Treatment of silent coronary heart disease on October 25, 2002

Treatment of silent coronary heart disease on October 25, 2002

In early autumn, many patients with early-stage coronary heart disease experience intermittent pain at the cardiac apex; the following treatment has shown marked efficacy.

Prescription: Gualou 10 g, Xiebai 10 g, Banxia 6 g, Chishao 10 g, Chuanxiong 6 g, Honghua 6 g, Jiangxiang 10 g, Danshen 10 g, Hansanqi 10 g, Muxiang 10 g, Caodoukou 10 g, Xiangfu 6 g, Shanzhi 10 g, Cangzhu 6 g, Shenqu 10 g, Shenglonggu and Muli each 15 g, Haipiaoxiao 15 g.

This formula treats both heart and stomach conditions; in early-stage coronary heart disease, the distinction between heart and stomach symptoms is often blurred. Stomach discomfort can lead to heart issues, and heart discomfort can lead to stomach issues. Mrs. Jiang Fengying, wife of Director Mou of the Central Ethnic Affairs Commission, suffers from stomach problems but not coronary heart disease. During a visit to Nanjing, she stayed at the Ningwozhuang Hotel for over a week, attending numerous social engagements, and several days after her stomach ailment flared up, she suddenly developed heart problems—chest tightness, shortness of breath, heart rate of 160 beats per minute. A late-night phone call revealed that old friend Director Mou was discussing her condition, and I suggested it might be related to both stomach and heart issues. First, I administered 10 mg of Domperidone and 0.15 g of Ranitidine, one tablet each, which reduced stomach pain and lowered the heart rate to 100 beats per minute, alleviating chest tightness, chest pain, and shortness of breath. The next day, upon re-examination, all symptoms had improved; pulse was regular, rhythm stable, though sleep remained poor. I planned to follow up with Guipi Tang to further support her recovery.