Coronary heart disease belongs to "xiong bi" (obstruction of qi in the chest), "zhen xin tong" (angina pectoris) and "xin ji" (palpitation) in TCM. Mecicated diet therapy is both help-ful and beneficial to the prevention, cure and recovery of this disease.
1. Common Types of Syndromes
TCM believes that this disease is in most cases deficiency in origin and excess in superficiality. The deficiency and the excess vary with different patients, but syndrome of deficiency of qi with blood stasis is more common.
1) Syndromes of Deficiency in Origin
The syndromes
of deficiency of this disease include deficiency of qi, deficiency of yin and deficiency of yang. Deficiency of the heart-qi is manifested as shortness of breath, stuffiness in the chest, dyspnea due to exertion, lassitude, palpitation, disinclination to speak, perspiration, precordial dull pain, pale tongue with teeth mark, weak, thready and relaxed pulse or irregular pulse. Deficiency of the heart-yin is marked by palpitation, vexation, insomnia, dizziness, dryness of mouth and throat, night sweat, precordial burning pain, reddened tongue, lack of saliva, little fur or without fur on the tongue, thready and rapid pulse. Deficiency of the heart-yang is characterized by aversion to cold, mental tiredness, shortness of breath, palpitation or severe palpitation, which is aggravated due to exertion, cold limbs, spontaneous perspiration, oppressed feeling in the chest, precordial pain which will be aggravated due to attack by cold, pale and bulgy tongue with white or greasy fur, weak, thready and slow pulse or irregular pulse.
2) Syndromes of Excess in Superficiality The syndromes of excess of this disease are divided into blood stasis, accumulation of phlegm, stagnation of qi, and accumulation of cold. Blood staffs is manifested as precordial twinge, colic, occurring in the fixed region and severe, accompanied with oppressed feeling in the chest for a long time if not cured, dark red or purplish dark tongue or tongue with ecchymosis, wiry and unsmooth pulse or irregular pulse. Accumulation of phlegm is marked by distinct oppressed feeling in the chest, accompanied with precordial pain, fat, vomiting with sputum or saliva in the vomitus, greasy fur, slippery pulse. Stagnation of qi is symptomatized by fullness and oppressed feeling in the chest, paroxysmal dull precordial pain, not occuring in the same region, desire for sighing, attack or aggravation due to unease of the mind, or accompanied with belch, distending pain in the' hypochondria, fullness sensation in the stomach, thin and whitish fur, wiry or wiry and thready pulse. Accumulation of cold is manifested as sudden precordial pain so severe as if something twisted there, attack or aggravation after exposure to cold, cold hands and feet, perspiration with cold sensation, thin and white fur, and tense pulse.
It is common that a patient indicates not only syndrome of deficiency in origin but also symptoms of excess in superficiality; if a patient has the manifestation of both deficiency of the heart-qi and blood staffs at the same time, the patient is said to manifest "deficiency of the heart-q/with blood stasis".
2. Dietetic Chinese Drugs
1) Hawthorn fruit (Fructus Crataegi) Not only resisting myocardial ischemia, but bringing down blood pressure and blood-fat, it is an ideal dietetic drug for coronary heart disease, especially good for the patients accompanied with hypertension and hyperlipemia. Take 9 to 15g per day.
2) Macrostem onion (Bulbus Allii Macrostemi) Also known as wild garlic, small garlic, it is a drug often used in TCM to treat obstruction of qi in the chest and precordial pain because it has the functions of regulating the flow of qi, relieving chest stuffiness, activating yang and resolving accumulation of qi. It is often used to treat coronary heart disease with smyptoms of deficiency ofyang, or stagnation ofqi, or accumulation of phlegm. Take 9 to 12g per day.
3) Lily bulb (Bulbus Lilii) It can tranquilize the mind and nourish the lung to arrest cough. Those who suffer from coronary heart disease with symptoms of vexation, palpitation and insomnia can take it. Take 9 to 30g per day.
4) Longan aril (Arillus Longan) Also known as dried Ion-gan pulp. It can tonify the heart and spleen, invigorate qi and enrich the blood, so patients suffering from coronary heart disease manifested as deficiency of the heart-qi can take it often. Take 9 to 30g per day.
5) Mulberry (Fructus Mori) It can nourish yin and supplement the blood, and promote the production of body fluid to moisten the intestinal tract. So patients suffering from coro-nary heart disease marked by deficiency of yin or constipation can take it often. Take 9 to 15g per day.
6) Poria (Poria) It can tonify the spleen, excrete dampness and tranquilize the mind. It is applicable to patients with coronary heart disease marked by the type of deficiency of the heart-qi manifested as palpitation and insomnia. Take 6 to 12g per day. There is another kind of poria growing around and against the root of pines, called poria with hostwood (Poria cum Lingo Hospite), which is ideal for tranquilizing the mind.
7) Wild jujube (Fructus et Semen Ziziphi Spinosae) It can nourish the heart to calm the mind, and the wild jujuba seed (Semen Ziziphi Spinosae) is better at that. Those suffering from coronary heart disease with the symptom of palpitation can mtake it, 9 to 30g per day.
8) Chrysanthemum flower (Flos Chrysanthemi) Increasing flow of coronary arteries and improving blood supplies of cardiac muscle, it is effective for coronary heart disease. The common dosage is 9 to 15g.
9) Peach kernel (Semen Persicae) It can activate blood flow, remove blood stasis and relieve conspitation. Those who suffer from coronary heart disease marked by the type of blood stasis can take it. Its common dosage is 6 to 9g.
10) Bark of Chinese cassia tree (Cortex Cinnamomi) It can restore yang and dispel cold, warm the channels and promote circulation of qi. Those suffering from coronary heart disease manifested as the type of deficiency of yang or accumulation of cold and blood stasis can take a right amount of it. Experiments have shown that it can resist myocardial ischemia and inhibit platelet aggregation, there for it is good for the prevention and treatment of coronary heart disease. The common dosage is 1.5 to 4.5g.
11) Dried ginger (Rhizoma Zingiberis) It can dispel cold and warm the channels, recuperate depleted yang and promote blood circulation. Patients suffering from coronary heart disease marked by the types of yang deficiency, accumulation of cold can take it. The common dosage is 3 to 9g.
12) Garlic (Bulbus Allii) Experiments have proved that its available composition can inhibit atherosclerofic development, bring down blood-fat and resist blood coagulation. Patients with coronary heart disease should take it often.
13) Seaweed (Sargassum) and laminaria (Thallus Eckloniae) Experiments have shown that they both can bring down blood-fat, blood pressure and alleviate atherosclerosis. So patients suffering from coronary heart disease complicated by hyperlipemia and hypertension can take them often.
3. Composite Medicated Diet
1) Drink of Hawthorn Fruit and Chrysanthemum Flower ( Shanzha Juhua Daichayin)
2) Drink of Chrysanthemum Flower, Sophore Flower and Green Tea (flu Huai Lucha Tin)
3) Gruel of Chrysanthemum Flower and Hawthorn Fruit (Juhua Shanzha Zhou)
4) Soup of Tremella and Jew's Ear (Shuang Er Tang)
5) Decoction of Hawthorn Fruit and Cassia Seed (Shan-zha Jueming Tang)
For all of them, refer to Composite Medicated Diets for Essential Hypertension.
6) Drink of Fleece Flower Root and Chrysanthemum Flower (Shuowu ffuhua Daichayin)
INGREDIENTS
prepared fleece-flower root, Radix Polygoni Multiflori
Praeparata 12g
chrysanthemum flower, Flos Chrysanthemi 9g
PROCESS Decoct them in water.
DIRECTIONS To be taken as a drink. Applicable to patients suffering from coronary heart disease or that accompa-nied with hypertension, also applicable to those who suffer from coronary heart disease marked by the types of deficiency of yin or that accompanied with hyperactivity of yang.
7) Drink of Peach Kernel and Hawthorn Fruit (Taoren Shanzha Daichayin)
INGREDIENTS
peach kernel, Semen Persicae 6g
hawthorn fruit, Fructus Grataegi 12g
tangerine peel, Pericarpium Citri Reticulatae 3g
PROCESS Infuse them in boiling water or decoct them in water.
DIRECTIONS To be taken as a drink. Applicable to patients suffering from coronary heart disease with obvious symptoms of blood stasis.
8) Gruel of Macrostem Onion and Hawthorn Fruit (Xiebai Shanzha Zhou)
INGREDIENTS
macrostem onion, Bulbus Allii Macrostemi 9g
hawthorn fruit, Fructus Crataegi 12g (double it if the fresh is used)
polished round-grained rice, Semen Oryzae Sativae 100g
PROCESS First wash the first two ingredients clean, then make gruel with all the three.
DIRECTIONS To be taken once or twice per day for treatment of coronary heart disease with symptoms of fullness sensation in the chest and obvious precordial pain.
9) Garlic Gruel (Dasuan Zhou)
INGREDIENTS
purple-skin garlic, Bulbus Allii (with no skin) 30g
polished round-grained rice, Semen Otyzae Sativae 100g
PROCESS Put the garlic in boiling water, boil them for one minute and fish them out; then put the rice into the water which was used to boil the garlic and cook the rice into thin gruel; finally put the boiled garlic into the thin gruel, mix them well and cook the mixture into gruel.
DIRECTIONS To be taken warm both in the morning and in the evening. Those who suffer from coronary heart disease accompanied wiht hyperlipemia can take it.
10) .Gruel of Fleece-Flower Root and Lily Bulb (Shouwu Baihe Zhou)
INGREDIENTS
prepared fleece-flower root, Radix Polygoni Multiflori
Praeparata 15 to 30g
clean lily bulb, Bulbus Lilii 30g
wolf berry fruit, Fructus Lycii 9g
Chinese-date, Fructus Ziziphi 3ujubae 6pcs.
polished round-grained rice, Semen Otyzae Sativae 100g
white sugar right amount
PROCESS First decoct the first ingredient in an earthen-ware pot and sift the thick liquid from the dregs; then make gruel out of the liquid and all the other ingredients.
DIRECTIONS To be taken both in the morning and in the evening. Applicable to patients suffering from coronary heart disease of yin deficiency type.
11) Gruel of Ginger, Bark of Chinese Cassia Tree and Masrostem Onion (Jiang Gui Xiebai ghou)
INGREDIENTS
dried ginger, Rhizoma yingiberis 3g
macrostem onion, Bulbus Allii Macrostemi 9g (double it if the fresh is used)
Chinese green onion, Bulbus Allii Fistulosi (which must be washed clean and cut up into small bits) 2
polished round-grained rice, Semen Oryzae Sativae 100g
bark of Chinese cassia tree powder, Pulvis Corticis
Cinnamomi 0.5 to 1.0g
PROCESS Make gruel with all the ingredients but the last one, when the gruel is done, scatter the powder of the bark of Chinese cassia tree over it.
DIRECTIONS To be taken once or twice per day. Applicable to patients suffering from coronary heart disease marked by the types of yang deficiency or accumulation of cold.
12) Soup of Seaweed and Laminaria (Haizao Kuenbu Tang)
INGREDIENTS
seaweed, Sargassum 30g
laminaria, Thallus Eckloniae 30g
jew's ear, Auricularia 15g
soybean, Semen Glycinis 200g
PROCESS Stew all the ingredients together, and when it is done, season it with a little amount of condiments.
DIRECTIONS For oral administration. Those who suffer from coronary heartdisease complicated by hyperlipemia and hypertension can take it often.
13) Spirits of Ginseng, Red Sage Root and Hawthorn Fruit (Shuang Shen Shanzha Jiu)
INGREDIENTS
ginseng, Radix Ginseng 6g
red sage root, Radix Salviae Miltiorrhizae 30g
hawthorn fruit, Fructus Crataegi 30g
plain spirits 500g
PROCESS Soak the first three ingredients in the plain spirits in a bottle for 15 days.
DIRECTIONS To be taken twice or three times per day, 10 to 15ml each time. Applicable to patients suffering from coronary heart disease manifested as the types of deficiency of qi or blood staffs.
14) Honeyed Extract for Nourishing the Heart and Pro-moting Blood Flow ( Yangxin Huoxue Migao)
INGREDIENTS
longan aril, Arillus Longan 60g
mulberry, Fructus Mori 60g
lily bulb, Bulbus Lilii 60g
poria with hostwood, Poria cure Ligno Hospite 60g
wild jujuba seed, Semen Ziziphi Spinosae 60g
red sage root, Radix Salviae Miltiorrhizae 60g
hawthorn fruit, Fructus Crataegi 120g
safflower, Flos Carthami 30g
honey, Mel right amount
PROCESS Decoct all the ingredients except the last one three times; then put the three decoctions together to enrich them; finally make jelly by mixing the honey into the enriched decoction.
DIRECTIONS To be taken twice or three times per day, 20 to 30g each time. Those suffering from coronary heart disease with the manifestations of deficiency of the heart-qi, deficiency of the heart-yin, or blood stasis can take this honeyed jelly often.
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