Arrhythmia
[Overview]
Arrhythmia is any cause of the heart caused by the impulse formation and / or conduction abnormalities. With palpitations, heart stop feeling, chest tightness, fatigue, dizziness, fainting and even then, prompted a variety of ECG arrhythmia as the main clinical features. All kinds of premature beats, paroxysmal supraventricular or ventricular tachycardia, atrial fibrillation, atrioventricular block, sick sinus syndrome, are common types of clinical arrhythmia. Arrhythmia seen in normal, but most found in organic heart disease such as coronary heart disease, myocarditis, cardiomyopathy, rheumatic heart disease, high-heart disease, heart failure, etc., as well as digitalis, quinidine and other drug poisoning. The causes include cardiac arrhythmia itself changes, electrolyte imbalance, hypoxia, emotional, smoking, drinking tea and so on. The prognosis of arrhythmias vary greatly due to different causes, functions arrhythmia prognosis is good, serious arrhythmias can cause sudden death. Arrhythmia is a traditional Chinese medicine’s “fright”, “palpitation”, “fainting,” “Consumption” and other areas.
[Etiology and pathology]
Arrhythmia disease because a guilty conscience timid person, by sudden panic, or Su Yun phlegm, be added Yu Nu liver injury; or serious illness chronic illness, involving the heart, spleen and kidney, blood loss and the yin and yang, are caused by heart failure nursing, mind disturbances, palpitations or heart vessel stasis and fat.
Pathological changes of the timid timid person, by sudden panic, or emotional rage, big fear of kidney injury, liver injury was furious, but fear is fine, Wrath of the gas counter, deficiency in, the fire on the reverse, then move to shake the mind The hair sank. Su Yun phlegm, be added Yu Nu, loss and lower stomach, pyrophlegm each end, the disturbance of mind, has made palpitations.
Chronic illness serious illness, heart, spleen and kidney damage, injuries yin and yang qi. Heart deficiency, blood loss, heart failure has raised, the mind is disturbed; or kidney yin deficiency, bad water, fire, Firelight alone Kang, disturbed mind; or heart deficiency, heart failure temperature dependent, and water to drink stop, the Ling in mind, are cause heart palpitations. Qi stagnation or qi deficiency, blood stasis often stuffed, heart failure has raised, has made palpitations.
[Diagnostic points
1. More than a history of arrhythmias, and / or have a history of heart disease diagnosis. Early onset will be required to further confirm the diagnosis.
2 The main clinical manifestations: palpitations, chest discomfort, stop feeling heartbeat, chest tightness, fatigue, dizziness, fainting and even then. Cardiac auscultation can be heard, or abnormal heart rhythm and heart rate, or number, or slow or late, or premature, or go out of business. Pulse often has a knot, on behalf of, promoting, disease, late, few, Shen, astringent.
3 Laboratory tests: electrocardiogram, or ECG can show the abnormal heart rhythm disorder indications.
[Dialectical type]
1. Timid timid symptoms: palpitations, good shock easy to fear, restless, less sleep soundly many dreams. Thin white tongue fur, pulse number or virtual string, or promote.
Syndromes: shock the gas chaos, the mind can not be independent, it made palpitations; do not hide the heart of God, the hearts of Ti-Ti, Gushan scared easy to fear, restless, dream-less sleep soundly; thin white fur, pulse number or virtual string , or promote, are true courage heart, blood against the chaos of the levy.
2. Phlegm disturbance heart symptoms: heart palpitations and trouble, chest tightness, phlegm, eat less pan-evil. Greasy yellow tongue coating, slippery pulse, or promote.
Syndromes: phlegm disturbance heart, mind lost rather, it is heart palpitations and trouble;
Phlegm-heat in the resistance, loss and lower stomach, so chest tightness, phlegm, eat less pan-evil; moss yellow greasy or promote a few, are filled with the phlegm symptoms.
3 Heart and deficiency symptoms: palpitations, dizziness, minimalist looking, malaise and fatigue. Pink tongue, weak pulse, slow or fine, or knot generation.
Syndrome analysis: Heart deficiency, blood deficiency, blood does not raise heart, it made palpitations; blood weakness, not on the wing, it is caused by dizziness, pale minimalist;
Deficiency of blood loss, the languid; pink tongue, weak pulse, slow or fine, or intermittent, are heart and spleen deficiency, qi and blood deficiency symptoms.
4. Wang symptoms: palpitations, restlessness, upset little sleep soundly, dizziness, dysphoria hot, tinnitus, backache. Red tongue, little or no hard coating, rapid pulse or a fine promotion.
Syndromes: yin deficiencies, bad water, fire, Firelight alone Kang, disturbance of mind, heart palpitations and trouble it is not safe sleep soundly; yin in the next, you see backache; positive disturbance in the measured tinnitus; dysphoria hot, Red tongue, little coating or no coating, rapid pulse or small to promote, both Yin Huo-wang of the levy.
5. Heart deficiency symptoms: anxiety, palpitations, chest tightness, shortness of breath, pale gaze intently white, cold limbs, or palpitations accompanied by dizziness, pan-evil, chest abdominal fullness, thirst not want to drink, deficient urination, lower extremity edema. White slippery tongue coating, pulse, or sink late, or knot generation.
Syndromes: Jiubingtixu, heart kidney failure. Lack of heart-yang, heart failure temperature dependent, so disturbing palpitations; chest Yang Kuang loss, loss of transportation effort, the chest tightness, shortness of breath; Yang can not be reached in the limbs, the charge on the surface Hom u cold limbs, pale white; water is cloudy evil, steaming Lai yang, deficiency, not of water, gas lines, water to drink stop, the Ling in mind, so see palpitations; drinking resistance in the Qing Yang does not rise, then the dizziness; cloudy overcast did not fall, the pan-evil; air-negative patients with chest abdominal fullness; gas not water, then the thirst not want to drink, deficient urination, lower extremity edema; white slippery tongue coating, pulse, or sink late, or intermittent, are the heart kidney imaginary of the levy.
6 blood stasis symptoms: palpitations, chest tightness, or shortness of breath with fatigue, heartache when, or see the emotions, depression, chest irritation, a purple lip. Dark purple tongue or have petechiae, small veins hesitant or, or Guitar.
Syndrome analysis: Yang Qi or qi cause chest has been suppressed, systolic blood stasis, heart failure has raised, so palpitations chest; blood stasis, twin acute heart networks, the shortness of breath, fatigue, painful time for; qi stagnation, bloodstasis liver, the depression, chest irritation; lips a bluish-purple, dark purple tongue or ecchymosis, is blood stasis of the sign; pulse hesitant or those found in blood stasis; pulse seen stagnation Guitar blood stasis.
[And Treatment]
1. Timid timid rule is: Anticonvulsant Dingzhi, uneasiness of mind.
Recipe: sedative Dingzhi Pill Ganmai Dazao.
Codonopsis 15 g Fu Shen, Polygala 9 g 15 g Iris Chi keel 30 g 6 30 grams of wheat Huai Zhigancao 9 grams jujube 5 subtraction with the disease: less sleep soundly dreams, plus Suanzaoren 12 grams, 12 grams Bozi to help keep the heart rather God; good shock easy to fear, plus magnet 30 grams (fry), fool with powder 1.5 g (versus service), to help the frightened rather God.
2. Phlegm disturbance heart rule is: phlegm, calm the nerves Dingzhi.
Recipe: Wendan Coptis Decoction.
Coptis 5 g 12 g Zhuru Citrus aurantium Citrus 9 g 9 g 9 g Pinellia Polygala 6 g Semen 12 grams plus or minus 5 grams of licorice with the disease: phlegm, constipation, irritability, plus Green Frontiers stone 30 grams, the weight fall diarrhea fever, phlegm be scared.
3 Heart deficiency rule is: Qi and blood, uneasiness of mind.
Recipe: Guipi addition and subtraction.
Huang Min Codonopsis 15 grams 18 grams 12 grams Atractylodes Fu Shen 12 grams Angelica 9 grams of longan meat, 12 g 9 g Semen woody Polygala 6 g 6 g 6 g Zhigancao jujube 6 subtraction with the disease: heart palpitate, pulse statement on behalf of those to Zhigancao soup nourishing Qi, Yin Fumai; fever late, damaged, and Yin, heart palpitations were negative dissipation to Shengmaisan Yiqiyangyin.
4. Wang rule is: Yin-fire, uneasiness of mind.
Recipe: Tianwangbuxin Ahmadinejad cut.
Habitat, winter oats 12 g 12 g 9 Scrophulariaceae Angelica 9 Kdan reference 12 g Poria 15 g Radix Codonopsis 15 g 12 g Semen Polygala Bozi 12 g 6 g 6 g Schisandra Campanulaceae 3 g subtraction with the disease: I suffer upset , plus berberine 5 grams mte masts 9 grams chinghsin Xiehuo; dysphoria hot, wet dreams, backache, plus Cork 9 grams, 9 grams Zhimu to Kidney purging fire.
5. Heart deficiency rule is: the heart warming yang, calm the nerves be afraid.
Recipe: Decoction Guizhi keel oysters.
Gui Zhigancao 9 g 12 g 30 g keel (Xian Jian) oysters, 30 grams (fry) with a piece ginger 3 g 9 g 15 Codonopsis Winter oats 12 g subtraction with the disease: the stopping of water to drink, with palpitations dizziness, nausea, abdominal swelling, swollen limbs less urinate, thirst not want to drink, plus 15 grams Atractylodes, Poria 15 grams, 15 grams Alismataceae, Pinellia 10 grams to help Wenyang hydration drink; palpitations, chest tightness, such as smothering, frequent syncope, pulse delay were used Mahuangfuzixixin Decoction, ephedra 9 grams, tuber 12 grams, Asarum 3 grams, 9 grams of ginseng, Angelica 9 grams, to warm the heart yang, benefit the heart qi.
6 Therapeutic blood stasis: blood circulation, Tongmai.
Recipe: fried peach flowers.
Peach kernel 9 grams safflower 9 Kdan reference Chuanxiong 9 g 15 g 12 g Radix Angelica habitat 12 g 9 g 9 g dl 9 g Cyperus rotundus Peel 6 grams subtraction with the disease: shortness of breath, fatigue, palpitations, plus 30 grams of astragalus,Codonopsis 15 grams, Guizhi 12 grams, Zhigancao 9 grams to benefit the heart qi, warm chest veins; with emotions, depression, chest irritation, plus Bupleurum 9 grams, 9 grams turmeric to help liver stagnation.
[Chinese medicine]
1. Jane Ling together every 4, 3 times a day.
2. Tianwangbuxin Dan 6 grams each time, 3 times a day.
[Side] is simple
1. Huai 30 grams of wheat, Zhigancao 9 grams, jujube 15, Shuijianbi day I agent. True courage for the heart, often due to fear those who labor and premature hair palpitations.
2. Ephedrine 10 grams, with piece 10 grams, Asarum 3 grams, Shuijianbi day one. For sick sinus syndrome, slow heart rate, those who are.
[] Other therapies
Acupuncture:
Body acupuncture; acupuncture within the closed, Shenmen, heart shu, reinforcing-reducing, needle for 15 minutes, for tachyarrhythmia; together Sanyinjiao, spleen, a sea of blood and other points, with reinforcing method, the needle 20 minutes for bradycardia.
Ear: Selecting Points heart, cortex, Shenmen for tachyarrhythmia; combined sympathetic points for arrhythmia, or were left with moderate to stimulate acupuncture.
Food therapy: broiler l only, longan 10, plus salt, wine, ginger and other spices with the pot boiling on the gas after eating. For lack of effort, heart palpitations, shortness of breath, insomnia were.
[Notes]
1. Arrhythmias are mostly found in organic heart disease, should pay attention to the treatment of primary disease, severe arrhythmia, treatment should be combined with Western medicine.
(2) maintain a good mood, not excited, nervous, drink less tea, coffee and wine.
3 Do not overwork, fullness.