Dissertation > Medicine, health > Chinese Medicine > Chinese medicine clinic > Medical records,medical words ( clinical experience )

A normal ejection fraction congestive heart failure treatment of Yiqi Huoxue Lishui experience

Author YuZuo
Tutor LiuTong
School Liaoning University of Traditional Chinese Medicine
Course Traditional Chinese Medicine
Keywords Heart failure with normal ejection fraction Qi deficiency and blood stasis of waterstop Qi and blood and water experience
CLC R249
Type Master's thesis
Year 2013
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Heart failure with normal ejection fraction (HFNEF) was caused by ventricularcompliance decrease and filling impairment of myocardial diastolic dysfunction, which ismainly found in ventricular hypertrophy in hypertension and hypertrophic cardiomyopathy,this kind of disease will affect ventricular filling pressure, when Zuo Shishu Zhang endpressure is too high, the pulmonary circulation hypertension and blood stasis, namely thediastolic heart failure (DHF), the systolic function is myocardial good, normal cardiacejection fraction, so it is also called LVEF (compensation) of heart failure. Because of thiscondition may be clinically in hypertension and coronary heart disease, and at present thesetwo kinds of disease and frequently-occurring disease of heart function, so this type of notincreasing attention. The main symptoms of herpes or early HFPEF, often just resting orexertional dyspnea and pulmonary congestion symptoms, if persistent HFPEF or with systolicheart failure coexist, difficulty breathing, shortness of breath, except the left heart failuresymptoms, still can have abdominal distension, oliguria and edema of the lower extremities,right heart failure symptoms. Symptoms of heart failure with normal ejection fraction assystolic heart failure symptoms, two probability of appearance similarity, clinically difficultto distinguish.China is entering the aging society, and with the improvement of people’s livingstandards, increased coronary heart disease and the incidence of hypertension, heart failurepatients with normal ejection fraction increasing. In recent years, research on HFPEFclinicians gradually, but the treatment is less of a breakthrough, the basic is still confined tothe control of blood pressure, atrial fibrillation, correct application of angiotensin convertingenzyme inhibitors and beta blockers and other drugs. The therapy of replenishing qi HFPHF,achieved good results."Plain questions? Tiaojing on" records:"blood, warming and aversionto cold, cold tears not flow, temperature and then disappear and go.""Miraculous Pivot?""allborn: coagulation Yun and not scattered, body fluid and permeability, and not to go andgradually become.""Lingshu meridian?" cloud:"the exhaustion of heart meridian pulsating impassability, veins not blood does not flow.""Synopsis of prescriptions of the GoldenChamber? Water pulse and symptoms":"blood was negative water.""Synopsis ofprescriptions of the Golden Chamber? Phlegm cough pulse syndrome":"water in the heart,heart of rigidity, shortness of breath, do not want to drink water,""compartment a drink, manwith dyspnea, epigastric fullness Jian, swarthy.""Synopsis of prescriptions of the GoldenChamber?":"gas pulse and symptoms of epigastric, as big as a plate, side such as cup,drinking water for." Therefore, Yiqi Huoxue Lishui is one of the main therapy in thetreatment of qi deficiency and blood stasis and dampness in heart failure. Based on the ancientChinese literature, combined with the use of Chinese medicine for the treatment of heartfailure tutor experience, to elaborate on heart failure therapy of Replenishing Qi ejectionfraction of normal, hope that through the research on the ancient and modern people, expandthe research field of heart failure diagnosis and treatment of radiation of the normal ejectionfraction.

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