The disease is mainly located in the heart, but it is also related to the liver, spleen, and kidneys.
Cause and pathogenesis
(1) Internal invasion of cold evil: Insufficient heart qi of the body or lack of heart yang , the evil of yin and cold takes advantage of the deficiency to invade, cold coagulation occurs in the chest, paralyzing the chest yang or cold phlegm intertwined, and the heart pulse is blocked , Qi and blood stasis causes chest numbness.
(2) Improper diet: Overeating fat, sweet, raw, and cold foods, or overeating, will damage the spleen and and cause them to lose their ability to rise and fall. Water and grains will not move properly, causing dampness to accumulate and produce phlegm. The phlegm will block the veins and cause chest yang. Lack of energy, qi stagnation and blood stasis , heart and pulse blockage.
(3) Disorders of the seven emotions: worry hurts the spleen, depression and anger hurt the liver. Deficiency of the spleen will cause phlegm and turbidity, and depression of the liver and qi stagnation will cause the meridians to be affected by yin. Regardless of phlegm , qi stagnation or the combination of phlegm and qi, it can cause poor circulation of blood vessels, weak chest yang, blockage of the heart pulse and chest obstruction.
(4) The elderly and infirm: People who have been chronically ill or old have insufficient kidney qi and weak spleen and stomach. Kidney yang deficiency cannot warm the yang of the five internal organs, and the heart yang will be weak and cause chest pain. Deficiency of kidney yin If water does not bind to wood, the liver and kidney yin will be deficient. If heart and liver fire are strong , the heart pulse will not be nourished, resulting in tightness and pain. People with weak spleen and stomach or blood loss have no source of Qi and blood biochemistry and insufficient blood vessels. Blood deficiency cannot carry Qi, and the Qi will also decrease accordingly, resulting in Qi and blood deficiency , weak heart Qi, weak agitation, and heart pulse Biyin causes chest numbness.
Coronary heart disease is a common and frequently-occurring disease in middle-aged and elderly people. In recent years, the prevalence rate has been increasing year by year. Treatment is based on syndrome differentiation and disease differentiation. 7 major decoctions corresponding to different syndrome types. Clinically, Chinese medicine generally divides coronary heart disease into 7 syndrome types. For different syndrome types, Chinese medicine has different treatment strategies and different decoctions.
1. Heart and blood stasis
Main manifestations: pain in the chest and chest, like thorns or twisting, with fixed locations, especially at night, and even worse, heartache, back pain, or illness in the shoulders and back; accompanied by chest tightness, which lasts for a long time If it does not heal, it may be aggravated by anger and fatigue; the tongue will be dark purple with ecchymosis. Cause and pathogenesis: blood stasis, chest yang blockage, and poor heart and pulse.
decoction: Xuefu Zhuyu Decoction addition and subtraction.
peach kernel, safflower , angelica , raw rehmannia , achyranthes , red peony root , Citrus aurantium , Chuanxiong , platycodon, bupleurum , licorice .
2. Qi stagnation in the heart and chest
Main manifestations: fullness and tightness in the heart and chest, paroxysms of dull pain, localized pain, and the urge to sigh from time to time, which can be easily induced or aggravated by emotional distress; or combined with abdominal distension and tightness, which may result from heating or sagging qi. Shu. Causes and pathogenesis: Liver failure, Qi stagnation, discord in the heart and pulse.
Decoction: The treatment is suitable for soothing the liver and regulating qi , promoting blood circulation and dredging meridians, and choose Bupleurum Soothing Gan Powder.
dried tangerine peel (fried with vinegar), Bupleurum, Chuanxiong, Cyperus , Citrus aurantium (fried with bran), peony, licorice (broiled). In the prescription, Bupleurum and Citrus aurantium soothes the liver and regulates qi; Cyperus rotundus and tangerine peel regulate qi and relieve depression; Chuanxiong and red peony root activate blood circulation and unblock meridians.
3. Phlegm turbid obstruction
Main manifestations: heavy chest tightness and mild heartache, excessive phlegm shortness of breath, heavy limbs, obesity, prone to attack or aggravation in rainy days; accompanied by fatigue and fatigue, indigestion and loose stools ( Loose refers to the stool being shapeless and resembling mud; indigestion means poor appetite and poor taste in food), spitting up (saliva is saliva), tooth-marked tongue (tooth-marked tongue refers to the traces of teeth on the edge of the tongue) , usually caused by a fat and enlarged tongue that is compressed by the tooth edges. It is an abnormal tongue shape and is often seen in patients with weak spleen and stomach, etc.), the tongue coating is turbid and greasy or white and slippery, and the pulse is slippery. Cause and pathogenesis: phlegm entrenched, chest yang loss of expansion, qi blockage, and meridians stagnation.
Decoction: Gualou Xiebai Banxia Decoction flavored.
Trichosanthes trichosanthes, Sword white , French pinellia , tangerine peel, white cardamom kernel , dried ginger.
4. Cold coagulation of the heart
Main manifestations: sudden heartache like angina, heartache piercing the back, inability to lie down, often caused by sudden cold weather or sudden wind chill, accompanied by coldness, even the hands and feet are not warm, and cold sweats occur spontaneously. Exhalation, chest tightness, shortness of breath, palpitations , pale complexion, thin white fur. Cause and pathogenesis: Yang deficiency in the body, stagnant Yin-cold, Qi-blood blockage, and heart-Yang deficiency.
Decoction: Addition and subtraction of Danggui Sini Decoction.
Angelica sinensis, cassia twig, licorice, Tongcao , Asarum , jujube.
5. Deficiency of both Qi and Yin
Main manifestations: dull pain in the chest and chest, frequent movements, palpitations and shortness of breath, which are worse when moving, accompanied by fatigue and weakness, low voice, pale and dull complexion, easy sweating, light red tongue, The tongue is fat and has tooth marks on the edge, and the coating is thin and white. Cause and pathogenesis: Insufficient heart qi, depletion of yin blood, and blood stasis.
decoction: Shengmai Powder combined Ginseng Yangrong Decoction addition and subtraction.
Astragalus , Codonopsis pilosula, Hangshao, Atractylodes, Poria , Rehmannia glutinosa , Ophiopogon japonicus, Angelica sinensis, Polygala root, tangerine peel, Schisandra chinensis, licorice.
6. Heart and kidney yin deficiency
Main manifestations: heartache and suffocation, palpitations and night sweats, restlessness and insomnia, soreness of waist and knees, dizziness, tinnitus , dry mouth constipation, red tongue with little fluid, and thin coating. Cause and pathogenesis: Water fails to control fire, internal heat is burned due to deficiency, the heart loses its support, and blood vessels are not smooth.
decoction: Tianwang Buxindan combined Zhigancao decoction addition and subtraction.
Radix Rehmanniae, Scrophulariaceae , Asparagus, Ophiopogon japonicus, ginseng, Zhigancao, Poria, Baiziren, Ziziphus seed, Schisandra chinensis, Polygala , Salvia miltiorrhiza , Angelica sinensis, peony root, donkey hide gelatin.
7. Heart and kidney yang deficiency
Main manifestations: chest tightness and shortness of breath, or heartache, palpitations, sweating, chills, cold limbs, backache, fatigue, pale complexion, pale white or blue lip nails. The tongue is pale white or dark purple. Cause and pathogenesis: Yang Qi deficiency, weak chest Yang, Qi blockage, and blood stasis.
decoction: use Shenfu Decoction combined with Guizhi and Peony Decoction.
Red ginseng (fry separately), Zhifu slices (fry first), cassia twig, ginger, and licorice.
Coronary heart disease is more common in middle-aged and elderly people over 40 years old, but now it is also becoming increasingly younger. The occurrence of coronary heart disease in young people may be related to these bad lifestyles: smoking, staying up late, heavy food, high stress, etc. 8 phenomena appear in
, be careful!
1. Pain behind the sternum or left chest suddenly occurs when you are tired or nervous, accompanied by sweating or radiating to the shoulder, arm or neck.
2. Feeling palpitation, shortness of breath, fatigue and difficulty breathing during physical activity.
3, heavy meal, cold, palpitations and chest pain when watching thriller movies.
4. When in public places or conferences, or when climbing stairs, you are more likely to feel chest tightness, palpitations, poor breathing and lack of air than before, especially compared to others.
5. When you sleep on a low pillow at night, you feel suffocated and need to lie down with a high pillow; when you suddenly wake up while sleeping or having a nightmare, you feel palpitations, chest tightness, and difficulty breathing, and need to sit up before getting better.
6. Feeling heartbeat, impatientness, chest tightness or chest pain during daily life.
7. I have long-term left shoulder pain that does not heal after repeated treatment by doctors.
8. Repeatedly irregular pulse, too fast or too slow.
Here we remind you that if you encounter multiple of the above phenomena in your daily life, you should be more vigilant and go to the hospital for investigation in time!
Trichosanthes trichosanthes, Sword white , French pinellia , tangerine peel, white cardamom kernel , dried ginger.
4. Cold coagulation of the heart
Main manifestations: sudden heartache like angina, heartache piercing the back, inability to lie down, often caused by sudden cold weather or sudden wind chill, accompanied by coldness, even the hands and feet are not warm, and cold sweats occur spontaneously. Exhalation, chest tightness, shortness of breath, palpitations , pale complexion, thin white fur. Cause and pathogenesis: Yang deficiency in the body, stagnant Yin-cold, Qi-blood blockage, and heart-Yang deficiency.
Decoction: Addition and subtraction of Danggui Sini Decoction.
Angelica sinensis, cassia twig, licorice, Tongcao , Asarum , jujube.
5. Deficiency of both Qi and Yin
Main manifestations: dull pain in the chest and chest, frequent movements, palpitations and shortness of breath, which are worse when moving, accompanied by fatigue and weakness, low voice, pale and dull complexion, easy sweating, light red tongue, The tongue is fat and has tooth marks on the edge, and the coating is thin and white. Cause and pathogenesis: Insufficient heart qi, depletion of yin blood, and blood stasis.
decoction: Shengmai Powder combined Ginseng Yangrong Decoction addition and subtraction.
Astragalus , Codonopsis pilosula, Hangshao, Atractylodes, Poria , Rehmannia glutinosa , Ophiopogon japonicus, Angelica sinensis, Polygala root, tangerine peel, Schisandra chinensis, licorice.
6. Heart and kidney yin deficiency
Main manifestations: heartache and suffocation, palpitations and night sweats, restlessness and insomnia, soreness of waist and knees, dizziness, tinnitus , dry mouth constipation, red tongue with little fluid, and thin coating. Cause and pathogenesis: Water fails to control fire, internal heat is burned due to deficiency, the heart loses its support, and blood vessels are not smooth.
decoction: Tianwang Buxindan combined Zhigancao decoction addition and subtraction.
Radix Rehmanniae, Scrophulariaceae , Asparagus, Ophiopogon japonicus, ginseng, Zhigancao, Poria, Baiziren, Ziziphus seed, Schisandra chinensis, Polygala , Salvia miltiorrhiza , Angelica sinensis, peony root, donkey hide gelatin.
7. Heart and kidney yang deficiency
Main manifestations: chest tightness and shortness of breath, or heartache, palpitations, sweating, chills, cold limbs, backache, fatigue, pale complexion, pale white or blue lip nails. The tongue is pale white or dark purple. Cause and pathogenesis: Yang Qi deficiency, weak chest Yang, Qi blockage, and blood stasis.
decoction: use Shenfu Decoction combined with Guizhi and Peony Decoction.
Red ginseng (fry separately), Zhifu slices (fry first), cassia twig, ginger, and licorice.
Coronary heart disease is more common in middle-aged and elderly people over 40 years old, but now it is also becoming increasingly younger. The occurrence of coronary heart disease in young people may be related to these bad lifestyles: smoking, staying up late, heavy food, high stress, etc. 8 phenomena appear in
, be careful!
1. Pain behind the sternum or left chest suddenly occurs when you are tired or nervous, accompanied by sweating or radiating to the shoulder, arm or neck.
2. Feeling palpitation, shortness of breath, fatigue and difficulty breathing during physical activity.
3, heavy meal, cold, palpitations and chest pain when watching thriller movies.
4. When in public places or conferences, or when climbing stairs, you are more likely to feel chest tightness, palpitations, poor breathing and lack of air than before, especially compared to others.
5. When you sleep on a low pillow at night, you feel suffocated and need to lie down with a high pillow; when you suddenly wake up while sleeping or having a nightmare, you feel palpitations, chest tightness, and difficulty breathing, and need to sit up before getting better.
6. Feeling heartbeat, impatientness, chest tightness or chest pain during daily life.
7. I have long-term left shoulder pain that does not heal after repeated treatment by doctors.
8. Repeatedly irregular pulse, too fast or too slow.
Here we remind you that if you encounter multiple of the above phenomena in your daily life, you should be more vigilant and go to the hospital for investigation in time!
