Chapter 257 Rheumatic Heart Disease
Chapter 257 Rheumatoid Heart Disease
The mother and daughter who came in, the old man was breathing heavily and rapid as he walked, and the flavin that was several meters away could be clearly heard.
Looking at the red on the old man's cheekbones, it looks like plateau red, but it is pathological.
The lips are dark purple, the lips are dark red, and the dark purple are all stagnant and blood stasis, and the blood flows poorly, so the lips are purple in color.
The most direct manifestations of traditional Chinese medicine clinical practice are myocardial infarction, angina pectoris, coronary heart disease, pulmonary heart disease, heart failure, congenital heart disease, etc.
After more than ten steps, the old man walked to Huang Su with the help of his daughter and Li Yan.
Just a short distance of ten meters, Huang Su saw a thin layer of sweat on the old man's face.
After the old man sat down, he kept gasping and could not speak at all. Huang Su could clearly hear the turbid phlegm sound in his throat.
After a long time, the old man had just calmed down and gasped quickly. Another heart-wrenching cough sounded, and his face turned red.
The daughter's doctor gently patted the old man on the back, took out a piece of square yellowed straw paper with one hand and handed it to the old man.
Huang Su picked up the copper pot beside him, poured a cup of warm water, and placed it next to the old man.
After coughing for a long time, the mouth was holding the phlegm in his throat and finally coughed up.
Feisu clearly saw the phlegm in the grass, and the phlegm was yellow and sticky.
This is the Chinese medicine that is in line with the hope of listening and asking questions. The Chinese medicine with solid foundation has already started to see a doctor without knowing it.
Unlike a certain doctor, if there is a global outage one day, they will become wasteful people who will not be able to see a doctor, or if intelligence is further developed, medical treatment and surgery can be performed by robots, and a certain doctor will probably face unemployment.
Seeing that the mother had already coughed out the phlegm from her throat, the daughter picked up the bowl of water in front of her and sent it to her mouth to moisten her throat and pressed down on her cough just now.
The old man also stretched out his hands tremblingly and held 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 most severe thing that has been seen in these days.
Combined with the color of the patient's facial lips, flavin has basically been inseparable, which determines what disease the elderly have.
The old man drank the water from the porcelain bowl and then let out a long breath, pressing down the suffocation of the coughing force.
Huang Su could still clearly hear the rapid breathing of the old man through the table.
The old man's body no longer allows her to answer Feng Su's next questions.
"What's wrong with the old man?"
Huang Su looked at the old man's daughter and asked, although he had roughly determined the old man's condition.
However, without the examination of the four diagnosis and diagnosis, flavin will not easily draw conclusions.
"During the Chinese New Year this year, my mother-in-law suffered from bronchitis. After the snow was accumulated in spring, we took my mother-in-law to the Pueraria City for examination. The doctor said that my mother-in-law had rheumatoid heart disease. The hospitals in the grassland city we visited all said that they could not be cured. These days, the grassland has been circulating. A Chinese medicine doctor with excellent medical skills came here. Let's try it and see if my mother-in-law's disease can be cured."
I thought it was mother and daughter, but it was mother and daughter-in-law.
While asking about her mother-in-law's condition, the old man's daughter-in-law took the old man's medical record from her bag.
"Doctor, this is my mother-in-law's medical record, color ultrasound and electrocardiogram are all inside!"
This is the herdsmen on the grassland. When the road is blocked with heavy snow in winter, it is difficult for herdsmen to get out of their homes.
Unlike later generations, almost every herdsman family had cars, and the traffic became more developed. If you were sick, you could drive to the hospital directly.
At this time, you can only bear the disease. Many people die in this way, which is why large hospitals will conduct autumn inspection tours.
Flavin picked up the color ultrasound, which showed the patient's left ventricular hypertrophy, left atrium enlarged, and mitral valve stenosis, which was indeed rheumatoid arthritis.
Rheumatic heart disease is called heart paralysis in traditional Chinese medicine. Evils such as wind, cold, dampness and heat invade the body, block the meridian qi, and feel the evil again, and leave it in the heart. After a long time, it damages the heart qi and meridians and fails to operate smoothly. Palpitations, chest tightness and shortness of breath, severe heart noise, and purple-red cheeks are the main manifestations of internal organs.
"Old man, I'll take your pulse!"
The old man gently put his hand deformed due to rheumatoid arthritis on the piping pillow.
Huang Su and Li Yan respectively put them on the patient's left and right hands and began to take the pulse.
Four or five minutes later, Li Yan pouted her mouth like a bun, and her brows were also frowned tightly, and she encountered a pulse that she had never seen before.
Looking at Li Yan's expression of thinking hard, Huang Su smiled and explained: "The patient is a pulse of the dying generation. If you feel it carefully, is the patient's pulse slowing down, and sometimes stopping, and sometimes stopping."
Li Yan held her breath, felt the pulse under her three fingers seriously, nodded, looking suddenly enlightened and relieved.
"The junction pulse is responsible for the yin and qi stagnation, cold phlegm and blood stasis, and the accumulation of symptoms. The yin and qi are stagnant, the yang qi is blocked, and the blood flows stagnant, so the pulse comes slowly and slackens, and the pulse qi is not connected in a row. It has stopped at the time and comes back again, and it is not fixed. It is common for the heart pulse stagnation caused by cold phlegm and blood stasis. The junction pulse is seen in the deficiency syndrome, which is mostly caused by long-term illness and fatigue, qi and blood are weak, and the pulse qi does not continue. Therefore, it is interrupted and stopped at the time. When the qi and blood continue, the pulse will come again, and the stop is not fixed. Do you feel this carefully?
"The Dian Zhu is responsible for the weakening of viscera, wind syndrome, pain syndrome, weakening of viscera, and loss of qi and blood, so that the pulse and qi and qi cannot be connected and stop, and cannot return, and it will move again after a long time. The wind syndrome, painful symptoms show the Dian Zhu, because the evil qi is attacked, blocking the meridian, causing the pulse and qi to be blocked, and the connection is a proof of the actual situation."
Huang Suxiang Li Yan explained the patient's pathogenesis in detail: "Rheumatoid heart disease, which traditional Chinese medicine calls heart numbness. From the pulse pattern, we can know that the patient's heart disease is caused by wind and cold evil invasion, causing blood stasis in the heart and lung qi and weak organs. Then look at the patient's finger joints enlarged and the fingers have deformed, which shows that the patient's rheumatoid heart disease is caused by the worsening of rheumatoid arthritis and the wind and cold invading the heart and lungs."
Feisu explained to Li Yan based on the patient's tongue image: "Look, the patient's tongue is obese, which is caused by heavy dampness in the body. When looking at the purple and dark tongue, it means that the patient has cold in the body, and the ecchymosis on both sides of the tongue is particularly obvious, which means that there is blood stasis in the heart and lungs."
Li Yan listened to Huang Su's opinion and looked at the patient's tongue image carefully.
There are differences between traditional Chinese medicine and Western medicine on the relationship between rheumatoid arthritis and rheumatoid heart disease.
Because in Western medicine, all organs are independent, they believe that rheumatoid arthritis and rheumatoid heart disease generally have nothing to do with. Rheumatoid heart disease and rheumatoid arthritis are different diseases caused by acute rheumatoid fever affecting different parts of the body. Rheumatoid heart disease is a permanent sequelae of heart valve formed after rheumatoid fever affects the heart valve.
In traditional Chinese medicine theory, the human body has always been a whole. Traditional Chinese medicine believes that rheumatoid arthritis has a direct connection with rheumatoid heart disease. If rheumatoid arthritis is not treated in time, unreasonable, and incomplete, it will repeatedly invade the heart, causing changes in the function and structure of the heart, leading to the occurrence of rheumatoid heart disease. Of course, rheumatoid heart disease can also be caused by wind and cold invasion alone.
From the deformed fingers of the elderly, we can see that the elderly’s rheumatoid arthritis is a long-term disease, and the elderly’s rheumatoid heart disease is caused by old diseases.
Li Yan asked in confusion: "How come the elderly are ill when they are ill, not the symptoms of heart disease?"
Feng Su did not answer directly, but asked back: "Tell me what the heart controls, what the lung controls? What is the relationship between the heart and lungs!"
"The heart controls blood, the lungs control qi; the heart controls blood circulation, and the lungs control breathing. The relationship between the heart and lungs is actually the relationship between qi and blood." After answering without thinking, Li Yan suddenly realized: "I understand that the old man had rheumatoid heart disease in winter, and the symptoms of bronchial lung disease are just exterior symptoms, and heart disease is the actual symptom."
The heart controls the blood vessels and goes up to the lungs. The lungs control the qi and penetrate the heart vessels. The two cooperate with each other to ensure the normal operation of qi and blood and maintain the metabolism of the organs of the body.
Therefore, qi is the commander of blood, and qi flows when it flows; blood is the mother of qi, and qi also comes. Qi belongs to yang and yin. Although the blood is dominated by the heart, it must rely on the promotion of lung qi. The qi accumulated in the lungs must penetrate the heart meridians and obtain the blood transport before it can be applied to the whole body.
The heart and lungs, blood and qi are interdependent. When qi moves, blood flows, and when blood reaches qi, it will also come. Therefore, if blood is not driven by qi, blood will lose command and stagnate; if qi does not carry blood, qi will have no place to rely on and will not be dispersed.
Therefore, in terms of pathology, the lung's dysfunction function can affect the heart's function of blood circulation, resulting in abnormal blood circulation. On the contrary, when the heart's dysfunction causes abnormal blood circulation, it will also affect the lung's radiance and sanitation, resulting in cardiopulmonary deficiency, qi deficiency and blood stasis.
You can pay attention to the heart disease patients around you to see if they have heart disease and their lungs have different degrees of symptoms.
Through the teaching of flavin and mutual questions and answers to Li Yan, the patient's pathogenesis has been analyzed.
The old man's rheumatoid heart disease is caused by wind and cold invasion, heart yang deficiency, heart and lung deficiency, and blood stasis.
"I will prescribe a prescription for the elderly to dispel wind and cold, tonify qi and strengthen the heart, nourish the heart and remove blood stasis."
While writing the prescription, Huang Su continued to ask: "Is it normal for the elderly to eat and defecate?"
The old man's daughter-in-law returned: "Don't you eat a lot? Is the stool normal? Once a day."
Feisu nodded and wrote on the prescription list: 10g of raw astragalus, 8g of Fangji, 9g of roasted licorice, 9g of cinnamon, 9g of cinnamon, 20g of Codonopsis pilosula, 13g of Ophiopogon japonicus, 15g of raw rehmannia, 15g of Poria cocos, 30g of Salvia miltiorrhiza, 15g of Scarborundum, 9g of Salvia miltiorrhiza, 9g of Salvia miltiorrhiza, 3g of Salvia miltiorrhiza, 12g of Salvia parasitica, 10g of Angelica sinensis, 10g of Chuanxiong, 30g of Chicken Blood Vine, 6g of Ginger, and 5 jujubes.
Huangsu This recipe is a three-sided formula for Fuzi and Gancao Decoction, Fangji Huangqi Decoction, and Guizhi Licorice and Cinnamon Decoction.
Fuzi Gancao Decoction, Fangji Huangqi Decoction dispels wind and cold, warms yang and nourishes qi, and then uses Guizhi Licorice and Cinnamon Soup to boost Xinyang.
Finally, Codonopsis pilosula, Salvia miltiorrhiza, Scrophularia ginseng, Salvia miltiorrhiza, Salvia pine, Mulberry parasitism, Angelica angelica, Chuanxiong, Poria cocos, Chicken Blood Vine, and Licorice can effectively treat arrhythmia. This prescription combination is summarized by the previous life of flavin for many heart disease patients in traditional Chinese medicine. It has the effects of nourishing qi and nourishing the heart, replenishing yin and yang, promoting blood circulation and removing blood stasis, and adjusting the heart rhythm.
Among them, Scrophularia ginseng and Sophora ginseng can reduce the heart rate of patients with excessive heart rate. If aconite, asarum, and cinnamon twig are added, it can increase the heart rate of patients with excessive heart rate.
The rheumatic heart disease in the elderly is caused by wind and cold, which is caused by excessive heart rate, so aconite, asarum, and cinnamon twig are added.
If it is rheumatoid heart disease caused by damp heat, the patient will have symptoms of excessive heart rate, so Scrophularia ginseng and Sophora ginseng should be used.
Huang Su handed the prescription to the old man's daughter-in-law and told me: "When you go back, you can drink this medicine for half a month. After half a month, you will go to the Department of Traditional Chinese Medicine of the First People's Hospital of Grassland City to ask me for a follow-up visit."
The old man's daughter-in-law sorted out the medical records and films on the table, and properly preserved the prescription prescribed by flavin.
He stood up and bowed to Huang Su to thank him. The old man's daughter-in-law helped the old man to leave.
Huang Su told Li Yan: "Li Yan, you send the old man out and call the next patient by the way."
As the sun gradually sets westward, Fengsu sent away the last herder.
Stand up and move your sitting body for a long time. Huang Su lifted the curtain and walked out of the tent.
Huang Su was instantly attracted by the beauty of the setting sun in the grassland in front of him.
Just as the sun sets, the grassland is shrouded in golden silence. The mountains in the distance are covered with colorful clothes of sunset. The white clouds like milk in the sky have also become as bright as flames. A breeze blows by, and the grass waves with golden halos ripples wave after wave.
The owner of the yurt where Feng Su lives in the distance was driving away the cattle and sheep and returning from herding.
Today is the last day of the inspection tour, and I will return to the grassland city tomorrow.
After nearly a month of life in the grassland, I suddenly left this beautiful grassland and returned to a busy and steel-concrete city. I was really reluctant to leave it.
Standing in front of the yurt, Huang Su watched the owner jump off the horse, handed the horse to his family who were grazing with him, and walked towards him.
Huang Su greeted enthusiastically: "Hello, Mo Rigen!"
Mo Rigen hugged Huang Su tightly: "Doctor Huang, I heard that you have left 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 say goodbye to you!"
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, a huge bonfire in the open space in the middle of the tent had already burned, illuminating the grasslands of the night.
The aroma of roasted lamb slowly drifted into Li Yan's nose.
Mo Rigen walked up to Huang Su, pulled Huang Su and said, "Doctor Huang, let's dance to the fullest."
As he said that, he pulled Fengsu to the bonfire and Li Yan followed Fengsu tightly.
As the melodious and cheerful music floated out of the horse-headed fiddle, everyone held hands and sang and danced around the bonfire.
Huang Su held Mo Rigen's hand while holding Li Yan's hand.
Looking at the bonfire, Huang Su saw Li Yan playing for the first time and laughed so happily.
Chapter completed!