Font Size: a A A

Research On The Therapeutic Methods Of TCM Treatment Of Coronary Heart Disease Combined With Heart Failure

Posted on:2018-07-11Degree:DoctorType:Dissertation
Country:ChinaCandidate:Y SunFull Text:PDF
GTID:1364330554950141Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Purpose:This study based on clinical,"with the combination of disease,founder of correspondence principle,combined with a large sample of expert questionnaire,of TCM clinical syndrome in the treatment of coronary heart disease complicated with heart failure disease based treatment and treatment,clear the disease with different stages in each card type main to treatment,treatment,medicine,statistics and to develop for the combined with disease and effective foundation treatment scheme and the stages of disease in different syndromes level corresponding treatment program,so in a timely manner to effectively prevention and treatment of the disease with the occurrence and development,and coronary heart disease with heart failure of standardization of TCM diagnosis and treatment and provide a theoretical basis.Material and method:Coronary heart disease complicated with heart failure treatment,treatment of clinical experts questionnaire,investigation object is worked in 61 hospitals in the six areas of 1500 clinical frontline doctors,the total recovery of 1500 copies of effective quality inspection qualified questionnaires.Using statistical R3.1.2 analysis platform and Microsoft Office 2013 office software,using column contingency table and stacked bar charts,and so on method of expression summary statistics,and analyzed in combination,sorting,analysis and other statistical analysis method data processing,statistics derived from the experts agree that the coronary heart disease with congestive heart failure(CHF)based therapy and the incidence of each stage in different syndrome types of syndrome treatment and prescription,and draw up a clinical treatment plan for coronary heart disease complicated with heart failure treatment is feasible.Results:1 Coronary heart disease combined with heart failure:1.1: The diagnosis and treatment for acute exacerbation of disease-Qi-judgment in order of importance and urgency of Shenfu Decoction-Singan medicine to Yang(the support degree is 0.182 and the percentage of 3.60%,1.78%);judge the disease-Yang-in order of importance and urgency of Shenfu Decoction-Singan medicine to Yang(the support degree is 0.2247 and the percentage of 3.27%,3.25%)ill-Yang;judgment-in order of importance and urgency of Shenfu Decoction-sweet medicine to health(in support of 0.16,the percentage was 1.63%);judge the disease of yin and Yang,cold and heat,deficiency and excess-Yang-four-Singan drug in Sini Decoction(Yang support was 0.136,the percentage was 1.23%,1.90%);the judgment of reverse-Yang--Singan medicine Shenfu Decoction to Yang(the support degree is 0.2047 and the percentage of 2.41% and 1.56%);judge of reverse-Qi--Singan medicine Shenfu Decoction to Yang(the support degree is 0.1627 and the percentage of 1.88% and 1.72%);judgment of disease Yin and Yang,cold and heat,deficiency and excess-Yang--Singan medicine Shenfu Decoction to Yang(support was 0.2087,the percentage was 1.35%);judge of reverse-Yang-four-Singan drug in Sini Decoction(Yang support was 0.1387,the percentage was 1.71%,1.24%);judge of CIS inverse-Yang-Zhenwu Decoction-Sweet Light medicine to desiccant diuresis(support was 0.1253,the percentage was 1.04%);judge the disease-Yang-four in order of importance and urgency to the drug-Singan Sini Decoction(Yang support was 0.146,the percentage was 1.25%);the judgment of reverse-Yang--Singan medicine Zhenwu Decoction to Yang(support was 0.1447,the percentage was 1.16%);judge the disease-Yang-depth-Singan medicine Shenfu Decoction to Yang(support was 0.1733,the percentage was 3.02%);judge of reverse--Qi Shenfu Decoction-sweet medicine to health(in support of 0.1173,the percentage was 2.10%);judge the disease of yin and Yang,cold and heat,deficiency and excess-Qi--Singan medicine Shenfu Decoction to Yang(support was 0.164,the percentage was 1.92%);judge of reverse-Qi-four inverse soup-Singan medicine to Yang(support was 0.11,the percentage was 1.34%);judge the disease depth-Qi--Singan medicine Shenfu Decoction to Yang(support was 0.134,the percentage was 2.26%);judge of reverse-Yang-Shenfu Decoction-sweet medicine to health(support for 0.146,the percentage is 1.51%).1.2.: The treatment of chronic remission stage disease-Qi-judgment in order of importance and urgency of Shengmaisan-Singan medicine to Yang(support was 0.1547,the percentage was 2.73%);judge the disease-Yang-in order of importance and urgency Buyanghuanwu Decoction and five-five Lingya Singan to Yang(drug support was 0.172,the percentage was 2.60%,2.14%);judge the disease-Qi-in order of importance and urgency for Yang five decoction,Poria five powder-Sweet Light medicine to desiccant diuresis(support was 0.1013,the percentage was 1.77%);judge the disease-Qi-ginseng soup-in order of importance and urgency to Yang(Singan drug support was 0.1013,the percentage was 1.03%);judgment was in order of importance and urgency Wen Yang-Yang also five soup five Lingsan-Sweet Light medicine to desiccant diuresis(support was 0.146,the percentage was 1.48%);judge the disease of yin and Yang,cold and heat,deficiency and excess-Qi-Shengmaisan-Singan medicine to Yang(support was 0.1393,the percentage was 1.73%);judge the disease of yin and Yang,cold and heat,deficiency and excess-Yang-Yang also five soup five Lingsan-Singan medicine to Yang(support was 0.1633,the percentage of 1.43%);judge of reverse-Yang-Yang also five soup five Lingsan-Singan medicine to Yang(the support degree is 0.158 and the percentage of 1.35%,1.01%);judge of reverse-Yang--Singan of Zhigancao Decoction medicine to Yang(support was 0.1293,the percentage of 2.02%);judge of reverse-Yang-Yang also five soup five Lingsan-with medicine to health(in support of 0.116,the percentage is 2.51%);judge the disease of yin and Yang,cold and heat,deficiency of Qi-judge Shunni-Shengmaisan-Singan medicine to Yang(support was 0.14,the percentage was 1.83%);judge the disease-depth of Wen Yang-Yang also five soup five Lingsan-Singan medicine to Yang(support degree was 0.1293.The percentage is 1.65%);judge the disease of yin and Yang,cold and heat,deficiency and excess-Yang--Singan of Zhigancao Decoction medicine to Yang(support was 0.13,the percentage was 2.37%);judge of reverse-Qi--Singan of Zhigancao Decoction medicine to Yang(support was 0.1013,the percentage was 0.90%);judge disease of yin and Yang,cold and heat,deficiency and excess-Yang-Yang also five soup five Lingsan-sweet medicine to health(in support of 0.1267,the percentage is 2.76%).2 Patients with coronary heart disease combined with heart failure before the stage of heart failure:2.1The treatment of spleen deficiency syndrome and two for the benefit of temper-Guipi Decoction-Astragalus,Atractylodes Qi(sweet medicine support was 0.3293,the percentage was 6.20%,7.22%);build up-Guipi Decoction prepared rhizome of rehmannia,angelica nourishing blood-drug(support was 0.3267,the percentage was 6.07%);build up-to-spleen Decoction sweet medicine(Astragalus,Atractylodes Qi support was 0.364,the percentage was 5.20%,7.22%);a blood-Baiziyangxin pills-jujube,etc.Polygala tranquilizers(support was 0.1527,the percentage was 1.25%);benefit temper-Guipi Decoction prepared rhizome of rehmannia,angelica nourishing blood-drug(support was 0.2833,the percentage was 4.63%);build up--Guipi Decoction ginseng Nourishing Qi drugs(support was 0.2527,the percentage was 1.48%);good temper-BUZHONGYIQITANG-ginseng Nourishing Qi drugs(the degree of support for 0.142 that percentage is 1.62%);peace of mind of God-Baiziyangxin pills-tranquilizing drugs(jujube,etc support was 0.1433,the percentage of 1.77%,1.96%).2.2 Qi deficiency syndrome: diagnosis and treatment plan for thrusting Ping Chong Jiangni-Guizhi tuckahoe,cassia twig and Guangxi soup-Ping Chong Jiangni drugs(support was 0.2973,the percentage was 12.40%);Ping Chong Jiangni-Xuanfudaizhe decoction,Guizhi Fuling-such as Ping Chong Jiangni drugs(the degree of support for 0.3167 that percentage is 12.07%);Ping Chong Jiangni-Lingguizhugan decoction,Guizhi Fuling-such as Ping Chong Jiangni drugs(support was 0.2627,the percentage was 4.73%);Ping Chong Jiangni-Xuanfudaizhe decoction-Magnolia,spleen medicine(Citrus aurantium and other support was 0.244,the percentage was 2.97%);ping Chong Jiangni-Zhishi Xiebai Guizhi Decoction-pinellia,Yang and Yin medicine Trichosanthes etc.(support was 0.18,the percentage was 5.46%);Ping Chong Jiangni-Zhishi Xiebai Guizhi Decoction-Magnolia,spleen medicine(Citrus aurantium and other support was 0.1887,the percentage was 3.05%);Qi-regulating Xuanfudaizhetang-tuckahoe,cassia twig,Ping Chong Jiangni drugs(support was 0.274,the percentage was 10.03%);dispersing the lung qi-Xuanfudaizhe decoction,Guizhi Fuling-such as Ping Chong Jiangni drugs(support was 0.2093,the percentage was 3.96%);in regulating qi and BUZHONGYIQITANG-ginseng,Huangqi(qihm support was 0.1533,the percentage was 2.47%);regulating Qi-Xuanfudaizhe decoction and ginseng,Huangqi(qihm support was 0.1967,the percentage was 2.37%);regulating Qi-Zhishi Xiebai Guizhi Decoction of Pinellia-,melon Lou Yang and Yin medicine(such as support of 0.1787,the percentage is 3.39%);regulating Qi-Zhishi Xiebai Guizhi Decoction-Magnolia,spleen medicine(Citrus aurantium and other support was 0.1787,the percentage was 2.42%);reconcile the stomach-Xuanfudaizhe decoction,Guizhi Fuling-Ping Chong Jiangni etc.the medicine(support was 0.188,the percentage was 5.74%);regulating qi-Xuanfudaizhe decoction-Magnolia,spleen medicine(Citrus aurantium and other support was 0.2333,the percentage was 3.11%).3 Clinical stage of coronary heart disease with heart failure3.1 Of two Qi and yin deficiency syndrome: diagnosis and treatment scheme for replenishing Qi-Shengmai Powder-ginseng,Astragalus and other sweet medicine(Qi support was 0.3873,the percentage was 21.41%);benefiting Qi-Shengmai Powder-white peony root,schisandra fruit sour and sweet Yin(support was 0.3493,the percentage was 2.87%);the lungs and heart-Shengmaisan-ginseng,Astragalus Yiqi(sweet medicine support was 0.2753,the percentage was 2.80%,8.30%);the lungs and heart-Shashen Maidong Decoction-Shashen,Ophiopogon japonicus and other drugs(moist nourishing the stomach yin support was 0.2207,the percentage was 2.72%);nourishing yin and stomach-Baihe Dihuang Decoction-Dendrobium,radix rehmanniae,sweet and cold medicine(Yin Yang support was 0.1713,the percentage was 2.24%);ningxinanshen-Shengmai Powder-ginseng,Astragalus Yiqi(sweet medicine support was 0.2653,the percentage was 10.41%);ningxinanshen-Baihe Dihuang Decoction-Dendrobium so,Shengdihuang ganhan Yin Yang(drug support was 0.1833,the percentage was 3.29%);nourishing yin and stomach-Shashen Maidong Decoction-Shashen,Ophiopogon japonicus and other drugs(moist nourishing the stomach yin support was 0.2153,the percentage was 2.95%).3.2 The diagnosis and treatment of qi deficiency and blood stasis,tonifying qi and Yang also five soup-ginseng,Huangqi Nourishing Qi medicine(support was 0.2547,the percentage was 12.74%);Shengmai San-Qi-ginseng,Astragalus and other nourishing Qi medicine(support was 0.1793,the percentage was 3%);blood stasis-Yang five ginseng,Huangqi Decoction-nourishing Qi medicine(the support degree is 0.2507 and the percentage of 8.06%,6.31%);Blood Stasis-Xuefuzhuyutang-peach kernel,safflower medicine(the support degree is 0.286 and the percentage of 4.78%,2.85%);Blood Stasis-Xuefuzhuyutang-Rhizoma Chuanxiong,Rhizoma Cyperi etc.Qi blood activating drugs(support degree is 0.2553,the percentage was 3.12%);Qi-Xuefuzhuyutang-peach kernel,safflower medicine (support was 0.1967,the percentage was 2.19%);Tongluo-positive also five soup-ginseng,Huangqi Nourishing Qi medicine(support was 0.188,the percentage was 6.08%);Tongluo-Xuefuzhuyutang-Taoren and Honghua etc.blood stasis medicine(support was 0.233,the percentage was 3.92%);Qi-Danshen Decoction-Rhizoma Chuanxiong,Rhizoma Cyperi,regulating qi and activating blood medicine(support was 0.1573,the percentage was 2.73%);Blood Stasis-Danshen Decoction-Angelica,Salvia nourishing and activating blood medicine(support was 0.2013,the percentage was 2.52%).3.3 DLS syndrome: diagnosis and treatment for liver qi,spleen and stomach--Xiaoyao Powder of Radix Bupleuri,etc.and medicine(Qi Zhishi support was 0.41,the percentage was 16.40%);Liver Qi,spleen and stomach-Chaihushugansan-bupleurum,Fructus aurantii Immaturus and liver medicine(reorganizing the support of 0.3653,the percentage was 11.27%);Liver Qi,spleen and stomach-Xiaochaihutang-bupleurum,Fructus aurantii Immaturus etc.medicine(Qi reorganizing the support of 0.256,the percentage was 7.60%);Liver Qi,spleen and stomach-Chaihushugansan-Rhizoma Cyperi,malt and stomach Shugan medicine(support was 0.2787,the percentage was 7.02%);Liver Qi the spleen and stomach--Xiaoyao Costas,amomum fruit,tangerine peel and other medicine(spleen support was 0.3347,the percentage was 4.86%);invigorating spleen and stomach,liver and rose wood-Xiaoyao Powder of Radix Bupleuri,etc.and medicine(liver Qi Zhishi support was 0.28,the percentage was 8.09%);invigorating spleen and stomach,liver and L-wood Xiaochaihutang-bupleurum,Fructus aurantii Immaturus etc.medicine(Qi reorganizing the support of 0.2173,the percentage was 6.53%);invigorating spleen and stomach L,and the liver wood-Xiaoyao Powder-Rhizoma Cyperi,malt and stomach Shugan medicine(support was 0.2633,the percentage was 4.69%);invigorating spleen and stomach,liver and rose wood Xiaoyaosan-Costas,amomum fruit,tangerine peel and other medicine(spleen support was 0.2627,the percentage was 3.46%,4.69%);health movement the spleen and stomach,liver and rose wood Xiaoyaosan-ginseng,tuckahoe,grass,etc.of Spleen Qi medicine(support was 0.2433,the percentage was 3.18%).3.4 The diagnosis and treatment of dampness stagnation syndrome for gasification drink-Lingguizhugan Decoction-Poria,Alisma,diuresis Shenshi medicine(the support degree is 0.218 and the percentage of 2.74%,3.05%);Yang Qi-Lingguizhugan Decoction-Poria,Alisma,diuresis Shenshi medicine(support for 0.1967,the percentage was 2.27%,3.21%);sputum inhaus medicine gasification drink-Lingguizhugan Decoction-pinellia,Poria(warm support was 0.1807,the percentage was 1.83%).3.5 Yang Yin Syndrome: diagnosis and treatment scheme for stop temperature Xinyang-Zhenwu Decoction Ramulus Cinnamomi and Fuzi Yang gas medicine(the support degree is 0.2753 and the percentage is 4.47%);temperature Xinyang-Guizhi Fuzi decoction,Guizhi Fuzi-Yang gas medicine(the support degree is 0.2067 and the percentage is 3.67%);temperature Xinyang-really Wu soup-tuckahoe,Alisma,diuresis Shenshi medicine(support was 0.262,the percentage was 3.54%);temperature Xinyang-Fuzilizhong Decoction Lingguizhugan Decoction and ginseng,Poria Qi and spleen dampness(support was 0.202,the percentage was 3.82%);temperature Xinyang-Zhenwu Decoction ginseng Poria,Qi and spleen dampness(support was 0.2133,the percentage was 2.83%);temperature Xinyang-Zhenwu Decoction-Curculigo,Xianlingpi isothermal Kidney Yang drugs(support was 0.1693,the percentage was 2.27%);Warming Yang-Guizhi Fuzi decoction,Guizhi Fuzi-Yang gas medicine(support was 0.204,the percentage was 3.23%);Warming Kidney Yang-Fuzilizhong Decoction Lingguizhugan the soup,Guizhi Fuzi Yang gas medicine(support was 0.238,the percentage was 2.36%);and water swelling-Zhenwu Decoction Ramulus Cinnamomi and Fuzi Yang gas medicine(support was 0.2613,the percentage was 2.28%);Yang Wen-Fuzilizhong Decoction Lingguizhugan Decoction and ginseng Poria Qi and invigorating spleen dampness(support was 0.2107,the percentage was 3.55%);warming Kidney Yang-Zhenwu Decoction-Curculigo,Xianlingpi isothermal Kidney Yang drugs(support degree is 0.184,the percentage was 2.27%);Spleen Yang-Zhenwu Decoction-Guizhi Fuzi,Yang gas(drug support was 0.2013,the percentage was 2.81%);and water swelling-Zhenwu Decoction-tuckahoe,Alisma.The water permeability wet medicine(support was 0.2693,the percentage was 2.58%);Spleen Yang-Lingguizhugan Decoction-Poria,Alisma,diuresis Shenshi medicine(support was 0.1953,the percentage was 1.79%);Spleen Yang-Fuzilizhong Decoction Lingguizhugan Decoction and ginseng,Poria Qi spleen dampness medicine(support degree is 0.186,the percentage was 3.27%);spleen-Yang-Xianlingpi Zhenwu Decoction of Rhizoma curculiginis,isothermal Kidney Yang drugs (support degree is 0.1693,the percentage was 2.38%);Spleen Yang-Zhenwu Decoction-ginseng,Poria Qi and spleen dampness(support was 0.192,the percentage was 2.38%).4 Coronary heart disease with heart failure clinical stage4.1 Cases of qi deficiency syndrome: diagnosis and treatment plan for the lack of Nourishing Qi-nourishing Decoction of ginseng,Huangqi-yuan drug(Dabu strength support was 0.3453,the percentage was 11.20%);nourishing Qi-Shengmai Powder and licorice soup-ginseng,Huangqi Nourishing Qi medicine(support was 0.3167,the percentage was 6.20%);nourishing vitality-four-fried Atractylodes,Zhigancao Decoction,spleen qi medicine(the support degree is 0.2687 and the percentage of 5.57%,4.13%);Shengmai Powder-nourishing qi and licorice soup-fried Atractylodes,licorice root Jianpiyiqi drug(support was 0.2987,the percentage was 3.37%);Kidney-nourishing element,ginseng decoction Huangqi medicine(Nourishing Qi support was 0.276,the percentage was 4.93%,4.38%);kidney-Shenqi decoction-fried Atractylodes,licorice root Jianpiyiqi drug(support was 0.3027,the percentage was 3.62%);Yi Qi-Shengmai Powder and licorice soup-fried Atractylodes,licorice root Jianpiyiqi drug(support was 0.266,the percentage was 2.48%);Kidney-Shenqi decoction and ginseng Huangqi medicine(Nourishing Qi support was 0.3007,the percentage was 4.50%);good temper-Shenqi decoction ginseng and Astragalus Nourishing Qi drugs(support was 0.274,the percentage was 4.04%);good temper-Shenqi decoction-fried Atractylodes,licorice root Jianpiyiqi drug(support was 0.2787,the percentage was 4.16%);Yi lung-four-fried Atractylodes,Zhigancao Decoction,spleen qi medicine(support was 0.248,the percentage was 3.30%);good temper-Four Gentlemen Decoction-fried fried Atractylodes,Gansu grass Jianpiyiqi drug(support was 0.2433,the percentage was 2.81%);Yi Qi-Shenqi decoction of bupleurum,Cimicifuga,-Tisheng in medicine(the support degree is 0.2433 and the percentage is 2.15%).4.2 Stop drinking collaterals: diagnosis and treatment for drinking water,Xuanbi Tongmai Ling Gan Jiang Xin-five taste soup-ginger,asarum lung drink medicine(isothermal support was 0.284,the percentage was 6.47%);drinking water,Xuanbi Tongmai-Shixiaosan combined Guizhi Fuling Pill-ginseng,cassia twig,tail,etc.to Xinganwen(hematoxylin Tongluo drug support was 0.256,the percentage was 2.99%);drinking water,Xuanbi Tongmai-Zhenwu Decoction-aconite,cinnamon isothermal Kidney Yang drugs(support degree is 0.2273,the percentage was 2.99%);warm the Qi,Huoxue Dingtong-Shixiaosan combined Guizhi Fuling Pill-ginseng,cassia twig,tail,etc.to Xinganwen(hematoxylin Tongluo drug support was 0.2047,the percentage was 2.05%);warmingchannelstodispel cold,Qi and blood-Angelica four inverse Wu Zhuyu ginger soup-Rhizoma Cyperi,other blood lines(drug support 0.1153 degrees,percentage of 2.47%).4.3 The kidney water pan card treatment for kidney Yang-Zhenwu Decoction Ramulus Cinnamomi and Fuzi Yang gas medicine(support was 0.2907,the percentage was 9.53%);Kidney Yang-Zhenwu Decoction-tuckahoe,Alisma,dampness medicine(support degree is 0.2887,the percentage was 4.07%);temperature Kidney Yang-Shenqi Pill-poria,Alisma,diuresis Shenshi medicine(support was 0.1693,the percentage was 2.56%);Kidney Yang-Shenqi Pill-Guizhi Fuzi Yang gas medicine(support was 0.1693,the percentage was 2.46%);Kidney Yang-Yougui Wan-Curculigo,Xianlingpi isothermal Kidney Yang drugs(support was 0.1267,the percentage was 2.41%);the water swelling-Zhenwu Decoction Ramulus Cinnamomi and Fuzi Yang gas medicine(support was 0.274,the percentage was 6.74%);and water swelling-Zhenwu Decoction-tuckahoe,Alisma dampness medicine(support degree is 0.2887,the percentage was 2.96%);and water swelling-Shenqi Pill-tuckahoe,Alisma such as wetting drug(support was 0.168,the percentage was 1.91%);and water swelling-Shenqi Pill-Guizhi Fuzi Yang gas medicine(support was 0.1693,the percentage was 1.71%);spleen and kidney tonifying kidney qi Pill--Curculigo,Xianlingpi isothermal Kidney Yang drugs(support for 0.1533,the percentage is 2.27%);gas-water-Guizhi Fuzi Zhenwu Decoction,Yang gas medicine(support was 0.2333,the percentage was 5.74%);spleen and kidney tonifying-Zhenwu Decoction-Guizhi Fuzi,Yang gas(drug support was 0.232,the percentage was 4.22%);reinforce spleen and kidney--Xianmao Yougui Wan Epimedium warming Yang medicine(support was 0.1307,the percentage was 1.90%).4.4 Cold drink obstructing the collaterals: diagnosis and treatment plan for warming yang to dispel the cold-Ling Gan Jiang Xin Tang-five kinds of aconite and dried ginger Xin heat warming Yang(support was 0.31,the percentage was 9.07%);warming yang to dispel the cold-small Qinglong Decoction Tingli dazaoxiefei Decoction of pinellia,poria,warm-phlegm drink medicine(the support degree is 0.246 and the percentage of 6.32%,3.05%);warming yang to dispel the cold-pinellia,Poria,Zhenwu Decoction-warm sputum inhaus medicine(support was 0.1893,the percentage was 3.02%);sputum inhaus medicine Yang Yin-small Qinglong Decoction Tingli dazaoxiefei Decoction-Pinellia Poria,temperature(support degree is 0.242,the percentage of 5.61%,1.91%);sputum inhaus medicine Yang Yin-Gualou Xiebai baijiutang-pinellia,Poria(warm support was 0.2247,the percentage was 2.24%);warming spleen yang-Ling Gan Jiang Xin Tang-five kinds of aconite and dried ginger Xin heat warming Yang(support was 0.204,the percentage was 4.45%);the spleen of Yin-Ling Gan five taste Jiang Xintang aconite and dried ginger Xin heat warming Yang(support was 0.1707,the percentage was 3.58%);sputum inhaus medicine of Spleen Yin-small Qinglong Decoction Tingli dazaoxiefei Decoction-Pinellia Poria,temperature(support degree is 0.1473,the percentage was 2%).5 Coronary heart disease with end-stage heart failure5.1 Chuantuo death certificate: diagnosis and treatment plan for reviving Yang-Shenfu Decoction ginseng and Astragalus Nourishing Qi medicine(the support degree is 0.4047 and the percentage of 13.53%,7.06%);reviving Yang-Shenfu Decoction-aconite,dried ginger,Sichuan pepper and other pungent and hot Yang medicine(support degree is 0.4 that percentage is 9%,3.98%);nourishing Qi-Shenfu Decoction ginseng and Astragalus Nourishing Qi medicine(the support degree is 0.3273 and the percentage of 5.93%,10.59%);reviving Yang-four inverse soup-aconite,dried ginger,Sichuan pepper and other pungent and hot Fuyang medicine(the support degree is 0.3007 and the percentage of 7.57%,4.93%);nourishing Qi-Shenfu Decoction-aconite,dried ginger,pepper and other pungent hot Yang Shu(support was 0.3127,the percentage of 5.34%,3.35%).5.2 Water Ling syndrome: diagnosis and treatment plan for Wenyanglishui--ginseng,Huangqi Zhenwu Decoction(Jianpiyiqi drug support was 0.2887,the percentage was 6.67%);Wenyanglishui--Jiao Mu,Zhenwu Decoction with tetrandrine and water swelling(support was 0.2453,the percentage was 3.53%);-Wenyanglishui five Ling powder plus Shenqi-Poria,Alisma,diuresis Shenshi medicine(support was 0.1893,the percentage was 3.01%);and water swelling--ginseng,Huangqi Zhenwu Decoction(Jianpiyiqi drug support was 0.192,the percentage was 2.04%,2.10%);warming heart Yang-Lingguizhugan Decoction ginseng and Astragalus Spleen Qi medicine(support was 0.2253,the percentage was 1.86%);warming heart Yang-Lingguizhugan Decoction-Poria,Alisma,diuresis Shenshi medicine(support was 0.24,the percentage of 4.04%-five);and water swelling water chestnutsdisperse plus Shenqi-reuse of Ramulus Cinnamomi,Radix Codonopsis,radix rehmanniae,Ophiopogon japonicus,and licorice to Yiqitongmai(support degree is 0.124,the percentage of 1.59%).Conclusion:1 Coronary heart disease combined with heart failureCoronary heart disease with heart failure treatment for the foundation of Wenyang Yiqi,acute exacerbation of multi medicine Shenfu Decoction,Sini Decoction,four Zhenwu Decoction,often choose to use medicine Singan Yang,sweet,sweet light to health in order to use water such as herbs;in the chronic remission stage is selected Fang Shengmaisan,Yang also five soup five Lingsan,ginseng decoction,Zhigancao Decoction,with optional Singan medicine to warm yang,to health,to water and other types of light sweet herbs.2 The stage treatment of coronary heart disease with heart failure syndromeCoronary heart disease with heart failure before heart failure stage: two heart deficiency of the spleen qi,nourishing and soothe the nerves for treatment,emphasis on the benefits of temper,keep blood,tranquilizing the mind;choose Baiziyangxin pills,Guipi Decoction,Buzhongyiqi Decoction;Astragalus,Atractylodes,sweet medicine preferred Qi medicine,radix rehmanniae,Angelica nourishing blood medicine,ginseng such as nourishing Qi drugs,such as sedative,Polygala spinosae.Qi thrusting syndrome to Qi Ping Chong Jiangni method on Ping Chong Jiangni,regulating qi,dispersing the lung qi,regulating spleen and stomach;Fang Xuanxuan Daizhe Decoction,Guizhi Decoction,Guangxi,Zhishi Xiebai Guizhi Decoction Lingguizhugan decoction,Buzhongyiqi Decoction;use of Poria cocos such as Ping Chong Jiangni,Guizhi medicine,Magnolia officinalis,citrus aurantium and other spleen medicine,pinellia,etc.Yang Yin medicine Trichosanthes,ginseng,Huangqi qihm,Tinglizi,Alisma Jiangzhuo inverse medicine.The clinical stage of coronary heart disease complicated with heart failure: Qi and yin deficiency with Qi for the treatment of law,focusing on Benefiting Qi,invigorating the lung and heart,Anshen,nourishing yin and stomach;Fang Xuansheng Shengmai Powder,Radix Ophiopogon decoction,Lily Dihuang Decoction with ginseng,Astragalus and other drugs;Gan Wen Yi Qi medicine,Radix Paeoniae Alba,Schisandra acid etc.Gan Hua Yin,Shashen,Ophiopogon japonicus and moist nourishing the stomach yin medicine,Dendrobium,radix rehmanniae,sweet and cold medicine for the optimization of Yin yang.Qi deficiency and blood stasis selection of Invigorating Qi and promoting blood circulation for the treatment of law,emphasis on Tonifying Qi,blood stasis,Qi meridians;choose Yang also five soup,Shengmai Powder,Xuefuzhuyu Decoction and Danshen Decoction;drug selection peach kernel,safflower medicine,ginseng,Astragalus and other nourishing Qi medicine,Rhizoma Chuanxiong,Rhizoma Cyperi,regulating qi and activating blood circulation medicine,Chinese angelica,Salvia miltiorrhiza,nourishing and activating blood medicine.DLS syndrome treated by Tiaohe Ganpi Dafa,focusing on liver qi,spleen and stomach,liver and rose wood;choose Xiaoyaosan,CHSGS,Xiaochaihu Decoction;treatment with Radix Bupleuri,etc.and Qi medicine Zhishi,Rhizoma Cyperi,malt and stomach Shugan medicine,Radix Aucklandiae,amomum fruit,orange peel etc.the spleen is the preferred drug.Dampness syndrome with stagnation dampness Qi Dafa,Yang Li,on gas gasification Linggui liarice Decoction;prescription Decoction;drug preferably Poria,Alisma diuresis medicine,sputum inhaus medicine pinellia,Poria,temperature.Yang Yin card to stop warming drink for the treatment of law,on the temperature Xinyang,warming Yang,Invigorating Spleen Yang detumescence;choose Zhenwu Decoction,Guizhi Fuzi decoction,Lingguizhugan decoction,Fuzilizhong Decoction Lingguizhugan decoction,Guizhi Fuzi preferred medication;Yang gas medicine,tuckahoe,Alisma,diuresis medicine,Rhizoma curculiginis,Xianlingpi isothermal kidney Yang medicine,ginseng,Poria Qi and spleen dampness.The clinical stage of coronary heart disease with heart failure: Zong Qi syndrome by replenishing gas exhaust treatment method,emphasis on kidney,nourishing qi,Qi,Yi Yi temper;choose Shenqi decoction and Shengmai Powder Combined with Zhigancao Decoction,nourishing element decoction,decoction of four noble drugs;drug selection ginseng,Huangqi Nourishing Qi drugs,fry Atractylodes,licorice root Spleen Qi medicine,Cimicifuga,bupleurum Tisheng in medicine.Stop drinking the collaterals treated by Huoxue Tongluo drink on Dafa,warm the Qi,Huoxue Dingtong,drink water,Xuanbi Tongmai Fang Gan Xuanling;five kinds of ginger soup,Zhenwu Decoction,Guizhi Fuling pill,Shixiaosan combined with Angelica four inverse Wu Zhuyu ginger decoction;use preferably dried ginger,asarum isothermal lung drink medicine,aconite,cinnamon isothermal Kidney Yang medicine,ginseng,cassia twig,tail,etc.with hematoxylin to Tongluo medicine.Kidney water pan card temperature selection Shenhang water treatment method,focusing on Warming Yang,gas,water and water swelling,spleen and kidney tonifying;choose Zhenwu Decoction,Shenqi pills,Yougui Pill;drug optimization of Guizhi Fuling,Yang gas medicine,Poria,Alisma,diuretics for eliminating dampness Xianmao,epimeddium,isothermal Kidney Yang drugs.To drink cold dispelling,Wenyang Tongluo method to treat cold water blocking collaterals,emphasis on Warming Yang and dispersing cold,warming spleen yang,Yang of spleen yin;five party Xuanling Gan Jiang Xin Wei Decoction and Xiaoqinglong Decoction Tingli dazaoxiefei decoction,Zhenwu Decoction,Gualou Xiebai baijiutang cut;aconite,dried ginger and other preferred drugs pungent hot Wenyang medicine,pinellia,Poria,warm phlegm drink medicine.Coronary heart disease with heart failure end stage: Chuantuo death certificate to Huiyang gutuo asthma treatment method,focusing on reviving Yang,nourishing qi;selection of Shenfu Decoction,four inverse Decoction with ginseng,Astragalus and other medication;nourishing Qi medicine,aconite,dried ginger,Sichuan pepper and other pungent and hot Fuyang medicine as the preferred.To stimulate the heart Yang,Qi Dafa treatment water Ling,is warming heart Yang,Yang diuresis detumescence;choose Zhenwu Decoction,Lingguizhugan decoction,Poria five powder combined with Shenqi decoction of ginseng,Astragalus and other preferred medication;Spleen Qi medicine,Poria,Alisma etc.dampness medicine.The above diagnosis and treatment scheme has been the consensus of experts,and has a certain guiding role in the prevention and treatment of coronary heart disease with heart failure.3 The method of Warming Yang Supplementing Heart Qi,warming Yang,Yang,promoting blood circulation and resolving phlegm,juanyin treatment etc.,can be used as a basic treatment of coronary heart disease with heart failure.4 Based on the basic theory of TCM syndrome and the thinking mode of traditional Chinese medicine,the research method of TCM is embodied in the holistic and dynamic therapeutic advantages.5 By a multicenter clinical expert questionnaire survey,collected clinical experts on diseases combined treatment method of cognition,the conclusion is more in line with the clinical practice,can really widely reflect clinical expert consensus for diagnosis and treatment of the disease,for coronary heart disease complicated with heart failure of TCM standardization to provide more practical for reference.
Keywords/Search Tags:Coronary Heart Disease and Heart Failure, Therapy, Heart Warming Method, Evidence-based Medicine
PDF Full Text Request
Related items