With the development of society and economy,the population structure of our country has changed,the aging process of population is accelerating day by day,the incidence rate and death rate of coronary heart disease complicated with heart failure are also increasing year by year.Chest tightness,palpitations,chest pain,shortness of breath,fatigue,wheezing,edema and reduced activity tolerance are the main clinical manifestations of coronary heart disease with heart failure.At present,this disease is mainly treated with integrated Chinese and western medicine,and TCM has a unique advantage in the treatment of coronary heart disease with heart failure by virtue of its overall concept and the characteristics of syndrome differentiation.Through summing up the experience of diagnosis and treatment of ancient and modern doctors and collating ancient books of traditional Chinese medicine and combining with clinical experience,the tutor puts forward that the disease is based on deficiency of qi,deficiency of yang,cold coagulation,blood stasis,stagnation of qi,dampness of water,phlegm and so on.In clinical work,according to the patients chest tightness,shortness of breath,palpitations,chest pain,fatigue,edema and other characteristics of symptoms and signs,treatment with the method of warming yang and benefiting qi,resolving phlegm and promoting water,selecting Shenqi Gualou Xiebai Banxia decoction,Zhenwu decoction to reduce the chemical cut,and forming the basic prescription of ginseng,Astragalus,Pinellia ternata,Trichosanthes trichosanthis,Allium macrostemon,Atractylodes macrocephala,Poria cocos,ginger,Radix Paeoniae rubra and so on.Clinical with the syndrome plus or minus,the curative effect is very good.In order to provide new ideas and methods for the treatment of coronary heart disease with heart failure,this article summarizes the clinical experienceof tutor in the diagnosis and treatment of this disease. |