徐凤芹治疗冠心病合并焦虑状态1例
XU Fengqin Treated Coronary Heart Disease Complicated with Anxiety State 1 Case
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1.福建省南平市人民医院心病科,南平 353000
2.中国中医科学院 西苑医院急诊科,北京 100091
3.中国中医科学院 西苑医院综合内科,北京 100091
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林佳, 张艳虹, 徐凤芹. 徐凤芹治疗冠心病合并焦虑状态1例[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43000033&Fpath=home&index=0
LIN Jia, ZHANG Yanhong, XU Fengqin. XU Fengqin Treated Coronary Heart Disease Complicated with Anxiety State 1 Case[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43000033&Fpath=home&index=0
林佳, 张艳虹, 徐凤芹. 徐凤芹治疗冠心病合并焦虑状态1例[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43000033&Fpath=home&index=0 DOI:
LIN Jia, ZHANG Yanhong, XU Fengqin. XU Fengqin Treated Coronary Heart Disease Complicated with Anxiety State 1 Case[DB/OL].(2023-10-26)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43000033&Fpath=home&index=0 DOI:
病史摘要,2,患者男,60岁,以“反复胸闷20余年,再发伴烦躁不安1月余。”为主诉。既往有“高血压病、2型糖尿病、高脂血症”病史。本次就诊前1月余,患者因新冠疫情期间,担忧感染新冠病毒而再发胸闷,伴烦躁、卧立不安,经西药治疗及休息不能改善,户外活动可缓解,每日需反复出门20余次。遂来中国中医科学院西苑医院综合内科门诊寻求中医药治疗。中医诊断 胸痹病,痰瘀热结证;百合病,阴虚内热证。西医诊断 冠状动脉粥样硬化性心脏病,冠脉支架植入术后状态,心功能Ⅱ级;焦虑状态;高血压病2级(极高危);2型糖尿病;混合型高脂血症。干预措施 自拟活血解毒汤联合百合地黄汤加减,活血化痰,养阴清热。疗效转归 六诊后随访,患者诉无胸闷、憋气,由每日出门活动20余次仍感烦躁不安,转为全天不出门活动亦不觉烦躁。
Summary of case history, A 60-year-old male patient, presented with "Recurrent chest distress for more than 20 years, relapse with anxious for more than 1 month" as the chief complaint. He had a history of hypertension, type 2 diabetes and hyperlipidemia. More than one month ago, the patient relapsed chest distress with anxious, due to the fear of infecting the novel coronavirus during the outbreak of Corona Virus Disease-2019 (COVID-19). The symptoms can not be improved by rest and chemical drug, but can be relieved by going out, so he needed to going out more than 20 times a day. Then he went to our hospital for traditional Chinese medicine treatment.,TCM diagnosis, thoracic obstruction, phlegm-blood stasis and heat junction syndrome; lily disease, Yin deficiency and internal heat syndrome.,Western medicine diagnosis ,①coronary heart disease; after coronary stent implantation; cardiac insufficiency-Ⅱ; ②anxiety state; ③hypertension grade 2 (extremely high risk); ④type 2 diabetes; ⑤mixed hyperlipidemia.,Therapeutic methods, Huoxue Jiedu decoction combined with Baihe Dihuangtang, activating blood and expelling phlegm, nourishing Yin and clearing heat.,Clinical outcomes, After six treatment, the patient described no recurrence of chest distress.The patient didn't feel anxious even if didn't go out all day,who need to go out for more than 20 times a day to relieve anxious before treatment.
冠心病焦虑状态百合病百合地黄汤新冠疫情
coronary heart diseaseanxiety statelily diseasebaihe dihuang decoctionCOVID-19 pandemic
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