Professor Yang Daowen 's Experience In Treating Chronic Pulmonary Heart Disease With Self - Made

Chronic pulmonary heart disease is the common result of a variety of lung diseases chest developing to late stage. Chronic lung diseases can result in pulmonary capillary bed chest damage, vascular bed area decrease, airflow obstruction, pulmonary artery spasm due to respiratory acidosis, secondary polycythemia due to chronic hypoxia and blood viscosity increase, which cause the pulmonary circulation resistance, pulmonary artery pressure and right heart load increasing, causing right ventricular hypertrophy to develop to pulmonary heart disease. The most common causes are emphysema and chronic bronchitis. The most attack insidiously. The initial symptoms are cough, phlegm, dyspnea and activity tolerance decreasing, and the decompensated period presentation is respiratory failure, right heart failure. Western medicine currently uses rest, oxygen therapy, anti-infective, expectorant asthma, anticoagulation, improving right ventricular function and nutritional support methods to treat comprehensively, however, at decompensated period, the methods has poor efficacy with more side effects and lead to poor quality of life. Because of the constantly increasing morbidity of chronic pulmonary heart disease, poor prognosis and restriction of Western medicine treatment techniques, the advantages of traditional Chinese medicine (TCM) remedying the disease has caused more and more attention.The first section of the paper summarizes recent research of traditional Chinese medicine remedying acute exacerbation of chronic pulmonary heart disease during decompensated period, including Chinese medicine nonaggressive, disease mechanism, clinical experience, different therapies and experimental researches, and the majority of doctors believe the disease mechanism is phlegm-heat blocking lung, turbid phlegm in the lung, and water diffusion caused by yang deficiency etc., took different kinds of treatment methods, and with a variety of study progress, developed a variety of proprietary Chinese medicine injections of good clinical effect.The second part is a summary of Professor Yang Daowen’clinical experience using "homemade excreting water to relieve dyspnea formula" to treat acute exacerbation period of chronic pulmonary heart disease, which are discussed from the understanding of Chinese medicine and Western medicine, Western medicine’ diagnosis and remedy, TCM treating experience, daily nursing, clinica evaluationand typical cases.Chronic pulmonary heart disease during decompensated period, often recurrent due to external-contraction and other factors, and reaching the late period, medication has poor effect, and the patients suffer sputum, cough, moving the wheezing and can’t supine with bad life. Professor Yang Daowen thinks that the top goal of this stage is to improve the life quality of patients and relieve symptoms. Meanwhile, Yang considers the another key to treat the disease is daily nursing, such as long-term and low-flow oxygen, breathing exercises, and control of drinking water, etc.This section focuses on the experience of Chinese medicine therapy, Professor Yang Daowen believes that the root of the disease is Qi deficiency, Yang deficiency, blood stasis of lung, spleen and kidney fundamental multiple organ Qi, Yang, blood stasis, labeled water to drink and the branch is water-rheum. The mechanisms of this disease are mostly pathogen invading, edema caused by yang deficiency and phlegm and static blood obstruction. The disease is treated by "homemade excreting water to relieve dyspnea formula", which are made of cinnamon twig, white peony, stephania root, Chinese silkuine bark, Sichuan pepper, areca peel, poria, melon skin, polyporus, alisma, rhubarb, Sunburn leech, Eupolyphaga, walnuts, almonds. The formula is pulse-restored by Yang Daowen from stephania, zanthoxylum seed, tingli seed and rhubarb pill, cinnamon twig decoction, five-peel beverage, rhubarb eupolyphaga pill, which can treat not only the branch of phlegm-rheum but also the root with significant effect.Professor Yang Daowen believes that Western medicine and Chinese medicine have their own merits in treatment of acute exacerbation period of pulmonary heart disease, but in the latter period of multiple organs failure, Western medicine has poor prognosis and poor life quality, and when integrated with traditional Chinese medicine, the effect can be improved.