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自1988年1月～1995年5月笔者自拟升脉汤采用中西医结合的方法治疗病态窦房结综合征20例,疗效显著,现报告如下。 1 资料与方法 1.1 一般资料:本组男11例,女9例;年龄20～72岁,平均年龄45岁;病程最短6月,最长6年。原发病:冠心病12例,心肌炎5例,心肌病2例,病因不详者1例。心率最快者52次/min,最慢者36次/min,伴窦性停搏2例,窦房传导阻滞4例,快慢综合征2例。短暂昏厥3例,黑朦4例。诊断参照《临床疾病诊断疗效标准》(北京:人民军医出版社,1987:19)诊断标准 1.2 治疗方法:①西药治疗:氨茶碱片0.1,维生素C片200mg,每日3次口服,3个月为1个疗程。②中药治疗:自拟升脉汤药物组成:党参15g,黄芪20g,麦冬18g,灸甘草15g,忍冬藤15g,蒲公英20g,川芎10g,三七粉5g(冲服)。阳虚甚者加桂枝10g,附片6g;阴虚甚者加沙参15g,玉竹12g,痰浊明星者加陈皮10g,清半夏10g,瓜萎15g;气滞血瘀加扁豆10g,内金12g;便秘者加火麻仁10g,生大黄10g(后下)。上述中药每日1剂,水煎分早晚2次服用。症状改善后改为隔日1剂,30剂为1疗程。1个疗程后停药15
From January 1988 to May 1995 the author of Sheng-wei soup using traditional Chinese and Western medicine treatment of sick sinus syndrome in 20 cases, the effect is significant, are as follows. 1 Materials and Methods 1.1 General Information: The group of 11 males and 9 females; aged 20 to 72 years, mean age 45 years; duration of the shortest June, up to 6 years. Primary disease: coronary heart disease in 12 cases, myocarditis in 5 cases, 2 cases of cardiomyopathy, etiology is unknown in 1 case. The fastest heart rate 52 times / min, the slowest 36 times / min, with sinus arrest in 2 cases, 4 cases of sinoatrial block, fasting syndrome in 2 cases. 3 cases of short-term fainting, darkness in 4 cases. Diagnostic reference to the diagnostic criteria for clinical disease diagnosis (Beijing: People’s Medical Publishing House, 1987: 19) diagnostic criteria 1.2 treatment: Western medicine treatment: 0.1 aminophylline tablets, vitamin C tablets 200mg orally 3 times a day, 3 Month for a course of treatment. ② Chinese medicine treatment: Self-made Shengmai Tang Drugs: Codonopsis 15g, Astragalus 20g, Ophiopogon 18g, licorice 15g, honeysuckle 15g, dandelion 20g, Chuanxiong 10g, notoginseng powder 5g (Chongfu). Yang plus worse Guizhi 10g, attached pieces 6g; more ginseng ginseng 15g, Polygonatum 12g, phlegm star and dried tangerine peel 10g, clear Pinellia 10g, melon wilt 15g; qi stagnation plus lentils 10g, 12g gold; constipation add hemp seed 10g, rhubarb 10g (after the next). The above Chinese medicine daily 1, decoction sub-morning and evening 2 times. Symptoms changed to alternate every other day, 30 agents for a course of treatment. After a course of withdrawal 15