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TCM disease name
Palpitations, palpitation, Chest, asthma card. Collected Medical Education Network Primary cardiomyopathy refers to a group of unexplained cardiomyopathy based heart disease.
Disease due to Medical Education Network Not understand the cause of the disease may be caused by the effect of various factors. some patients with chronic stage of viral myocarditis, or sequelae, but this time the myocardium has been difficult to find isolated virus or specific antigens, and therefore difficult to be sure; some patients increased serum immunoglobulin of all, may also have anti-myocardial antibodies; some patients tend to have familial disease, hypertrophic cardiomyopathy in a more prominent; and nutritional disorders in some cases, such as selenium deficiency can cause cardiomyopathy Medical Education Network. Medical Education Network Chinese medicine believes that the incidence of this disease and the lack of ferrite, complex sense of evils and internal injuries diet, Laojuan excessive and so on. Qi Yin points as the lack of pathogenesis, heart failure has raised, or blood stasis, water and gas Ling heart. Place mainly heart disease, involving lung, spleen and kidney. Disease of mostly the virtual real. In the basic pathological changes of this disease is cardiac hypertrophy, the heart chamber to expand and myocardial fibrosis. Cardiac hypertrophy or heart chamber to expand the heart increases, the main chamber can be bent, but also spto multiple c


ardiac chambers. Myocardial fibrosis may also involve the endocardium, the appearance of pale, elderly people may have calcification disease. Cardiac conduction system can be violated. In particular, may have left ventricular intracardiac mural thrombosis. There is no effective therapy for treating this disease, but symptomatic treatment may delay the time course of development, and reduce complications. TCM diagnosis Comparing the symptoms of this disease complex, but the overall performance of the main chest palpitations, clinical disease, when focusing on identifying bits, to distinguish the actual situation of urgency. The case of the same heart and lung disease, common cough and asthma; heart and kidney disease were seen with edema, breathlessness; and see shortness of breath not lying, limbs Jueleng, oliguria who is a severe acute edema. Main symptoms: palpitation, restlessness, shortness of breath, fatigue, poor sleep and more dreams, pale and thin white fur, thin weak pulse.
Analysis: The gas shortage certificate from the heart, heart failure has raised Erzhi. The Lord God for the heart, heart qi deficiency, blood deficiency and qi is weak, so see palpitations shortness of breath, restlessness, poor sleep and more dreams. Blood deficiency, loss of limb support in the charge, so see weakness. Main symptoms: moving the heart palpitations, shortness of breath, cough, irritability, dizziness, sweating, fatigue, red tongue, thin white or thin yellow fur, rapid pulse.
Analysis: The card with the heart and lung disease, caused by deficiency of both Qi and Yin. Both Qi and Yin deficiency, Yin Yang is not the system, virtual fire inflammation, lung failure purges, so see cough and shortness of breath. Firelight disturbance, so see heart palpitations and trouble. Yang Sheng, and so see dizziness, ringing in the ears. Main symptoms: chest tightness, uncomfortable, chest pain, palpitations, shortness of breath, fatigue, dark purple tongue or with petechia petechiae, thin white fur, astringent or statement on behalf of the pulse.
Analysis: The certificate from the heart yang weak or exogenous six evils, poor blood, systolic Blockage caused. Blood stasis, qi is suppressing the heart, chest Yang sluggish, so see chest pain, chest tightness. Heart yang deficiency, agitation, weakness, shortness of breath, palpitations see it. Main symptoms: palpitation palpitations, dizziness, cold limbs, spontaneous sweating, edema, looking huang white, pale tongue, thin white fur, thy and weak pulse weak.
Analysis: The certificate from the heart and kidney yang, on the pan of water caused by evil. Heart yang deficiency, the next focus of water cold, water and gas on the Ling in mind, so see palpitation palpitations. Qing Yang commit evil on the water, so see dizzy. Yang deficiency, can not reach the end of April, so see cold limbs. Yang solution is not grabbing the heart, so see spontaneous. Main symptoms: extreme breathlessness or breathing weak reliance interest may not lie, irritability, restless, sweating, limb Jueleng, purple lips, tongue pale, tongue white, fine or clock pulse slightly stricken.
Analysis: The sun burst card off by heart, a large number of gas due to leakage. To de-yang heart, mind gas dissipation, so see breathlessness, respiratory weak. Heart fluid leak, so see sweat. Yang weak heart, blood Blockage, so see lips blue. Diagnostic criteria:
1. There is no clear history of viral myocarditis.
2. Than other heart disease, such as congenital heart disease, rheumatic heart disease, hereditary metabolic diseases, secondary and local heart disease and chronic constrictive pericarditis possible.
3. With at least one of the following: cardiac enlargement, particularly the X-ray examination showed a globular heart shadow no other reason for the increase were to be found; congestive heart failure, heart disease not found in other; ECG showed ST segment and T wave changes, or a variety of arrhythmias, but not explained by other causes; a fainting attack, while a cardiac enlargement, and no other reasons are; body or pulmonary embolism, no other explain the reasons for those. Symptoms: Primary myocardial disease is clinically palpitations, shortness of breath, chest tightness, fatigue, edema, or syncope, cardiac arrhythmia as the main feature. (A) dilated cardiomyopathy
1. History mainly for the expansion and repeated heart failure.
2. Symptoms of shortness of breath and heart palpitations to the most common.
3. Signs are often enlarged heart, gallop could be heard, due to the relative enlargement of the heart, there may be no mitral or tricuspid
All of the systolic regurgitant murmur. Audible heart failure, pulmonary rales, hepatomegaly, edema. There may be a variety of arrhythmias.
4. May have brain, kidney, lung, etc. embolism. 1. More common in male children of school age, about 1 / 3 of the patients had family history.
2. Symptoms after exercise, difficulty breathing, palpitations, angina, headache, or syncope. Rare occurrence of heart failure, but can cause sudden death.
3. Check to the left to expand the body-centered world, there is lifting of the apex beat in the left lower sternal border or apex could be heard inside the systolic ejection
Noise, may be associated with tremor. 1. Onset and slow, with fatigue, palpitations and breathing difficulties.
2. Lesion in the right ventricle were manifestations of the main jugular vein engorgement, hepatomegaly, lower extremity edema, ascites.
3. Lesions are manifestations of the left ventricle mainly shortness of breath, cough, hemoptysis, pulmonary rales and so on.
4. Checkup center sector expanded slightly, heart weak. Visible signs of visceral embolization.
Electrical Diagnosis: ECG: ST-T changes occur and a variety of arrhythmias. Dilated and hypertrophic cardiomyopathy usually presents with left ventricular hypertrophy, restrictive cardiomyopathy, right ventricular hypertrophy in common ECG change. Hypertrophic cardiomyopathy , , avF lead and left precordial Q waves often appear abnormal.
Diagnostic Imaging: Echocardiography: dilated cardiomyopathy Echocardiography of the ventricular chamber was enlarged to the main left ventricle, mitral rate generally reduced range of motion of interventricular septum and left ventricular posterior wall was significantly reduced. Septal hypertrophic cardiomyopathy and left ventricular posterior wall thickness ratio 1.3 ~ 1.5:1, may be as important diagnosis. Restrictive cardiomyopathy, some children may show reduced ventricular cavity, ventricular wall thickening. 1. Endocardial fibroelastosis: this disease 2 / 3 of children less than age 1 year old to heart failure as the main clinical manifestations, physical examination, but noise was not obvious community to expand the heart, ECG showed left ventricular hypertrophy, ultrasound Echocardiography shows left ventricular endocardial reflective enhancement, in general no thrombosis phenomenon.
2. Pericardial effusion: clinical manifestations are sometimes confused with heart disease, but this disease often appear odd pulse, low voltage ECG, echocardiography, pericardial seen a liquid dark area.
3. Constrictive pericarditis: clinical features similar to restrictive cardiomyopathy. History of acute pericarditis, chest X ray shows pericardial calcification, echocardiography, or magnetic resonance imaging showed pericardial thickening, if necessary, endomyocardial biopsy should be carried out.
4. Coarctation of the aorta: a performance of dizziness or syncope, easily mixed with hypertrophic cardiomyopathy. Limb blood pressure measurement is very important, usually manifested strong upper limb arterial pulse, high blood pressure, lower extremity arterial pulse weakened or disappeared, blood pressure low. Chinese Medicine TCM treatment of this disease should take into account the specimen, the actual situation and governance. Total to Qi Yang Xin, Chest collaterals for the law. 1. Heart qi deficiency
Governing Law: Heart Qi tonic, Yang Anshen.
Recipe: Schisandra decoction. Heterophylla, Astragalus, Radix each 15g, Huang Jing, Poria, fried Zaoren the 12g, Schisandra, Zhigancao the 10g. Polygala dreams poor sleep more, Caulis; mind not Anga Health keel, raw oysters. Governing Law: Qi Yin, nourishing nerves.
Recipe: ShengmaiYin addition and subtraction. Codonopsis, Radix, habitat of the 12g, Radix, Salvia, Angelica of the 10g, Baked Licorice, Schisandra the 6g. Palpitations significantly Astragalus, Fu Shen; irritability not Anga Albizia, Bozi Ren. Governing Law: qi and blood circulation, circulation meridians.
Recipe: Blood Stasis Decoction. Peach, red peony, salvia the 12g, angelica, habitat, turmeric each 10g, safflower, Cyathula, Bupleurum the 6g. Chest pain was added fumarate, dalbergia; shortness of breath than even add heterophylla, Huang Jing. Governing Law: replenishing the kidneys, yang diuresis.
Recipe: Zhen Wu Decoction. Poria, Atractylodes, white peony root of the 12g, heterophylla, wolfberry fruit, dogwood each 10g, aconite, cinnamon the 3g. Nausea and vomiting plus Pinellia, Citrus, ginger; edema significantly increases Menispermaceae, Plantago. Governing Law: Yang deficiency.
Recipe: Decoction Shenfu Longmu. Ginseng, aconite the 10g, ginger, psoralen, Zhigancao the 12g, Health keel, raw oysters 20g. Sweating, pulse slightly stricken reuse ginseng, plus cornus; palpitation and breathlessness was Astragalus, Menispermaceae. Medicine
1. Guipi: function Qi tonic, spleen Yang Xin. Apply to this disease is a deficiency of qi and blood are. Every 3 to 6 years old take 1 / 3 of the pill, each serving 6 to 9 years old 1 / 2 pill, more than 9 years of age take 1 pill every day 2 or 3 times.
2. Ji Sheng Shen Qi Pills: functional kidney Qi, yang diuresis. Apply to this disease is a yang deficiency, water on the pan are evil. 3 to 6
Years each for 1 / 3 of the pills, each serving 6 to 9 years old 1 / 2 balls, 9 years old take 1 pill every day 2 or 3 times.
3. Danshen injection: function of qi and blood circulation, circulation meridians. For those of the disease is blood stasis. Every 3 to 6 years old
4ml, 6 ~ 9 years old each 6ml, 9 ~ 12 years old each 8ml, 12 years old each 10ml, 1 day, 5% glucose 4. Health Pulse agent: function Qi Fumai, YangYinShengJin. For those of the disease is a Qi and Yin Deficiency. Every 3 to 6 years old take 1 / 6 package, each serving 6 to 9 years old 1 / 4 package, each serving more than 9 years old 1 / 3 package, 2 or 3 times a day. 1. Onyang and blood soup: system tuber, Epimedium, Sunburn Astragalus, Codonopsis, Salvia, Alisma, Poria, Atractylodes, Ophiopogon, Schisandra, fried Zaoren, Caulis and so on. Shuijianbi day one. For the treatment of idiopathic dilated cardiomyopathy.
2. Compound nard soup: nard, Daqingye the 9g, Radix Codonopsis, Scrophulariaceae of the 15g, Gui 3g, licorice 5g, Citrus aurantium 9g. Shuijianbi day one. The application of this disease with arrhythmia.
3. Ginseng, incense, Panax equal Yan Mo, each 0.3 ~ 1g, 2 or 3 times a day. For this disease with cardiac dysfunction.
4. Heterophylla, Health keel, raw oysters, Ophiopogon, habitat, Salvia, Caulis and spiritual magnet, angelica, Baked Licorice, Schisandra, Suanzaoren. Shuijianbi day one. For the disease who are Qi and Yin Deficiency. 1. Body acupuncture: the main cavity shut. Daling acupoints, Shenmen, Tongli, Xinyu, Jue Yin Yu and so on. Take 3 to 4 points each, reinforcing
Diarrhea, needle retention for 20 minutes every other day 1, 10 times as a course of treatment. To improve cardiac function in vivo.
2. Auricular Acupuncture: acupoints heart, kidney; cortex, sympathetic, endocrine, God doors. Vaccaria seeds with acupressure stimulation, each
Times with a ear, take 3 to 4 points, 3 to 4 times daily stimulation, 2 to 3 replace the other ear. Apply to this disease with arrhythmia. First, the general treatment
Dilated cardiomyopathy where cardiac enlargement, heart dysfunction are advised to rest the long-term, there is absolute bed heart failure. Hypertrophic cardiomyopathy and restrictive activities under appropriate restrictions on the disease.
Second, improve myocardial metabolism of drugs
1.1,6 - diphosphate: a dosage of 0.7 ~ 1.6ml/kg, the maximum amount not exceeding 2.5ml/kg, per minute rate of 10ml, 7 to 10 days treatment, intravenous drip.
2. Coenzyme Q10: a dosage of 10mg, 3 times a day orally.
Third, the anti-arrhythmic drugs
Arrhythmias should take a different antiarrhythmic drug therapy.
Fourth, anti-heart failure treatment
1. Dilated cardiomyopathy digoxin tolerance of poor, prone to toxicity, the dose of conventional dosage of 1 / 2 to 2 / 3, adhere to long-term use. Routine use of diuretics and vasodilators.
2. Restrictive cardiomyopathy with diuretic-based, if necessary, addition of vasodilators.
3. Hypertrophic cardiomyopathy disabled digitalis drugs.
V, adrenergic receptor blockers
Children with hypertrophic cardiomyopathy -adrenergic blockers can slow heart rate, decrease myocardial contractility, reduced myocardial oxygen consumption and reduce the degree of outflow tract obstruction, arrhythmia, angina and other symptoms can also significantly reduced. Oral propranolol, the first start small dose daily 1 ~ 2mg/kg, dose can be gradually increased in order to improve blood pressure and heart rate does not reduce symptoms. Selective 1 blocker better. 1. Verapamil: 3 ~ 5mg/kg daily dosage of oral administration.
2. Sulfur zhuo ketones: Each 0.5mg/kg, 3 times a day, and gradually can be added to at 1mg/kg. Hypertrophic and restrictive cardiomyopathy can be surgical removal of tissue or thickening of the myocardial hypertrophy of the heart lining to alleviate the symptoms. Medical books motherland symptoms of the disease, illness and other long been documented. Such as "Q-type mystery of the original disease," says: "Water bad Huo, restless mind, that the palpitation." The paper not only presents a palpitation of the disease name, and palpitation of the risk factors outlined on Doctors later quite enlightening.
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