Medical Records------Senior Heart Failure

Mr. Yang is 88 years old. Clinic on November 19, 2018. A veteran cadre, tall, with a dark and swollen complexion, unable to walk, entered the consultation room in a wheelchair. Diagnosis at the moment: lethargy, poor appetite, chest tightness, asthma, heart rate 42/min, blood pressure 102/45 mm Hg, scanty bowel movements, cold limbs, edema in the lower limbs, weak and weak pulse, pale tongue with thin white coating. Prognosis is poor. TCM syndrome differentiation: Shaoyin heart failure and Yang Qi dying. Principles of treatment: Restore yang and relieve adversity, strengthen the heart and diuresis. Prescription: Sini Decoction, Guizhi Licorice Decoction, and Tingli Dazao Xiefei Decoction.

Prepare 20g of monkshood (fried first), 30g of Rhodiola rosea, 30g of raw sun-dried ginseng, 15g of dried ginger, 30g of cinnamon twig, 30g of raw licorice, 30g of Tinglizi, 30g of Citrus aurantium, 30g of Poria, 30g of Atractylodes, 15g of Salvia miltiorrhiza, 6g of raw ephedra, 10 slices of ginger.

Decoction a small amount of three doses in water and take one dose several times a day frequently.

The second consultation on the morning of November 22, 2018: I knew it after the first dose, the second dose was over, and the yang returned after the third dose. The person is energetic and no longer drowsy, the heart rate is 52/min, the blood pressure is 110/55 mm Hg, the chest tightness and asthma have disappeared, the edema of the lower limbs has been reduced, but the appetite is still poor, and the bowel movements are clear. The effect is not more effective. Add 30g of aconite prepared above and 10g of each of the three fried immortals.

Prepare 30g of monkshood (fried first), 30g of rhodiola, 30g of raw sun-dried ginseng, 15g of dried ginger, 30g of cinnamon twig, 30g of raw licorice, 30g of tangerine root, 30g of Citrus aurantium, 30g of poria, 30g of Atractylodes, 15g of salvia, 6g of raw ephedra, stir-fried Sanxian 10g each, 10 slices of ginger

Decoction a small amount of three times in water and take it frequently, one dose a day, multiple times a day. To see the effects. (Written by Gudao Shouma on the afternoon of November 22, 2018)