1. Expelling phlegm, dredging collaterals, activating blood circulation and removing blood stasis
"Treatise on Symptom Causes and Pulse Syndrome·Chest Pain" states that "phlegm condenses and Qi stagnates, or excessive drinking of pungent heat damages the upper burner." Blood accumulates inside, causing chest tightness and chest pain." It is pointed out that phlegm and blood stasis block the collaterals, causing chest pain. Most modern people have a constitution in which dampness and turbidity prevail. If dampness and turbidity persist for a long time, it will turn into phlegm and turbidity, blocking the meridians, causing abnormal flow of Qi and blood, blood stasis, and mutual obstruction of phlegm and blood stasis, resulting in poor heart and pulse, and chest tightness and heartache. Clinically, this type of patient is more common and manifests as chest tightness and chest pain, especially at night, pain in the shoulders and back, palpitations, shortness of breath, heavy limbs, obesity, excessive phlegm, dark purple tongue, white and greasy tongue coating, and a heavy pulse. Slippery or heavy. Treatment is mostly based on eliminating phlegm and dredging collaterals, activating blood circulation and removing blood stasis. The prescription uses modified Gualou Xiebai Banxia Decoction and Xuefu Zhuyu Decoction. In clinical practice, Quanguilou, Xiebai, Pinellia ternata, Angelica sinensis, Guizhi, peach kernel, safflower, Achyranthes root, Rehmannia glutinosa, red peony root, tangerine peel, Poria cocos, etc. are commonly used.
2. Tongyang, dispersing cold, eliminating phlegm and lowering qi
"Synopsis of the Golden Chamber·Combined Treatment of Chest Bi, Heartache, Short Qi and Pulse Syndrome" says: "If the yang is weak and the yin string is weak, it means chest blockage." Pain, so it is due to extreme deficiency. Nowadays, Yang deficiency is known to be in the upper burner, so chest pain and heartache are caused by Yin strings. "Chest Yang is weak, Yin evil (cold evil, phlegm, water evil, etc.) ), Qi blockage is the mechanism of its pathogenesis. The clinical symptoms of this type of patients are chest tightness and shortness of breath, which are aggravated after exercise, heartache and back pain, severe cold pain, severe pain, cold limbs and fainting, pale complexion, white tongue coating, and thin and slippery pulse. Treatment is based on clearing yang and dispersing cold, relieving phlegm and lowering qi. The most common prescriptions are Gualou Xiebai Banxia Decoction and Zhishi Xiebai Guizhi Decoction. In clinical practice, Quanguilou, Xiebai, Pinellia ternata, Zhishi, Guizhi, Hou Pu, Codonopsis pilosula, tangerine peel, etc.
3. Nourishing yin and replenishing qi and promoting blood circulation
Modern coronary heart disease patients with angina pectoris are very common in patients with Qi and Yin deficiency and blood stasis, with the majority of middle-aged and elderly patients. Traditional Chinese medicine believes: "Yin energy is half dead at the age of forty." In addition, people who have been engaged in mental work for a long time, long-term work stress and pressure will "work hard and worry about the spleen", leading to deficiency of both qi and yin, blood stasis and collateral obstruction, and chest pain. Heartache, such patients often have chest tightness, dull pain or stabbing pain in the precordium area that comes and goes, palpitations, shortness of breath, easy sweating, pale complexion, pale tongue with tooth marks on the edge, and slow or stringy pulse. When symptoms arise, the method of nourishing yin and replenishing qi, as well as promoting blood circulation, often yields good results. Pseudostellariae, Polygonatum odoratum, Ophiopogon japonicus, Eucommia ulmoides, wolfberry, Ligusticum chuanxiong, Angelica sinensis, Salvia miltiorrhiza, safflower, red peony root, fried jujube kernel, etc. are commonly used in clinical practice.
4. Fragrance can open up the mind, warm the body and relieve pain
"Suwen·Ji Tong Lun" says: "Cold air enters the meridians and causes delayed flow, and weeping is not possible. If it travels outside the pulse, there will be less blood. When the Qi is in the pulse, the Qi is blocked, so there is pain due to stroke. "Su Wen·Bi Lun" says: "The pain is caused by excessive cold Qi." "Su Wen·Tiao Meng Lun" says: "Blood Qi." "If it is cold, it will be astringent and unable to flow, but if it is warm, it will disappear." It means that the cold nature is stagnant, the evil of yin and cold is excessive, and the blockage of qi and blood causes heartache. Clinically, these patients often experience chest tightness and pain that come and go, aggravated by cold, severe heartache, traction on the left shoulder, palpitations, shortness of breath, cold limbs, bluish lips and nails, dark red tongue, white and greasy coating, and deep and stringy pulse. Pain caused by cold should be dispelled and warmed to relieve pain. As stated in "Medical Law: Shenming Zhongjing Lvshu": "If the meridians are painful,...it is advisable to warm the meridians urgently; if the internal organs are painful,...the internal organs should be warmed urgently". Sichuan pepper, Evodia, dried ginger, musk, costus, asarum, Atractylodes, aconite, turmeric, Magnolia officinalis, etc. are commonly used in clinical practice.
5. Nourishing yin, nourishing the kidneys, nourishing the heart and calming the mind
Clinical coronary heart disease angina pectoris is a common syndrome of heart and kidney yin deficiency. Clinical symptoms of heart yin deficiency are chest tightness, shortness of breath, palpitations, poor sleep, etc. . Clinical symptoms of kidney yin deficiency include chest tightness, shortness of breath, dizziness, tinnitus, soreness and weakness in the waist and knees, frequent nocturia, dark tongue, thin white coating, little or no coating, and thready or stringy pulse. Treatment is based on nourishing yin and replenishing the kidneys, nourishing the heart and calming the mind. Qiju Dihuang Decoction and Shouwu Yanshou Dan are often used in prescriptions. In clinical practice, paeonol bark, loris, chrysanthemum, rehmannia root, dodder, polygonatum, Shouwu, Poria, and Achyranthes are commonly used. , wolfberry, jujube kernel, shenglongmu, etc.
6. Soothe the liver, release heat, activate blood circulation and relieve pain
Modern people’s pace of life has accelerated, and their mental pressure has increased. Many patients with coronary heart disease and angina pectoris often suffer from varying degrees of depression. Patients often appear nervous, impulsive, have strong personalities, and are impatient. In order to realize their wishes, they often suppress and compulsion, and worry too much. This type of patient often has stagnation of liver qi, which is most likely to turn into fire. Excessive fire is easy to torment Yin and deplete the heart and collaterals. In addition, blood stasis blocks the collaterals, so symptoms such as chest tightness, shortness of breath, and chest pain are seen. In treatment, the method of soothing the liver and purging heat is often used, as well as promoting blood circulation and relieving pain. Bupleurum, turmeric, honeysuckle, skullcap, chrysanthemum, salvia, Ophiopogon japonicus, Poria, Angelica dahurica, Pueraria lobata, Soupelandia, Corydalis, etc. have good effects on relieving chest tightness, shortness of breath, chest pain and other symptoms.
In addition, because the main symptom of coronary heart disease is angina pectoris, it is very important to find effective analgesics in traditional Chinese medicine. The single herbs of traditional Chinese medicine include musk, Panax notoginseng, pipe pepper, and black medicine, etc., and the medicinal pairs include Corydalis corydalis combined with borneol, American ginseng combined with Panax notoginseng, Puhuang combined with Wulingzhi, sandalwood combined with Salvia miltiorrhiza, and Bergamot combined with Citron. For the analgesic effect, you should pay attention to the evidence-based selection when clinically treating the disease.