Summary of case history

　Patient WANG

female

79 years old

was treated for "palpitation and asthma for 1 week

aggravated with limb edema for 1 day". There was a history of pericardial effusion

hypertension and type 2 diabetes in the past

and palpitation and asthma occurred one week ago due to emotional failure

which was not taken seriously by patients and their families. Before the 1st day

the above symptoms were aggravated

with dyspnea

s

hortness of breath

edema of the face and limbs

especially swelling below the ankles

concave fingers

general weakness

low voice

chills of limbs

liquid food

poor night sleep

scanty urine and dry stools

which lasted for 2⁓3 days. Physical examination revealed an enlarged cardiac dullness

a pathological murmur over the aortic valve

and pericardial friction rub

pericardial fricative sound

and wet rales could be heard in both lower lungs.The tongue is pale

the coating is white and slippery

and the pulse is heavy and thin.Pro-BNP was 122 pg/mL. Echocardiography showed that the ejection fraction (EF) was 47%

and left ventricular systolic function was decreased.

TCM diagnosis

　Heart failure (Yang deficiency and water flooding syndrome).

Western medicine diagnosis

　1. Heart failure; 2. High risk of hypertension level 2; 3. Type 2 diabetes;4. Arteriosclerosis; 5. Pericardial effusion.

Therapeutic methods

　Traditional Chinese medicine (TCM) takes "benefiting the temperature and Yang

strengthening the heart and promoting diuresis" as the treatment principle

and gives Zhenwu decoction and Shengmai powder modified treatment.

Clinical outcomes

　After taking 12 doses of TCM

the symptoms such as palpitation

asthma and edema were completely eliminated

the cardiac ejection fraction (EF) reached 65%

and the left ventricular systolic function recovered.