Active treatment of premorbid symptoms of cor pulmonale to improve survival rate

The well-known cor pulmonale is the abbreviation of pulmonary heart disease in western medicine. Traditional Chinese medicine, traditional Chinese medicine, classifies cor pulmonale as "lung distension", "asthma", "cough", "phlegm drink", "palpitation", "edema" and so on. This clearly reflects the differences in symptoms such as cough, asthma, phlegm, palpitation and edema in different stages of cor pulmonale in western medicine, and that the original symptoms do not disappear and the new symptoms are superimposed, indicating that cor pulmonale is getting worse day by day.

Most of the cor pulmonale referred to in western medicine are secondary diseases, which are divided into acute and chronic two categories. Acute cor pulmonale refers to sudden embolism in the trunk and main branches of the pulmonary artery, resulting in obstruction of pulmonary circulation, sharp increase of pulmonary pressure, acute right ventricular dilatation and right ventricular failure, which is rare in clinic. Western medicine diagnosis and observation found that 80% of chronic pulmonary heart disease is caused by chronic bronchitis and bronchial asthma complicated with chronic obstructive emphysema. In addition, pulmonary tuberculosis, bronchiectasis, silicosis, thoracic malformation, pleural hypertrophy, chronic pulmonary interstitial fibrosis and so on, caused the increase of pulmonary vascular resistance and the increase of right ventricular load into chronic cor pulmonale. The further development of cor pulmonale will lead to the emergence of serious symptoms such as right ventricular hypertrophy and right heart failure, which will inevitably lead to acute attack.

Normal heart

The expression of pathological pathogenesis of cor pulmonale in TCM dialectics: cor pulmonale in the categories of "pulmonary distension", "asthma", "cough", "phlegm", "palpitation", "edema" and so on, mostly refers to chronic pulmonary heart disease. It is the end result of the development of a variety of chest and lung diseases that have not been cured for a long time. By different chest and lung diseases delayed complicated with cor pulmonale, TCM medical pathogenesis is characterized by phlegm-heat stagnation of the lungs, due to turbid phlegm blocking the lung tract, resulting in the flooding of yang deficiency and water dampness. Therefore, cor pulmonale is often expressed as "lung distension" in traditional Chinese medicine, which first appeared in "Lingshu distension theory": "lung distension, fullness and wheezing cough"; "Danxi heart method cough" also said: "lung distension and cough, or the left or right can not sleep, this phlegm narrow blood stasis hinders qi and disease", and so on. All these show that the TCM pathological pathogenesis of cor pulmonale is mainly caused by phlegm and blood stasis blocking lung qi, so it is said in "Zhang Shi Yitong Lung impotence": "covering lung distension is the majority".

Late stage of cor pulmonale

Various chronic diseases of the chest and lung are not cured, and the long-term disease will lead to the aggravation of pulmonary stasis, resulting in the development of cardiopulmonary function compensation, entering the stage of decompensation and becoming pulmonary heart disease. This is the medical principle of "stasis for a long time and deficiency for a long time" in traditional Chinese medicine, that is, the deficiency and reality of the original. Therefore, according to traditional Chinese medicine, the pathological pathogenesis of cor pulmonale is mainly deficiency of lung qi and deficiency of both qi and yin, which further develops into yang deficiency, lung defense is not solid and is more vulnerable to external evil attacks such as wind, cold, summer dampness and so on, and repeated attacks aggravate the disease, involving lung, spleen, heart, kidney and other viscera. "the spleen is the instrument of producing phlegm and the lung is the instrument of storing phlegm", collecting phlegm to clog the lung tract to form "phlegm obscuring the heart, Yang deficiency and water flooding", which makes the deficiency and excess of cor pulmonale, influence each other, and bring disadvantage to the treatment.

Patients suffering from asthma, chronic bronchitis, emphysema and their families and relatives should seize the opportunity for treatment in time to achieve the best recovery effect as possible in order to effectively prevent cor pulmonale. Otherwise, with the increase of age, the decrease of self-resistance and multiple organ failure, it is easy to be complicated with cor pulmonale, thus the treatment is more difficult and the mortality rate increases.