A medical case from Director FENG Lili's differential treatment of angina pectoris based on three differentiation
Angina pectoris is a long and complex condition.western medicine can achieve a certain effect in the short term to improve angina pectoris,but the effect of preventive drugs is limited,and the long-term effect is not good and it is easy to recur.Angina pectoris falls under the category of chest paralysis in TCM.Based on the concept of syndrome differentiation and treatment,TCM focuses on the patients themselves,which can not only alleviate the symptoms of angina,but also reduce recurrence,improve long-term prognosis,and improve the quality of life of patients,which has unique advantages and broad prospects in the treatment of angina.Director FENG Lili was familiar with the classics of doctors in the early stage,followed the famous teachers to learn the strengths of each thought,and then engaged in the treatment of cardiovascular diseases for a long time,paid attention to regulating the physique in the diagnosis and treatment of angina,combined with the tertiary prevention of physique to further develop the disease differentiation-body differentiation-syndrome differentiation,and extended the role of physique in the occurrence and development of the disease.Formed a unique insight into angina,which is effective in clinical use for multiple times.In this case,the patient's body was deficient in Qi(气),and he was stasis and phlegm accumulation after a long illness,and the wind and cold attacked him,which induced angina.In the diagnosis and treatment,Director FENG starts from the whole to distinguish the body and treatment,distinguish the disease and medication,and distinguish the syndrome and examination machine,and distinguish the main and secondary points.The pioneer dispersed the wind and cold to remove its precipitating factors,and then gradually removed its target by invigorating Qi and chasing stasis,and then gradually regulating the physical constitution with invigorating Qi,and then benefiting Qi and regulating the deviation of the physique.The prescription medication did not follow the conventional wide chest and scattered knots,but first used the Gegen decoction(葛根汤)to dispel evil spirits,and then the Baoyuan decoction(保元汤),Danshen Yin(丹参饮)and Shiwei Wendan decoction(十味温胆汤)to treat both the symptoms and the root causes,and then the Shenyuan Yinqi Huoxue prescription(参元益气活血方)to strengthen the righteousness and dispel the evil,and finally to regulate the deviation of the constitution,the disease and evil to go to the righteousness and Qi recovery,the pain to go away,the constitution to correct,and the disease not to occur.This case clearly presents Director FENG Lili's ideas for the treatment of angina,which has certain reference for clinical.
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