Under, Chinese medicine flavin

Chapter 257 Rheumatic Heart Disease
The mother and daughter who came in, the old man's heavy and rapid gasping sound as he walked, could be clearly heard by Flavin several meters away.

Then look at the red on the old man's cheekbones, similar to plateau red, but with a sickness.

Lips appear dark purple, lips appear dark red, dark purple is stagnation of qi and blood stasis, the blood is not running smoothly, so the color of the lips will appear purple.

The most direct clinical manifestations of TCM are myocardial infarction, angina pectoris, coronary heart disease, pulmonary heart disease, heart failure, congenital heart disease, etc.

At a distance of more than ten steps, the old man walked to Huang Su and sat down with the help of his daughter and Li Yan.

At this short ten-meter distance, Huang Su saw a thin layer of sweat on the old man's face.

After the old man sat down, he kept panting and couldn't speak at all, and Huang Su could still hear the turbid phlegm sound in his throat very clearly.

After a long time, the old man had just recovered from his shortness of breath, and there was another piercing cough, his face flushed red.

The daughter's doctor patted the old man's back lightly, took out a square and yellowed piece of grass paper with one hand and handed it to the old man.

Huang Su picked up the copper pot beside him, poured a glass of warm water, and placed it beside the old man.

After coughing for a long time, the phlegm in the throat was finally coughed out.

Huang Su can see the phlegm in the grass clearly, the phlegm is yellow and sticky.

This is what TCM expects to see, hear, ask, and ask. A TCM with a solid foundation will start seeing a doctor without knowing it from the moment you walk into the clinic.

Like a certain doctor, if there is a global power outage one day, they will become useless people who can’t see a doctor, or one day when the intelligence is further developed, doctors and operations can be performed by robots, and a certain doctor is estimated to face unemployment.

Seeing that the mother had coughed up the phlegm in her throat, the daughter took the bowl of water in front of her and brought it to her mother's mouth to moisten her throat and suppress the cough just now.

The old man also stretched out his hands tremblingly and supported the edge of the porcelain bowl.

Huang Su saw the thick joints of the old man's ten fingers and the deformed fingers.

This old man's rheumatoid arthritis is the worst that Flavin has seen these days.

Combined with the color of the patient's face and lips, flavin has basically been inseparable, and judged the disease of the elderly.

The old man drank the water in the porcelain bowl, and then let out a long breath, suppressing the suffocation that was coughing.

Flavin could still hear the old man's shortness of breath clearly across the table.

The old man's body has not allowed her to answer Huang Su's next question.

"Where is the old man uncomfortable?"

Huang Suwang asked the old man's daughter, although he had roughly judged the old man's condition.

However, without the examination of the four-diagnosis and syndrome differentiation, flavin will not easily come to a conclusion.

"During the Chinese New Year this year, my mother-in-law suffered from bronchitis, and after the snow had cleared up in the spring, we took my mother-in-law to Gegen City for a check-up. The doctor said that my mother-in-law had rheumatic heart disease. , they all said that it can't be cured, these days, the grassland has spread, and a doctor of traditional Chinese medicine with excellent medical skills has come, let's come and try it, and see if my mother-in-law's disease can be cured, doctor."

I thought it was mother and daughter, but it turned out to be mother-in-law and daughter-in-law.

The old man's daughter-in-law took the old man's medical records from the bag while asking about her mother-in-law's condition.

"Doctor, this is my mother-in-law's medical record, color ultrasound, and electrocardiogram are in it!"

This is the herdsmen on the grassland. When the road is blocked by heavy snow in winter, it is difficult for the herdsmen to leave their homes.

Unlike later generations, almost every family of herdsmen has a car, and the transportation has also become developed. If you are sick, you can drive directly to the hospital.

At this time, the sick can only be carried, and many of them die in this way, which is why major hospitals will conduct autumn visits.

Flavin picked up the color Doppler ultrasound, which showed that the patient's left ventricular hypertrophy, left atrial enlargement, and mitral valve stenosis were indeed rheumatoid arthritis.

Rheumatic heart disease, Chinese medicine is called Heart Bi, wind-cold, damp-heat and other evils invade the body, block the qi of the meridian, re-sensitize to the evil, and leave the heart in the heart, damage the heart-qi meridian for a long time, and the heart's meridian is not running smoothly.Visceral paralysis diseases mainly manifested by palpitations, chest tightness, shortness of breath, severe heart murmur, and purple cheeks.

"Old man, I'll give you a pulse!"

The old man put his hand deformed by rheumatoid arthritis gently on the pulse pillow.

Huang Su and Li Yan placed on the patient's left and right hands and began to diagnose the pulse.

Four to five minutes later, Li Yan pursed her mouth like a steamed stuffed bun, her brows were also tightly knit together, and she encountered a pulse condition that she had never seen before.

Looking at Li Yan's thoughtful expression, Huang Su smiled and explained: "This patient is the pulse condition of the generation. You can feel it carefully to see if the patient's pulse is slow, sometimes stopped, and sometimes paused."

Li Yan held her breath, carefully felt the pulse under her three fingers, and nodded her head, looking suddenly enlightened and relieved.

"Jiemai governs the stagnation of yin and qi, cold phlegm and blood stasis, and accumulation of disease. After coming back, it will stop indefinitely, and it is common in the syndrome of blood stasis caused by cold, phlegm and blood. If the qi and blood continue, the pulse will come back, and the number of stops will not be fixed. You can carefully feel the pulse of Zuo Cun to see if this is the case.”

"Dai mai is mainly responsible for the weakening of visceral qi, wind syndrome, pain syndrome, visceral qi weakening, and qi and blood loss, so that the pulse and qi cannot be connected and stopped, unable to return by themselves, and resumed for a long time. The offense is blocked in the meridians, resulting in blockage of meridians and qi, and the lack of connection is evidence."

Huang Suxiang and Li Yan explained the patient's pathogenesis in detail: "rheumatic heart disease is called heart paralysis in traditional Chinese medicine. From the pulse, we can know that the patient's heart disease is due to the invasion of wind and cold pathogens, causing the heart and lungs to stagnate blood. Blood stasis is caused by the weakening of the organs, and the patient's finger joints are swollen and the fingers have been deformed, indicating that the patient's rheumatic heart disease is due to the deterioration of rheumatoid arthritis and the attack of the heart and lungs on the wind and cold."

Flavin explained to Li Yan according to the patient's tongue: "Look, the patient's tongue is fat, which is caused by the wetness of the body, and the dark purple tongue indicates that the patient has cold in the body, and the ecchymosis on both sides of the tongue. It is especially obvious, which shows that there is blood stasis in the heart and lungs.”

Li Yan listened to Huang Su's insights and carefully looked at the patient's tongue.

On the relationship between rheumatoid arthritis and rheumatic heart disease, there are differences between traditional Chinese medicine and western medicine.

Because Western medicine recognizes that all organs are independent, they believe that rheumatoid arthritis and rheumatic heart disease are generally not related.Rheumatic heart disease and rheumatoid arthritis are different diseases caused by acute rheumatic fever that affects different parts of the body. Rheumatic heart disease is the permanent sequelae of heart valves that form after rheumatic fever affects the heart valves.

In Chinese medicine theory, the human body has always been a whole, and Chinese medicine believes that rheumatoid arthritis and rheumatic heart disease have a direct connection.If the treatment of rheumatoid arthritis is not timely, unreasonable, incomplete, and repeated attacks eventually invade the heart, resulting in changes in cardiac function and structure, leading to the occurrence of rheumatic heart disease.Of course, rheumatic heart disease can also be caused by the invasion of wind and cold alone.

From the deformed fingers of the old man, it can be seen that the rheumatoid arthritis of the old man is a chronic disease, and the rheumatic heart disease of the old man is caused by the old disease.

Li Yan asked inexplicably: "How can the elderly suffer from lung disease instead of heart disease symptoms?"

Huang Su did not answer directly, but instead asked: "Tell me what the heart is in charge of, and what is the lung in power? What is the relationship between the heart and the lungs!"

"The heart controls blood, and the lungs control qi; the heart controls blood flow, and the lungs control breathing. The relationship between the heart and the lungs is actually the relationship between qi and blood." After Li Yan answered without hesitation, she suddenly realized: "I understand. It turns out that in winter, the old man already had rheumatic heart disease, and the symptoms of bronchopulmonary disease are just a symptom, and heart disease is the evidence.”

The heart governs the blood vessels, and the lungs go up to the lungs, and the lungs govern the qi and connect the heart vessels. The two cooperate with each other to ensure the normal operation of qi and blood, and maintain the metabolism of the body's various organs and tissues.

Therefore, it is said that qi is the commander of blood, and when qi travels, blood travels; blood is the mother of qi, and blood comes to qi.Qi belongs to yang and blood belongs to yin. Although the movement of blood is controlled by the heart, it must rely on the promotion of lung qi.The zongqi accumulated in the lungs must pass through the heart veins and be carried by the blood before it can be applied to the whole body.

Heart and lungs, blood and qi are interdependent.When qi travels, blood travels, and blood goes to qi.Therefore, if blood is not pushed by Qi, then blood will lose its command and stasis will not work; if Qi is not carried by blood, Qi will have no attachment and will be scattered.

Therefore, pathologically, the function of the lungs is out of balance, which can affect the function of the heart to govern the blood flow, resulting in abnormal blood flow.Conversely, when the dysfunction of the heart leads to abnormal blood flow, it will also affect the dissemination and depletion of the lungs, resulting in deficiency of the heart and lungs, deficiency of qi and blood stasis, etc.

You can pay attention to the heart disease patients around you to see if they have different degrees of lung disease at the same time as they are suffering from heart disease.

Through Huang Su's teaching and mutual Q&A with Li Yan, the patient's pathogenesis has been analyzed.

The rheumatic heart disease of the elderly is caused by the invasion of wind and cold, the lack of heart yang, the deficiency of the heart and the lungs, and the stagnation of qi and blood.

"I gave the old man a prescription for dispelling wind and dispelling cold, invigorating Qi and strengthening the heart, nourishing the heart and removing blood stasis."

While writing the recipe, Huang Su continued to ask, "Is it normal for the elderly to eat and defecate?"

The old man's daughter-in-law returned: "I don't eat a lot, is it normal to have bowel movements, once a day."

黄素点了点头，在处方单上写道：生黄芪10g、防己8g炙甘草9g、桂枝9g、肉桂9g、党参20g、麦冬13g、生地15g、茯苓15g、丹参30g、玄参15g、制附片9g、细辛3g、甘松12g、桑寄生15g、全当归10g、川芎10g、鸡血藤30g、生姜6g、大枣五枚。

The formula of flavin is the addition and subtraction of the three sides of Fuzi Gancao Decoction, Fangji Huangqi Decoction and Guizhi Gancao Cinnamon Decoction.

Fuzi Gancao Decoction and Fangji Huangqi Decoction expel wind and dispel cold, warm Yang and replenish Qi, and then use Guizhi Gancao Cinnamon Decoction to invigorate Xinyang.

Finally, it is composed of Codonopsis pilosula, Salvia miltiorrhiza, Scrophulariaceae, Gansong, Mulberry parasite, Angelica sinensis, Chuanxiong, Poria, Chixueteng, and licorice, which can effectively treat arrhythmia. Summarized by heart disease patients, it has the functions of nourishing qi and nourishing heart, nourishing yin and yang, promoting blood circulation and removing blood stasis, and adjusting heart rhythm.

Among them, the re-use of Scrophulariaceae and Sophora flavescens can reduce the heart rate of patients with rapid heart rate. If aconite, Asarum, and Guizhi are added, it can increase the heart rate of patients with bradycardia.

The rheumatic heart disease of the elderly is due to the deficiency of heart yang caused by wind-cold, which belongs to bradycardia, so aconite, asarum, and cinnamon are added.

If it is rheumatic heart disease caused by damp heat, the patient will show symptoms of rapid heart rate, and it is necessary to use Scrophulariaceae and Sophora flavescens.

Huang Su handed the prescription to the old man's daughter-in-law and said: "Drink this medicine for half a month when you go home. After half a month, go to the Department of Traditional Chinese Medicine of No. 1 People's Hospital in Grassland City and ask me for a follow-up visit."

The old man and his daughter-in-law sorted out the medical records and films on the table, and properly kept the prescriptions given by Flavin.

Standing up and bowing to Huang Su, the old man's daughter-in-law supported the old man and prepared to leave.

Huang Su said to Li Yan, "Li Yan, take the old man out and call the next patient by the way."

As the sun gradually set in the west, Huang Su sent away the last herdsman.

Standing up, moving his sedentary body, Huang Su opened the curtain and walked out of the tent.

Huang Su was instantly attracted by the beauty of the sunset on the grassland in front of him.

When the sun sets, the grassland is covered with golden silence, the mountains in the distance are covered with colorful clothes in the sunset, the clouds as white as milk on that day have also become as bright red as flames, and a gust of breeze blows, with golden light. The dizzy grass waves rippled open after wave after wave.

The owner of the yurt where Huang Su lives in the distance is driving the cattle and sheep back from grazing.

Today is the last day of the round, and tomorrow I will return to Prairie City.

After living on the grassland for nearly a month, I suddenly have to leave this beautiful grassland, and I have to return to the city full of traffic and reinforced concrete, which is really a bit reluctant.

Standing in front of the yurt, Huang Su watched the host's family jump off the horse, handed the horse to the family members who were grazing together, and walked towards him.

Huang Su greeted warmly: "Mo Rigen, hello!"

Mo Rigen hugged Huang Su tightly: "Doctor Huang, I heard that you are leaving the grassland tomorrow. In order to thank you for your selfless help to the people of the grassland, we decided to hold a bonfire party to bid you farewell!"

Huang Su said politely, "Mo Rigen, you don't need to be so polite!"

Mo Rigen shook his head and refused: "Doctor Huang, please don't refuse, we can only express our gratitude in this way."

As night fell, in the open space in the center of the tent, a huge bonfire was already burning, illuminating the grassland in the dark night.

The aroma of roasted mutton slowly drifted into the noses of Huang Su and Li Yan.

Mo Rigen walked up to Huang Su, pulled up Huang Su and said, "Doctor Huang, let's dance to our heart's content first."

Saying that, he pulled Huang Su to the bonfire, and Li Yan followed closely behind Huang Su.

Following, the melodious and cheerful music floated out from the matouqin, and everyone held hands around the bonfire, singing and dancing.

Huang Su held Mo Rigen's hand and Li Yan's hand at the same time.

Looking at the reflection of the bonfire, Huang Su saw Li Yan playing and smiling so happily for the first time.

(End of this chapter)