Thoracic paralysis refers to the chest pain, chest pain through the back, shortness of breath, wheezing and can not lie down the main symptom of a disease. Western medicine, coronary heart disease, pericarditis, pleurisy, intercostal neuralgia and other diseases appear chest pain, can be identified and treated according to this evidence.
I, etiology and mechanism of this disease occurs with the cold invasion, improper diet, emotional disorders, old age and physical weakness and other factors. The disease is located in the heart, but related to the spleen and kidney. Its pathogenesis is always a deficiency of the essence, the essence of the deficiency is the deficiency of yin and yang, qi and blood, and the essence of the deficiency is the interaction of yin and cold, phlegm and blood stasis.
II. Clinical manifestations and diagnosis
1. Clinical manifestations are characterized by pain in the danzhong and the left side of the chest, which may come on suddenly or sometimes. The pain can be dull pain, hidden pain, stinging pain, burning pain and other different, some can lead to the pharynx, arm, heart nest and other parts.
This syndrome is characterized by sudden onset or sometimes onset, long lasting, and often accompanied by chest tightness, shortness of breath, palpitation and other symptoms.
2. Diagnosis
(1) Factors such as seven emotions, climatic changes, diet, labor and fatigue can induce this syndrome.
(2) Examinations such as electrocardiograms often show abnormal changes.
Three, diagnosis and treatment
1. Heart and blood stasis type
Identification of thoracic stabbing pain, fixed and immovable. The tongue is purple and dark, and the pulse is stringy and astringent.
The treatment is to activate blood circulation and remove blood stasis, and clear the veins to relieve pain.
The prescription of Blood Palace and Blood Stasis Relieving Soup is added and reduced: 12g each of Angelica sinensis, Citrus aurantium dulcis, Yanhuosuo, peach kernel, hyssop, 15g each of red peony, 9g each of Rhizoma Ligustici Chuanxiong, 10g each of safflower, Chaihu, and Descending Fragrance, 20g each of Danshen, and is taken by decoction with water.
2. phlegm congestion type
Identification of chest tightness and pain, or pain leading to the back, shortness of breath and shortness of breath, fat, phlegm. The tongue is cloudy and greasy, and the pulse is smooth.
The treatment is to promote Yang and drain turbidity, and to remove phlegm and open the knot.
The formula of Gua Piper Allium bracteatum Semixia Tang plus subtractions: 12g of Gua Piper Allium bracteatum, 15g of Allium bracteatum, 12g of Semixia, 6g of Chen Pi, 15g of Salvia miltiorrhiza, 6g of Cardamom, 6g of Licorice. decocted with water.
3. Yin cold stagnation type
Identification of chest pain through the back, cold is worse, fear of cold limbs cold. The tongue is white and slippery, and the pulse is fine.
The treatment is to stimulate and warm the yang, open the paralysis and disperse the cold.
The prescription of gua shui allium white wine soup with subtraction: gua gua ren 15g, allium white wine 12g, citrus aurantium dulcis 10g, gui zhi 12g, ripe epimedium 10g, dangshen 15g, sandalwood 9g. water decoction.
4. Heart and kidney yin deficiency type
Identification of chest tightness and pain, palpitations and night sweating, distraction and insomnia, lumbago, tinnitus. The tongue is red with little moss, and the pulse is fine or fine and astringent.
The treatment is to nourish yin and benefit the kidney, nourish the heart and tranquilize the mind.
The formula of Zuo Gui Drink is 15g of Radix Rehmanniae Praeparata, 12g of Cornu Cervi Pantotrichum, 12g of Fructus Lycii, 15g of Rhizoma Dioscoreae, 12g of Poria, 12g of Maitake, 6g of Schisandrae, 12g of Cyperus Rotundus, 15g of Salvia Miltiorrhizae, 10g of Ulmus, and 6g of licorice, all in a decoction of water.
Additionally, if there is a deficiency of yin and hyperactivity of yang, add 15g of hooker, 20g each of stone vitex and turtle shell.
5. qi and yin deficiency
Identification of chest tightness and pain, palpitation and shortness of breath, tiredness and laziness, and worse in the event of exertion. The tongue is reddish or has teeth marks, and the pulse is thin and weak or knotted.
The treatment is to benefit the qi and nourish the yin, promote blood circulation.
The prescription of Sheng Wei San is flavored: 20g of Radix et Rhizoma Ginseng, 15g of Radix et Rhizoma Dioscoreae, 9g of Fructus Schisandrae, 15g of Radix et Rhizoma Dioscoreae, 12g of Poria, 15g of Astragalus Membranaceus, 18g of Salviae Miltiorrhizae, 6g of Radix et Rhizoma Glycyrrhizae.
6. yang qi deficiency type
identification of chest tightness and shortness of breath, or even pain through the back, palpitations, sweating, cold limbs, pale. The tongue is pale or purplish, and the pulse is weak.
The treatment is to benefit qi and warm yang, activate blood circulation.
The formula of Ginseng and Forsythia Soup: 10g of ginseng (or 30g of Radix et Rhizoma Ginseng), 12g of Radix et Rhizoma Polygoni Multiflori, 9g of Radix et Rhizoma Glycyrrhizae Praeparata, 12g of Cinnamomum Cassiae, 15g of Poria, 15g of Radix Rehmanniae Praeparatae, 12g of Cornus Officinalis, 12g of Fructus Lycii, 15g of Fructus Cortex Eucommiae, 15g of Salvia Miltiorrhizae, 6g of Licorice.
Adding and subtracting yang damage and yin, add maitake 15g, schizandra 6g.
Four, adjuvant treatment
1. adult prescription
(1) Compound danshen tablets, quick-acting heart pill, five spirit pain capsule, compound danshen injection (for the cardiovascular blood stasis type).
(2) Gua Dao tablets (for phlegm congestion type).
(3) Subing Drops Pill and Coronary Heart Suhu Xiang Pill (for the type of yin-cold stagnation).
(4) Qi Ju Di Huang Wan (for heart and kidney yin deficiency type).
(5) Yangshen capsule (for qi and yin deficiency type).
(6) Living Heart Pill and Shu Xin Pill (for the type of deficiency and decline of yang qi).
2. Test prescription
(1) Safflower, red peony, danshen, chuanxiong 15g each, descending incense 12g. decocted with water (applicable to the type of heart blood stasis).
(2) Salvia divinorum 30g, Rhizoma ligustici chuanxiong 10g, saffron 15g, Radix et rhizoma Ginseng 30g, Radix et rhizoma Ulmoides 15g, Radix et Rhizoma Mullein 10g, Radix et Rhizoma Cyperiopsis 15g, Radix et Rhizoma Paeoniae 15g, Radix et Rhizoma Dioscoreae 20g, Radix et Rhizoma Schisandrae 6g, Poria 10g, Decoction of water, 1 dose per day (for the type of cardio-blood stasis).
(3) Gua Piao 30g, Allium sativum 15g, Salvia miltiorrhiza 20g, Paeonia lactiflora 15g, Rhizoma Ligustici Chuanxiong 10g, Safflower 10g, Radix et Rhizoma Gastrodiae 15g, Hovenia dulcis 10g, Gui Zhi 10g, Cimicifuga radix 20g, decocted with water and divided into 2 doses, 1 dose per day (suitable for the type of Phlegm congestion).
(4) Fahanxia 10g, Ligusticum chuanxiong 9g, Ophiopogon flexuosus 9g, Paeonia lactiflora 9g, Fructus schisandrae chinensis 9g, Poria cocos 30g, Radix et rhizoma ginseng 30g, Citrus aurantium dulcis 10g, Salvia miltiorrhiza 30g, decocted with water and divided into 2 doses, 1 dose per day (for the cold and stagnant type of yin and cold).
(5) Radix Panax Ginseng 30g, Salvia divinorum 30g, Rhizoma Atractylodis Macrocephalae 15g, Poria 15g, Pericarpium Citri Reticulatae 10g, Radix Paeoniae Lactiflorae 10g, Ophiopogonis Macrocephalae 12g, Semen Heterophyllum 9g, Schisandra Chinensis 9g, Radix et Rhizoma Glycyrrhiza Glutinosa 6g, decocted with water and divided into 2 doses, 1 dose per day (for the type of qi yin deficiency).
(6) Astragalus 20g, Angelica sinensis, Radix et Rhizoma Ginseng, Psidium Guajava 15g, Cinnamomum Cassia, Radix Paeoniae Lactiflorae 10g, Cortex Eucommiae Sinensis, Sedum officinale 5g, Allium sativum 12g, Salvia miltiorrhiza 30g, decocted with water.
3. Acupuncture and moxibustion treatment
(1) body acupuncture: the main points are divided into two groups: danzhong and Neiguan; Juque and Mianzhi. Operation of the main points alternating rotation, acupuncture once a day, to obtain the needle sensation, stay in the needle for 15 minutes, 10 times for a course of treatment, the interval of 5 to 7 days.
(2) Auricular acupuncture: points: heart, sympathetic, subcortical, Shenmen. 2～3 points each time, leave the needle.
V. Conditioning
(1) Protect against cold and keep warm, pay attention to avoid cold stimulation.
(2) Pay attention to nourish the nature of the emotions, avoiding violent joy and anger and worry and resentment and fear and other mental stimuli.
(3) Diet and living in order, not overwork or overeating, not too much fat, sweet and thick taste and tobacco and alcohol and other stimulating food.
(4) Strengthen physical exercise, the most appropriate is walking, playing tai chi, etc..