Clinical Experience Study On Cardiovascular Diseases Treated By Professer Mei Guoqiang

Mei Guoqiang,one of National Instructors of Academic Experience Inherit of Old Chinese Medicine Experts,has engaged in teaching,clinic and research work of "Treatise on Exogenous Febrile Disease" more than 40 years and accumulated rich clinical experiences.He is expert in treating cardiovascular and digestive diseases,and has unique opinions in diagnosing and treating of seasonal and stubborn diseases as well,forming his own academic style.The project sums up the academic thoughts and clinical experiences of Professor Mei Guoqiang treating cardiovascular diseases by collecting and analyzing his clinical cases and reading and sorting out the dissertations and works relatively.1 Academic thoughts of cardiovascular diseases1.1. Use syndrome differentiation of six-meridian to differentiate cardiovascular diseasesProfessor Mei makes compositive analysise from the process of clinical application of the sections of Taiyang,Shaoyin and Shaoyang of "Treatise on Exogenous Febrile Disease",differentiates cardiovascular diseases especially using syndrome differentiation of six-meridian and writes out the prescription according to the theory.In addition,he does well in syndrome differentiation relative to cardiovascular diseases.He believes that the position of palpation in Taiyang Section is in the heart,both exogenous diseases and endogenous diseases which are followed by knotted intermittent pulse and palpation are mainly related to impairment of Qi,blood,yin and yang of the heart.As to the clinical diagnosis and treatment,we should consider Zhi Gancao Decoction as the primary decoction,which can tonify both yin and yang.1.2 Treating cardiovascular diseases by the relationship between Zang-organ and Fu-organZang-organ and Fu-organ can interact,so the cardiovascular diseases can influence other organs,and vice versa.When treating cardiovascular diseases clinically,we should always identify if there exists diseases of other organs. Thus,chronic congestive heart failure caused by deficiency of yang of the heart and kidney syndrome,are chiefly treated by Zhen Wu Decoction.1.3 Treating cardiovascular diseases from syndrome differentiating of Qi,blood and body fluidProfessor Mei holds disorders of Qi,blood and body fluid can easily result in interties of phlegm and blood stagnation.It can manifest oppressed pain or pricking pain in the chest,dark tongue,white or yellow greasy coating and deep rolling pulse clinically,we may prescripe Xiao Xian Xiong Decoction,together with herbs invigorating the circulation of blood.2 Experiences of cardiovascular diseases2.1 Experiences of Viral myocarditis(VM)Professor Mei thinks diagnosis and treatment of VM should be given concrete syndrome differentiation in line with its pathogen and pathogenesis.For example we should attach importance to removing of exogeneous diseases clinically.If exogeneous diseases is not removed, removing exogeneous diseases must be taken the first;if so,we can make appropriate rule based on the relative excess and deficiency of the heart,such as the rule of tonifying Shaoyin,nourishing yin and removing heat and so on. Professor Mei ofen makes use of Guizhi minus Shaoyao Decoction,Guizhi minus shao plus Fuzi Decoction, Zhi Gancao Decoction and Reinstating Pulse Decoction to treat VM,acquiring satisfactory curative effect.2.2 Experiences of Coronary heart disease(CHD)Professor Mei points as a result of modern life and society,the occurrence of CHD is closely related to phlegm and blood stagnation.He frequently adopts the rule of removing heat and phlegm,with classical prescreption,seasonal prescription and TCM compatibility.His favorite decoction are Xiao Xian Xiong Decoction,Chaihu Xian Xiong Decoction,Xiao Chaihu Decoction,Gualou Xiebai Banxia Decoction and Xue Fu Zhu Yu Decoction;his favorite TCM compatibility are Danggui,Chuangxiong; Zhuru,Zhishi;Xuanhu,Yujin;Tubie,Honghua and so on.2.3 Experiences of Chronic congestive heart failure (CCHF)Professor Mei takes cold transformation of Shaoyin as the major pathological change of CCHF,so the rule of strengthening yang must be the basic rule,and Zhen Wu Decoction is the representive decoction.With the transmission of the pathogenesis,Professor Mei primarily adopts the rule of strengthening yang,invigorating the circulation of blood and excreting water,together with herbs invigorating the circulation of blood,especially invigorating the circulation of blood and excreting water,such as Zelan,Yimucao,Shuizhi,Mangchong,Puhuang and so on.It belongs to the rule of treating both the heart and the kidney.2.4 Experiences of Essential hypertension(EH)Professor Mei maintains that one of habitual syndromes of EH is pathogen and phlegm stasis and phlegm in Shaoyng meridian and we can take the rule of smoothing Shaoyng and removing heat and phlegm.He also use Xiao Xian Xiong Decoction,Xiao Chaihu Decoction,Chaihu Guizhi decoction and Wendan Decoction for clinic treatment.And interties of phlegm and blood stagnation is the usual pathegenesis,so he take the rule of activating blood circulation to dissipate blood stasis,accompanied with Shuizhi,Dilong and Quanxie to reinforce the effect of invigorating the vessels,besides Danggui, Chuanxiong,Taoren, Honghua,Yimucao and Danshen.