Patients with chronic heart failure: how does Chinese medicine induce diuresis to reduce swelling?

At present, chronic heart failure has become a serious public health problem, and its incidence is increasing worldwide. It is estimated that there are more than100000 patients with chronic heart failure in China. This may be related to the aging of urban population, the improvement of diagnosis rate, the increase of obese people and the decrease of exercise.

The main manifestations of heart failure are dyspnea, fatigue (limited activity tolerance) and fluid retention (pulmonary congestion and peripheral edema). Heart failure belongs to the categories of heart failure, palpitation, palpitation, asthma syndrome, edema and phlegm.

After several years of clinical practice of traditional Chinese medicine on heart disease and heart failure, it shows that the series of prescriptions for heart valve diseases by the expert team of Tianjin Xinyue Chinese Medicine Clinic have obvious curative effects on patients with chronic heart failure complicated with coronary heart disease, dilated heart disease, rheumatic heart disease, heart valve disease and arrhythmia.

These prescriptions have a positive inotropic effect on damaged myocardial cells in patients with heart failure. They can nourish and repair these damaged myocardial cells and gradually restore their vitality, thus reversing heart diseases. They are called "non-toxic biological digitalis" by some cardiologists, which can reverse chronic heart failure, that is, the patient's heart failure grade can be gradually adjusted from the highest grade 4 to the lower 1 grade, which is called "43266".

At present, both Chinese and western medicine need diuresis to reduce swelling and use diuretics to treat chronic heart failure. Diuretics are a drug that is beneficial to urination. Digitalis is as diuretic as caffeine. Tea, coffee and alcohol are commonly used domestic diuretics. Today, in the United States, diuretics are the designated drugs to treat heart disease. The most common diuretic is hydrochlorothiazide, which was discovered by Swiss scientists.

Traditional Chinese medicine also has many diuretics, which have excellent diuretic effect and basically have no side effects of western medicine, mainly represented by Wuling Powder, Zhu Ling Decoction and Gui Ling Shugan Decoction.

Wuling powder (Polyporus, Alisma orientalis, Atractylodes macrocephala, Poria cocos and Cinnamomum cassia twig) is a prescription for regulating the abnormal distribution of water and liquid in human body. The abnormal distribution of water and liquid is called "water storage" by the annotators of Treatise on Febrile Diseases. But when "storing water", water does not just stay in the lower jiao bladder, but can stay in any part of the human body. It is not advisable to urinate when stored at the bottom; If stored in the middle, you will see "heart swelling" and "water reversal" when entering the water; When stored in bed, you will see "vomiting and dizziness"; If stored in a watch, you will sweat; Beneficial to storage in intestine; If stored in the skin, edema will occur. As for modern medicine, glaucoma has increased intraocular pressure, Meniere's syndrome has hydrocephalus in the inner ear, hydrocephalus, hepatic ascites, pleural effusion and pericardial effusion. , can be considered as a form of "water storage". As long as you have thirst, painful urination, fat tongue coating and tooth marks, you can consider using this prescription.

Some serious heart diseases, such as cor pulmonale, rheumatic heart disease and dilated heart disease. , often cause a certain degree of heart failure and edema symptoms to patients. The most important thing at this time should be diuresis and detumescence. Juedu Decoction is an experienced prescription of Liu Shaowu, an old Chinese doctor, and an effective prescription of Chinese medicine for diuresis and detumescence.

Juedu Decoction: 30g of Radix Astragali, 0g of Radix Curcumae15g, 30g of Flos Lonicerae, 0g of Luffa15g, 30g of Semen Plantaginis and 60g of Lalang Grass Rhizome.

According to our name, Su Wen? "Linglan Code" says: "Those who have triple energizer will be appointed as blasphemers, and the waterway will come out." To solve blasphemy is to clear the waterway. Therefore, the prescription was named "Juedu Decoction", the composition of Juedu Decoction. Honeysuckle and towel gourd are both folk prescriptions, and their compatibility has obvious diuretic effect. Luffa is bitter and dehumidified, cold and heat-clearing, good at dredging meridians, eliminating dampness and reducing fire, and honeysuckle is good at clearing away heat and toxic materials, cooling blood and diminishing inflammation. Juedu decoction can be used alone to treat edematous diseases, and can also be used in clinic with other prescriptions.

Zhenwu decoction is a famous prescription for treating heart failure edema, which is mainly used for heart failure patients with yang deficiency. "synopsis of the golden chamber" has a water vapor chapter, which says "the pulse is deep and slippery, the water vapor is abundant, and the face is swollen and hot, which is called feng shui." There is also a saying that "the pulse is heavy, you should be responsible for the water and your body is swollen." "The heart is heavy and short of breath, you can't lie down, you are annoyed and impetuous, and your person is swollen." There are also "excessive drinking" and "drinking water is popular, belonging to limbs" in "Drinking Phlegm".

This is the performance of complete heart failure when heart failure develops to the late stage; "Shortness of breath" and "inability to lie down" are respiratory difficulties caused by pulmonary edema, and it is impossible to lie down or even sit up and breathe; "Face swelling", "hand and foot swelling" and "neck pulsation" describe the symptoms of systemic circulation congestion, jugular vein bulging and systemic edema.

According to the prescription, Zhenwu decoction can treat shortness of breath, oliguria and limb swelling caused by heart failure, especially when it is combined with hypoproteinemia and severe edema all over the body. Judging from the drug composition, in Zhenwu decoction, aconite is used for warming yang, while Atractylodes macrocephala, Poria, Paeonia lactiflora and ginger are used for diuresis, which is also in line with the principle of warming yang and promoting diuresis in heart failure. It can be seen that the main function of this prescription in treating heart failure is to warm yang and promote diuresis to eliminate edema.

At the turn of winter and spring, the incidence of congestive heart failure in the elderly is increasing, especially in patients with heart valves, and the proportion of heart failure will increase greatly. Especially dramatically, many elderly patients with heart disease found heart failure when they were discharged from hospital with valvular heart disease. Therefore, elderly patients with congestive heart failure need careful examination and evaluation, and active treatment, and the prescription of traditional Chinese medicine will receive satisfactory results.

In addition, the treatment of heart failure with integrated traditional Chinese and western medicine is also worthy of attention. After more than ten years of clinical practice, the Chinese medicine team of heart valve disease in Tianjin Xinyue Clinic found that digoxin in digitalis preparation is the only chemical drug that will not increase the death rate of heart failure as long as it is used in a small dose. Moreover, in clinic, the combination of traditional Chinese medicine prescription and digoxin can obviously reduce the digoxin poisoning rate of patients with heart failure, which is very helpful to reverse the situation of heart failure. This shows that the combination of traditional Chinese medicine prescription and digoxin has a joint synergistic effect. After observing and visiting more than 200 patients with heart failure, it is also found that some patients can gradually reduce or even stop taking any digitalis preparation, including digoxin, under the guidance of doctors when Chinese medicine is used to a certain stage or course of treatment, which is undoubtedly exciting good news.