Chapter 766: Heart Palpitations
Cor pulmonale, or cor pulmonale, is a heart disease caused by pulmonary hypertension caused by bronchopulmonary tissue or pulmonary artery vascular disease.
According to the onset and duration of the disease, it can be divided into acute and chronic categories. Clinically, the latter is more common. The disease develops slowly, and in addition to the various symptoms and signs of the original lung and thoracic diseases, the main clinical signs are the gradual appearance of lung, heart failure and other organ damage.
The examination, diagnosis and treatment methods, and treatment methods of Western medicine are very different from those of traditional Chinese medicine. With this Liu Lao's identity, Ye Chen guessed that he should have seen many doctors before, but he didn't alleviate his condition.
Now Ye Chen is treating according to his situation according to the explanation of traditional Chinese medicine.
The sect's qi gathers in the chest, runs through the heart and blood, and breathes and breathes. Heart and lung diseases often lead to cough, palpitations, shortness of breath and discomfort due to lack of qi.
In terms of treatment, in addition to curing the heart and lungs, it is also necessary to strengthen the spleen, which not only promotes the generation of zongqi, but also has the effect of cultivating the soil and generating gold.
Now Ye Chen has read it to this Liu Lao and prescribed him a prescription, naturally he will drink this prescription, and the effect will depend on the effect after he drinks the medicine.
Now this old man Liu still doesn't know how he is doing after drinking the medicine, but from Ye Chen's appearance in the plague area of Xiaowang Village, as well as the effect of treating Xu Jiangong's right leg, he knows that this young man's medical skills are not simple.
Now after he showed it to Liu Lao, he looked at the other three old men again, one of them hurriedly stood up, looked at Ye Chen and said, "Your surname is Wang, you can call me Lao Wang." ā
"Hello Elder Wang. Ye Chen said. He is not familiar with the other party, and he is not of the same generation, so he naturally does not dare to call the other party Lao Wang.
Wang Lao smiled, sat in front of Ye Chen, stretched out his right hand, when Ye Chen checked his pulse, he looked at his left vein, and after looking at his tongue, he also probably knew his situation.
"Elder Wang, is your situation a palpitation?" Ye Chen asked.
The symptoms of palpitations, whether young people, middle-aged people, or the elderly, Ye Chen has seen them a few times, but it is just a symptom on the surface of those patients. If you really show the symptoms of palpitations, most of them are middle-aged and elderly people.
In traditional Chinese medicine, palpitations include palpitations and apprehension, which refers to a condition in which the patient feels throbbing in the heart, is vigilant and restless, and even cannot be autonomous.
Clinically, it is mostly paroxysmal, due to the fluctuation of mood or overwork, and often occurs at the same time as insomnia, forgetfulness, vertigo, tinnitus and other symptoms.
The location of palpitations is mainly in the heart, and it is related to the dysfunction of other organs.
The onset of the disease is often caused by factors such as heart deficiency and timidity, lack of heart blood, weakness of heart yang, internal cessation of water drinking, blood congestion and obstruction.
According to the clinical manifestations of the disease, arrhythmias caused by various causes in Western medicine, such as tachycardia, bradycardia, premature contractions, atrial fibrillation or flutter, cardiac insufficiency, neurosis, etc., all belong to the category of palpitations in traditional Chinese medicine.
Wang Lao didn't expect that Ye Chen just gave him a pulse and a tongue elephant, and he could already see his situation.
"It's heart palpitations and shortness of breath that have been recurrent for 5 years, and they have worsened a lot in the last six months. Wang Lao said.
"Elder Wang, what was the situation at that time, do you still know it?" Now the other party has not recorded the symptoms of the attack, so now Ye Chen wants to find out the situation back then, so he can only ask from the mouth of the person concerned.
"I still remember that I had not retired during that time, because of the heart palpitations caused by staying up late and tired, shortness of breath, and feeling that there was a gap in the heartbeat, my family and I went to a nearby big hospital for examination, and the original electrocardiogram increased the frequency of atrial premature contractions. Wang Lao said.
According to the current situation of Wang Lao, although Ye Chen still doesn't know how old he is, he should be around sixty or seventy, and he should not have retired five years ago.
In the case of the elderly, if you stay up late for a long time, or even overwork, it is really easy to cause this kind of disease. After all, the physique of the elderly is much worse than that of young people, and their resistance is also much worse.
"Then 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 of the nursing home built yƬ I take Ning Xinbao, and the symptoms are good and bad. This time, I heard that Mr. Xu is effective here in the General Hospital, so I came to take a look, and found that it was really effective, and I wanted to ask you to help me take a look. ā
Since that was the case, Ye Chen was already very clear. I'm afraid that with his identity, he must have seen a lot of Chinese and Western medicine before, but the effect is sometimes good and sometimes bad.
"Elder Wang, I almost understand your situation. Your main symptom now is palpitations and shortness of breath, do you usually have any other obvious symptoms of maladaptation?" Ye Chen asked again.
"Yes, I feel tightness in my chest, I feel like I'm holding my breath at night, sometimes I'm awakened at night, I'm tired, and I can't sleep well at night. Wang Lao said.
"How is the usual meal, how is the urine?" Ye Chen asked.
Now he can't check those, he can only ask the other party, and the other party is still very sober, so he can naturally know.
"The appetite for the meal is OK, and the urine and urine are adjusted. ā
"Okay, Elder Wang, I understand your situation. After Ye Chen asked him how old he was 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 recurred for five years and worsened for half a year. ā
"First diagnosis: The patient reported that he had palpitations, shortness of breath and a gap in his heartbeat due to exertion 5 years ago. He went to a nearby hospital for treatment, and the examination found that the electrocardiogram showed frequent premature atrial contractions. The hospital gave Western medicine and the symptoms were relieved. In the past six months, due to improper rest, the symptoms have recurred. After the doctor's prompting, taking Ning Xinbao, the symptoms are good and bad. The current symptoms are palpitations, shortness of breath, chest tightness and breathlessness, awakening at night, fatigue, Nake, sleep at night, and two stools. ā
"Examination: the complexion is pale, the tongue is pale and tender, and the pulse is thin and slightly knotted. Dialectics of traditional Chinese medicine: The symptoms are qi and yin deficiency and palpitations. Treatment: Nourish qi and nourish yin, calm the nerves and restore the pulse. ā
"Prescription: 18 grams of Radix Radix Radix, 10 grams of Ophiopogon vulgaris, 6 grams of Schisandra chinensis, 10 grams of Angelica sinensis, 10 grams of white peony, 10 grams of longan meat, 30 grams of sour jujube kernels, 10 grams of Yuanzhi, 10 grams of cypress kernels, 15 grams of neem seeds, 10 grams of turmeric, 27 grams of Jiao Sanxian, 10 grams of big-bellied skin, 6 grams of citrus aurantium, 30 grams of raw dragon oyster, and 40 grams of purple shells. 15 doses, decoction with water, 1 dose per day. ā
After Ye Chen finished writing, after carefully checking it, and found that there were no other problems, he handed it over to the female nurse, and also arranged for this Wang Lao to go to another ward to drink medicine and recuperate.