I saw a medical case a few days ago and I felt it was quite interesting. I would like to share it with you and then talk about my understanding of this medical case. I hope it can help you.
medical case is like this. There is a worker named Zhang who has suffered from hypertension and for 2 years. At its most severe time, the high pressure exceeded 200 and the low pressure exceeded 120.
If the high and low voltages exceed the maximum value at the same time, you say how dangerous it is.
During the past two years, the patient took a lot of antihypertensive drugs, but the results were not particularly good.
Later, after being introduced by someone, I switched to traditional Chinese medicine to try it.
inscription diagnosis, the patient pulse string slippery and strong, the tongue coating is yellow, the tongue is red, the urine is yellow, the stool is dry, the face is red, the ears are red, the head is dizzy and swelling, the heart is upset, thirst, and night sweats.
Check the symptoms, is it a typical liver yang hypertension ? Not only did I think so, but the doctors at that time also thought so, so they prescribed the prescription of " to calm the liver and hide the yang ".
Results After taking 7 doses, the effect was mediocre and there was no change.
In theory, it should not be useless. So the doctor re-examined the diagnosis. This time he noticed that the patient had dry stool, yellow urine, upset, thirst, night sweats, and strong pulse.
From this perspective, there is a phenomenon of " gastrointestinal heat ". Is it because of "gastrointestinal heat" that the blood pressure remains high?
The doctor immediately changed the prescription, but saw -
Apricotum, gypsum, Achyranthes , Ophiopogon japonicus, Bamboo Leaf , Bamboo Rou , Pueraria root, Rhubarb , Licorice , Coix seed .
After taking 5 doses, the patient had a smooth bowel movement, his blood pressure decreased, and all symptoms improved.
After that, the dosage of rhubarb in the original prescription decreased, and the dose was continued to be taken for 3 doses, and all symptoms were all calm.
Afterwards, doctors switched to the method of " nourishing yin and clearing stomach " to cure the disease. After a year's follow-up, there was no recurrence.
This medical case can be said to contain a lot of knowledge, and you must look at it carefully:
You see, the patient has dizziness, headache, red face, red ears, stringy and strong pulse, red tongue texture, yellow tongue coating, giving people the feeling of " liver yin deficiency , liver yang hypertension ", right?
However, after taking the medicine, the situation did not improve, which means that the "main cause" that induces blood pressure increase was not found.
Who is the culprit of " ", that is " stomach heat ", which traditional Chinese medicine calls " Yangming heat ".
From the perspective of symptoms: constipation, yellow urine, night sweats, irritability, thirst, and strong pulses, which are typical " gastrointestinal Yangming has heat" .
There is heat in the stomach and intestines, and heat accumulates, the stool will dry, so it is constipated. When heat moves to the lower abdomen, the patient's urine will turn yellow. If the heat evil forces force the fluid to go out, the patient will experience night sweats. If heat evil damages the yin, the patient will feel thirsty.
The strong internal heat in the body will push the qi and blood to run in the body, rushing around, which will lead to an increase in blood pressure. Then " heat reduction " will lower blood pressure.
Now, I will explain the doctor's prescription:
Anata , gypsum, hymnol, Ophiopogon japonicus, bamboo leaves, bamboo roe, kudzu root, rhubarb, licorice, and coix seed.
The "Achievement Mother, Gypsum, Licorice, and Coix seed" in this prescription constitutes the classic prescription "Baihu Decoction" in " Typhoid Treatise on Febrile Diseases ". The Achievement Mother and Gypsum clear up stomach heat, while licorice and coix seed nourish the stomach and promote salivation.
On this basis, it is paired with Achyranthes stomata to cause heat downwards, and rhubarb to relieve bowel movements, relieve dryness, and discharge heat from the back door. Bamboo leaves are conducive to clearing heat and diuresis, and nourishing yin. Bamboo Ru can clear stomach heat and eliminate irritability. Ophiopogon japonicus and kudzu root produce body fluids and spread the whole body.
This is the whole idea of using medicine. It is based on the "Baihu Decoction" in "Treatise on Febrile Diseases" and is used.
Generally speaking, when faced with " gastrointestinal hypertension ", you must understand clearly and must not be misjudged as " liver yang hypertension ". The condition is not in the liver, but in the gastrointestinal tract.
From this we can see that traditional Chinese medicine is also very complicated when treating diseases. There are many causes of the same disease, and the treatment ideas are also different.
Therefore, this is why traditional Chinese medicine emphasizes the principle of ", one person, one prescription, ", which is the importance of " syndrome differentiation and treatment of ". I hope everyone must be vigilant.
OK, I am @cardiovascular expert Luo Jihong , the cardiovascular expert around you!
