*Note: Although this case is not relevant to arthritis, but this real case from China can show how powerful it can be for the TCM herbal medicine.

 

Heart failure patient expresses gratitude

2023-10-11

*Disclaim: This is a translation from a Chinese herbal treatment case. Translation may not be accurate. This is just for educational purposes only and is not intended to replace advice from your physician or other health care professional. this is not for any advice of diagnosis, treatment. *

Original source:   online

 

The patient: Mr. Zhang, male, 83 years old.

Patient was admitted to the hospital at 2023-10-02 12:22 due to the main complaint: “shortness of breath after activity for more than 10 days, which worsened for 2 days”.

The patient began to experience shortness of breath after activity more than 10 days ago, and the shortness of breath gradually relieved during rest. The shortness of breath worsened 2 days ago, and no special treatment was given, and the symptoms were not relieved.

In order to seek systematic diagnosis and treatment, the outpatient department proposed: “Activity leads to shortness of breath: possible Acute exacerbation of chronic heart failure?” and he was hospitalized in our department.

Symptoms upon admission: the patient was clear-headed, slightly tired, short of breath, aggravated by activity, palpitation, poor appetite, average sleep, and normal bowel movements.

Past history: unremarkable.

Physical examination: T: 36.7°C, P: 121 times/min, R: 24 times/min, BP: 131/71 mmHg.

The breath sounds were coarse in both lungs, and obvious moist rales were heard in both lower lungs, but no dry rales and no pleural rubs were heard. The range of cardiac dullness was enlarged, the heart rhythm was irregular, and the heart rate was 121 beats/min. Obvious systolic blowing murmur could be heard in the mitral valve auscultation area and tricuspid valve auscultation area, but no pericardial friction sound was heard. The muscle strength of both lower limbs was grade 5, the muscle tone was normal, and there was moderate pitting edema in both lower limbs. The tongue is dark red, the coating is thin and white, and the pulse is astringent and weak.

In the same day, relevant examinations were completed:

N-terminal pro-B-type natriuretic peptide 4965pg/ml↑.

Electrocardiogram: Atrial fibrillation (fast ventricular rate), 2.

The heart is clockwise rotated along its axis.

Cardiac color ultrasound: global heart enlargement, aortic sclerosis, aortic valve degeneration and regurgitation (moderate), mitral and tricuspid regurgitation (severe), pulmonary valve regurgitation (mild), pulmonary hypertension

(Moderate, possible underestimate due to global cardiac enlargement), normal left ventricular systolic function, pericardial effusion (small).

 

Diagnosis by Traditional Chinese Medicine (TCM): Heart Water Disease (Qi Deficiency and Blood Stasis Syndrome)

Western medicine diagnosis: acute heart failure

 

Treatment process: After admission, low-flow oxygen inhalation, nutrition of the myocardium, diuresis to reduce cardiac load and other symptomatic treatments were given.

 

Traditional Chinese medicine special therapy was performed with ordinary acupuncture (Xinshu, Neiguan, Xuli, Qihai, Guanyuan, Dacha, Shenmen).

, Daling, Jiashi, Qiemen), suspension moxibustion (Xuli, Guanyuan, Shenque, Qihai, Dingchuan, Zusanli,) infrared therapy, auricular bean pressure, traditional Chinese medicine fumigation (double lower limbs) and other physiotherapy Warm the painful heart yang, activate blood circulation and promote qi.

 

Wang Baojin, director of the Classical Department of Traditional Chinese Medicine, uses Poge Jiuxin Decoction combined with Zhenwu Decoction Chinese medicine decoction after the ward rounds.

 

The details are as follows: (If you need to use this Chinese herbal medicine prescription, please use it under the guidance of a doctor)

Danfu Pian 20g, dried ginger 5g, licorice 10g, Codonopsis pilosula 20g Cornus meat 10g, raw keel 10g, oyster 10g, magnet 10g Salvia miltiorrhiza 10g, 5 doses in total Usage: one dose per day, after breakfast, lunch and dinner.

On the ward round on 2023-10-07, the patient’s shortness of breath was significantly improved compared to before. He was clear and energetic. He occasionally had shortness of breath after activity, could sleep well, and had normal bowel movements.