Clinical case reviewed in 2015 Webinar 4 with Dr. Feng Shi Lun

Mr. Liu, 60 years old, farmer

1st consultation on April 19th, 2013

On the morning of April 16th while working, the patient felt a sudden oppressing pain in front of his heart, accompanied by profuse sweating which did not subside after dry retching. He called the ER and was rushed to the local hospital, where an ECG diagnosis was him extensive anterior wall myocardial infarction. The doctor explained that thrombolytic therapy was not possible since the patient had a history of cerebral hemorrhage and a stent or bypass surgery was required.

Due to their economic condition they declined the surgery and consulted CM. The patient suffered of coronary heart disease and brain hemorrhage 10 years prior, secondary hypothyroidism after thyroidectomy 15 years prior. The patient decided to return home on the 18th and his condition only aggravated since.

On the 1st consultation, since the patient suffered from hypothyroidism and had no results with Yi Yi Fu Zi San the consultation was done by telephone since the patient could not come to the city. The accompanied symptoms were difficult stools every 2 days, vexation, sweating, insomnia, palpitations, dry mouth, slightly yellow urine, thick, greasy and dry tongue coating and a slippery, rapid pulse.

Six syndrome: Shao yang Yang ming concurrent syndrome with blood stasis

Formula pattern: Da Chai Hu and Gui Zhi Fu Ling Wan plus Mang Xiao Shi Gao pattern 

Result: On the 19th morning, he passed stools once, so Mang Xiao was removed from the formula. The patient continued to take for 3 weeks, and all of his symptoms improved. By May 7th he was able to exercise indoors and an ECG test showed his heart returned to normal function.

The acute myocardial infarction, chest pain showed a Shao yang syndrome with blood stasis.

The retching, irritability, chest oppression, sweating, insomnia, palpitations, dry mouth with no desire to drink, slightly yellow urine, constipation, thick, greasy and dry tongue coating, slippery and rapid pulse, all point to an excess pattern, fitting a Yang ming concurrent syndrome and a Da Chai Hu plus Gui Zhi Fu Ling Wan pattern. Since this case was very acute with severe pain, presenting with vexation and a rapid pulse, which demonstrate that the Yang Ming syndrome is excessive explaining the use of adding Mang Xiao and Sheng Shi Gao.

Note: The case was only cured by Jing Fang treatment for chest pain due to acute myocardial infarction, which goes to show that Jing Fang can be used as first aid as well as cure coronary heart disease. The treatment protocol used stemmed from experience of Professor Hu, who understood that coronary heart disease can be either deficient or excessive in nature as listed in the

《Jin Gui Yao Lue· On Chest Oppression, Heart Pain and Shortness Of Breath Disorders》, line 2: “If a healthy person without heat or cold signs presents with shortness of breath during rest periods, it is due to excess.”

This clause shows how coronary heart disease (chest bi and heart pain) mostly occur due to excessive pathogenic patterns. When the case presented as a Shao yang Yang ming and blood stasis concurrent syndrome, he would often prescribe Da Chai Hu Tang plus Gui Zhi Fu Ling Wan with great results.