Rheumatic mitral stenosis rheumatic heart disease

Rheumatic mitral stenosis, also known as rheumatic heart disease, acute rheumatic fever violations of the heart is the legacy of chronic heart disease, is currently in China is still quite common. Rheumatic heart disease with mitral valve is most common, followed by the aortic valve, the tricuspid valve is rare, pulmonary valve is even more rare, chronic rheumatic heart disease can affect a number of valves. Clinically, the most common is mitral valve disease alone, about 70%, followed by the mitral valve associated with aortic valve disease accounts for about 25% of aortic valve disease alone accounts for about 2 to 3%, tricuspid or pulmonary with mitral valve disease is more or aortic valve disease associated with existence.

The disease in addition to aggressive treatment of rheumatism, to prevent damage to the heart caused by external, is to prevent the occurrence of rheumatic fever.

Cause rheumatic fever, although not fully understood at present, but in recent years there is a sufficient basis to prove that it is closely related with hemolytic streptococcus hide, therefore, propose the following measures, as rheumatic fever prevention activities recurrence.

(A) appropriate activities

Patients with mitral valve surgery should rest for 3 to 6 months, according to the specific circumstances of the recovery, appropriate increase in activity and increase in heart rate and labor, or labor activity should be controlled at no more than the normal 15%, as the average daily resting heart rate 72 times per minute, the activity of the heart rate should not be more than 83 beats / min (72 + 10.8 = 82.8), overwork, can impair physical, Streptococcus opportunity activities, causing sore throat, cold, disease progression.

(B)) drug prevention

Rheumatic fever suspected activists, the use of long-acting penicillin G (benzathine penicillin G) 120 million units, intramuscularly once a month.

TCM treatment of rheumatic mitral stenosis

1, the gas shortage heart palpitations, shortness of breath, increased after the event, fatigue, spontaneous and less gas, pale, pale tongue, white, weak pulse or knot generation

[Recipe] Astragalus Codonopsis Poria Semen Polygala Bozi angelica Schisandra cinnamon licorice Chuanxiong

2, heart yin deficiency, palpitations, forgetfulness, insomnia, five upset hot, night sweats, oropharyngeal dry, red tongue, little fluid, rapid pulse

[Recipe] heterophylla Scrophulariaceae Schisandra asparagine habitat Polygala Bozi Semen Salvia Angelica

3, spleen deficiency palpitations, asthma, cough, chills, waist and knees, oliguria, edema, pale tongue white, thin pulse or knot generation.

[Recipe] aconite ginger Poria Atractylodes Astragalus Tinglizi cinnamon plantain Alisma

4, blood stasis chest pain, palpitation, cyanosis, two zygomatic red dark. Purple or purple tongue, pulse astringent or knot generation.

[Recipe] Angelica peach safflower mysterious Husso Wulingzhi Astragalus Chuanxiong Plantago

5, yang collapse palpitations oppressed, looking schungite, Taijian mouth, nasal fan breathlessness, irritability, restlessness, oliguria edema, sweating, cold limbs. Tongue pale, thin pulse stricken.

[Recipe] Ginseng Radix aconite Longgumuli Cornus Schisandra

Above all evidence treatment may overlap occur, there can be and permits, such as the merger of acute rheumatic fever, paralysis, use gypsum, honeysuckle, Siegesbeckiae, Gentiana and other narrow stiff and regurgitation of the valve, you can use pangolins, leech, Sichuan Fritillaria Endometriosis treatment.