Master Doctor in the City
Chapter 766: : Palpitations
Pulmonary heart disease, referred to as pulmonary heart disease, is mainly a heart disease caused by pulmonary hypertension caused by bronchopulmonary tissue, or pulmonary artery vascular disease.
According to the severity of onset and the length of the disease, it can be divided into acute and chronic. The latter are more common clinically. The disease develops slowly. In addition to the various symptoms and signs of the original lung and chest diseases, clinical signs of lung, heart failure and other organ damage are mainly gradually appearing.
Western medicine's examination, diagnosis and treatment methods, and treatment are very different from those of Chinese medicine. With this old Liu's identity, Ye Chen guessed that he should have been seen by many doctors before, but his condition was not relieved.
Now Ye Chen explained his treatment according to his condition.
Zong Qi gathers in the chest, runs through the heart channel to flow qi and blood, and walks through the path to breathe. The same disease of heart and lung often causes coughing, palpitations, shortness of breath and discomfort due to lack of qi.
In terms of treatment, in addition to treating the heart and lungs, it is also necessary to invigorate the spleen, which not only promotes the generation of zongqi, but also has the effect of cultivating soil and generating gold.
Now Ye Chen finished reading this old Liu and prescribed a prescription for him. Naturally, he drank the prescription. The effect will depend on the effect after he drank it.
Now this old Liu doesn't know how he is going to take the medicine, but from Ye Chen's performance in the Xiaowang Village plague area and the effect of treating Xu Jiangong's right leg, he knows that this young man's medical skills are not simple.
Now after he finished reading it to Older Liu, he looked at the other three elders again. One of them hurriedly stood up, looked at Ye Chen and said, "Your surname is Wang, you can call me Lao Wang."
"Elder Wang, hello." Ye Chen said. He is not familiar with the other party and is not of the same generation, so naturally he dare not call the other party Pharaoh.
Wang Lao smiled, sitting in front of Ye Chen, with his right hand stretched out. When Ye Chen checked his pulse, he looked at his left pulse and his tongue, and he was also clear about his condition.
"Elder Wang, is your situation palpitating?" Ye Chen asked.
Ye Chen had seen the symptoms of heart palpitations several times, whether they were young, middle-aged, or old people, but it was just a symptom of those patients. If you really show symptoms of palpitations, most of them are mainly middle-aged and elderly people.
In traditional Chinese medicine, palpitations include palpitations and trembling, which refers to a disease in which the patient consciously throbs in his heart, is vigilant and uneasy, and even involuntary.
Clinically, it is usually paroxysmal, which occurs due to emotional fluctuations or overwork. It is often seen at the same time as insomnia, forgetfulness, dizziness, and tinnitus.
The location of palpitations is mainly in the heart, which is also related to the dysfunction of other organs.
Its onset is often caused by heart deficiency and timidity, lack of heart and blood, weak heart yang, stoppage of drinking water, congestion blocking the collaterals and other factors.
According to the clinical manifestations of the disease, various causes in Western medicine, such as tachycardia, bradycardia, pre-period contractions, atrial fibrillation or flutter, cardiac insufficiency, neurosis, etc., are all arrhythmia caused by TCM. Palpitations category.
Elder Wang didn't expect that Ye Chen had already seen his condition only by giving him pulse and tongue status.
"It's because of heart palpitations and shortness of breath. It has been recurring for 5 years, and it has worsened a lot in the past six months." Wang Lao said.
"Lao Wang, do you still know what was going on at that time?" Now the other party did not have the medical history of the original onset of symptoms, so now Ye Chen wants to find out the situation of the year, and can only ask it from the person.
"I still remember that I had not retired at that time. I was suffering from heart palpitations and shortness of breath. I felt that there was a gap in my heartbeat due to staying up late. My family and I went to a nearby large hospital for an examination. The ECG improved and frequent premature atrial beats occurred," said Wang Lao.
According to Wang's current situation, although Ye Chen still doesn't know how old he is, it should be around 60 or 70, and he still hadn't retired five years ago.
In the case of the elderly, if staying up late for a long time, or even overworked, it is really easy to cause this type of disease. After all, the physique of the elderly themselves is much worse than that of the young, and their resistance is much worse.
"What happened later? How did the doctor treat it?" Ye Chen asked.
"At that time, the doctor gave some western medicine treatment, which was considered effective and the symptoms were relieved. However, the recurrence in the past six months may be due to improper rest. The attending doctor in the nursing home suggested that I take Ningxinbao. This time, I heard that Mr. Xu is effective here in the General Hospital, so I came to have a look and found that it was really effective. I wanted to ask you to help me.
Since that was the case, Ye Chen already knew very well. I'm afraid that in his capacity, I must have seen a lot of Chinese and Western medicine before, but the effect is sometimes good and sometimes bad.
"Lao Wang, I almost understand your situation. Your main symptom now is palpitations and shortness of breath. Are there other obvious symptoms of unsuitability?" Ye Chen asked again.
"Yes, I feel chest tightness and suffocation, sometimes awake at night, fatigue, and I can't sleep well at night," said Wang Lao.
"Then how do you eat and urinate?" Ye Chen asked.
Now he can't check those, he can only find out through the other party's question, the other party is still sober, and naturally can know.
"Food and appetite are okay, adjust your bowels and bowels."
"Okay, Mr. Wang, I understand your situation." After Ye Chen asked him about his age this year, the female nurse had already handed him another new medical record.
Ye Chen wrote directly on the new medical record: "Wang, male, 70 years old. Palpitations and shortness of breath have been recurrent for five years and worsened by six months."
"First visit: The patient reported that he had palpitations, shortness of breath, and gaps in his heartbeat due to fatigue 5 years ago. After going to a nearby hospital for treatment, the examination revealed that the ECG showed frequent atrial premature beats at the time. The hospital gave western medicine treatment and the symptoms were relieved. In the past six months, it was caused by Improper rest, the symptoms recurred. After the doctor's prompt, taking Ningxinbao, the symptoms sometimes get better and worse. The current symptoms are palpitations, shortness of breath, chest tightness, breathlessness, suffocation at night, fatigue, appetite, lack of sleep sound at night, and two stools. "
"Examination: the complexion is shabby, the tongue is light and tender, and the pulse is dense and narrow. Chinese medicine dialectics: the symptom is the deficiency of both qi and yin and palpitations. Treatment: replenishing qi and nourishing yin, soothing the nerves and reviving the pulse."
"Prescription: 18 grams of Radix Ginseng, 10 grams of Ophiopogon japonicus, 6 grams of Schisandra, 10 grams of Angelica, 10 grams of Radix Paeoniae Alba, 10 grams of Longan Meat, 30 grams of Jujube Seed, 10 grams of Polygala, 10 grams of Bai Ziren, 15 grams of Melia Chinensis , 10 grams of turmeric, 27 grams of Jiao Sanxian, 10 grams of pot belly bark, 6 grams of Citrus aurantium, 30 grams each of Shenglongmu, 40 grams of purple shellfish. 15 doses, decoction in water, 1 dose a day."
Ye Chen finished writing and checked it carefully, and found that there were no other problems, and then handed it to the female nurse. The elder Wang had also been arranged to go to another ward to drink medicine to recuperate.
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