The pathological region of the disease lies in the heart, but is related to the spleen, stomach, etc. The commonly-seen causes of the disease include internal invasion of pathogenic cold, improper diet, emotional disorder, old age, and weak constitution, etc. It is advisable to nourish yin and promote blood circulation.
Syndrome differentiation and treatment
Yin deficiency intermingled with blood stasis
It manifests thoracic oppression and calor with intermittent stabbing pain, palpitation, night sweat, soreness of the waist and flaccidity of knees, dizziness, tinnitus, red tongue with a little fur and concurrent ecchymoses, thready and unsmooth pulse. The prescription used is the modified Zuogui Decoction in combination with Danshen Decoction (Red Sage Decoction). In the case of concurrent qi stagnation, add Gualou (Fructus Trichosanthis), Lemei ( Flos Mume Albus ) and Hehuanhua ( Flos Albiziae ).
Yang deficiency intermingled with blood stasis
It manifests thoracic oppression and discomfort, or with oppressed pain, palpitation, short breath, aversion to cold, cold limbs, lumbar soreness, hypodynamia, whitish or cyanotic lips and nails, pale tongue with ecchymoses, deep, thready and unsmooth pulse. It is advisable to warm yang and remove blood stasis. The prescription used is the modified Yougui Decoction (the Kidney Yang-Reinforcing Decoction) in combination with CHD Prescription I]. In the case of concurrent phlegm stagnation, add Gualou ( Fructus Trichosanthis ), Xiebai ( Bulbus Allii Macrostemi ) and Banxia ( Rhizoma Pinelliae ) to remove phlegm and blood stasis.
Deficiency of qi and yin
It manifests dull and occasional precordial and thoracic pain and oppression, palpitation, short breath, lassitude, disinclination to speak, lustreless complexion, light-headedness worsened by overstrain, relatively red tongue with dental marks, thready and weak or knotted and intermittent pulse. It is advisable to supplement qi, nourish yin, promote blood circulation and dredge collaterals. The prescription used is the modified Shengmai Powder (Pulsation-Promoting Powder) in combination with CHD Prescription .
Rehabilitation methods
Regulating emotions
Use the enlightening method to remove the patients' misgivings, inspire their enthusiasm and establish their self confidence. It is also advisable to adopt the color therapy to make them exposed to the cold color environment. The patients with depression may place the fresh depression-removing flowers indoors. Besides, it is also advisable to combine the above methods with suggestion and behavior therapies.
Recreation therapy
Take part in the recreational activities like appreciating music, calligraphy and painting, raising flowers and birds, visiting a park and fishing to increase joys of life and eliminate adverse emotional reactions. Musically, select the tunes of the musical prescriptions of "tranquilizing the mind" if the patients mainly suffer from anxiety; the tunes of the musical prescriptions of "expressing the emotions and removing depression" if the patients chiefly have depression.
Please refer to the relevant part of "Hypotension". In the case of overfatigue or worsened precordial discomfort after the training, reduce the amount of exercise properly or stop the training for a period of time.
