I. What are the criteria for cure?

Coronary heart disease is a common disease in cardiology and also a common disease in the elderly, and even with the improvement of living conditions, more and more young people also suffer from coronary heart disease. Many people are often concerned about a question is, coronary heart disease can be cured? In fact, whether it is Chinese medicine or Western medicine, the standard of cure is different, and its measurement is also very different. First of all, there is a clinical cure, what is a clinical cure? What is a clinical cure? It means that if you have angina, and the angina does not come back after symptomatic treatment, then it is called a clinical cure. Secondly, there is the term "complete cure" in our minds. The deeper meaning of the term "cure" is that the patient is completely cured after treatment, and will not have the disease in the future, which is also not called complete cure. After clarifying the standard of cure, we will discuss the question of whether coronary heart disease can be cured. In fact, regardless of Chinese medicine or Western medicine, the chances of clinical cure is quite high, that is to say, no matter what kind of method, so that you this cardiovascular disease event no longer develops, is the success of this treatment. So, from this point of view, the cured cases should still occupy the majority. But as far as a complete cure, let's discuss that a little bit more!

Second, a complete cure for coronary heart disease is unrealistic!

It is less likely that you will be completely cured of coronary heart disease and never have it again in your life. The pathological basis of coronary heart disease is atherosclerosis, and the occurrence of atherosclerosis begins after birth, which means that as long as you are alive, atherosclerosis is occurring all the time. It is precisely because of this that the probability of coronary heart disease increases with age, because coronary atherosclerosis is a lifelong process, so theoretically it can be assumed that as long as you live old enough, then you will definitely suffer from coronary heart disease. Therefore, theoretically speaking, it is impossible to completely cure coronary heart disease!

Third, what is the purpose of the treatment of coronary heart disease?

The main treatments for coronary heart disease are medication, interventional therapy and surgical treatment. The main treatment in interventional therapy is stent implantation, while the main treatment in surgical operation is bypass grafting. But do you know what is the purpose of choosing these treatments? In fact, the purpose of choosing these treatments is twofold, one is to improve the symptoms and quality of life, so the primary purpose of the treatment is to make our coronary heart disease no longer develop and to improve our quality of life. The other aim is to improve the prognosis of our coronary heart disease, so that we can live as long as possible while carrying the disease. So, understanding this, we know that in fact, the essence of whichever treatment we choose is to live better and live longer. If we choose a treatment that does not give us these benefits, then the point of that treatment is lost. What is the purpose of all this? It is to choose the treatment wisely and not to be blindly confident and miss the opportunity to treat the disease, and, of course, not to be overly fearful and thus intervene in the disease too much.

So, stents don't cure coronary artery disease, nor do medications, nor do bypasses, and the purpose of all of this is to improve the quality of life and improve the prognosis as much as possible.

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Dr. Wang, how can I cure my coronary heart disease? Whatever it takes. We're not short of money!

Dr. Wang:We do our best to control it, stick to the medication, and there is no great danger in the future.

Does that mean you need to take medication for a long time?

Dr. Wang:Well! Coronary artery disease is treated in three parts: the

1. lifestyle, 2. drugs, 3. non-drug medical treatment

The standard of cure is that the disease is good, no longer need to take drugs, but modern medicine, no matter which method, can not completely cure coronary heart disease, need to take long-term medication to prevent aggravation of the condition, such as irregular medication, the condition will certainly aggravate, in the clinic, we can always find irregular medication, self-exchange of medication, and do not change the bad habits of the eventual lesions will be aggravated, and even repeated stent treatment. In the clinic, we always find that irregular medication, changing medication by oneself and not changing bad life habits will eventually aggravate the disease and even repeated stenting.

First, lifestyle

The main cause of coronary heart disease is atherosclerosis of the coronary arteries, the causes of atherosclerosis, including non-modifiable factors such as: age, genetics, gender and so on.

Modifiable factors:Smoking, alcohol abuse, stress, obesity, physical inactivity, hyperlipidemia, diabetes, hypertension, etc.

Therefore, the basis for the treatment of coronary heart disease is to change the lifestyle: quit smoking and limit alcohol, reduce salt, oil and sugar diet, exercise and exercise, early detection and early treatment of three high.

Second, medication

The treatment of coronary artery disease is a comprehensive treatment, and its basic medication includes aspirin plus statin, which on the one hand plays an antiplatelet and antithrombotic role, and on the other hand regulates lipids, anti-inflammatory and stabilizes plaque, preventing the aggravation of atherosclerosis in the vasculature.

In addition to the angina-controlling nitroglycerin, bethanechol, diltiazem, trimetazidine, nicorandil, etc., and the inhibition of ventricular remodeling to control the blood pressure of Prilosec or sartans. In clinical practice, we need to combine the patient's own situation to be adjusted comprehensively.

Thirdly, non-medication is also known as blood flow reconstruction

Including stents and bypasses, in the clinic for drug-uncontrollable coronary heart disease or acute myocardial infarction need to be rescued, we can only through special means.

For example, acute myocardial infarction, we need the first time to open the blood vessel including thrombolysis and stenting, but these methods are life-saving methods, for the later treatment, but also must lifestyle + drugs.

For angina that can not be controlled by drugs, some people say that the stent is harmful, but ask these cardiovascular soon to be blocked, if not stent, on the one hand, the quality of life can not be guaranteed, always guilty of angina, on the one hand, there is also the risk of myocardial infarction. So don't stand and talk without pain.

Bypass surgery is also the only option for patients who cannot be stented.

However, whether stents or bypasses are a way to relieve symptoms, the control of coronary heart disease still relies on lifestyle interventions and formal pharmacologic interventions.

In short, coronary heart disease has now become one of the top killers that jeopardize our lives and health, and modern medicine can only control and prevent it for the time being.

Human beings are actually small in front of the disease. Although the development of medical science has greatly improved the survival rate of coronary heart disease, lowered the hospitalization rate, and lowered the mortality rate, there is a long way to go in order to cure coronary heart disease!

Professor Qian Juying, deputy director of the cardiology department at Zhongshan Hospital, Fudan University, said:

Coronary heart disease, in acute myocardial infarction, the blood vessel is thrombotic lesions, combined with the original plaque caused by the complete occlusion of the blood vessel, so the treatment of coronary heart disease is centered on how to open the narrowed or occluded blood vessel, to restore the blood supply to the myocardium!

Coronary revascularization

There are two main approaches to coronary blood flow re-establishment: one is through theinterventional therapyIn this approach, the blood supply to the myocardium is improved by balloon dilatation, or combined stenting, at the site of the stenosis to restore the patency of the vessel.

There's another way to do it.surgical bypassIn order to restore blood supply to the myocardium at the distal end of the stenosis, it is necessary to bridge the stenosis with a vein from another blood vessel in the body, such as the aorta, or by diverting blood from a large vessel through an artery in the body, bypassing the stenosis.

Both methods are possible, but which method is better depends on the degree of the lesion, the location of the lesion, the extent of the lesion, and whether the lesion can be treated by intervention, or whether the patient's lesion is very extensive, with severe calcification in three or more vessels, which is not amenable to intervention, etc., so it is necessary to combine with the nature of the lesion to decide which method is more appropriate.

medication

In addition, drug therapy is the most important and fundamental part of the prevention and treatment of coronary heart disease. Generally, the drugs for patients with coronary heart disease include aspirin-type antiplatelet, some lipid-lowering, anti-ischemic drugs, and some drugs to stabilize plaque and control risk factors. Whether it is through the implantation of stents or balloon dilatation in the reconstruction of blood flow, or surgical bypass grafting, drugs are indispensable!

Coronary heart disease is the abbreviation of coronary heart disease, which is a heart disease caused by atherosclerosis or spasm of coronary arteries, resulting in coronary artery stenosis or occlusion and leading to myocardial ischemia, hypoxia and necrosis. Coronary heart disease in the current medical conditions there is no complete cure, only to achieve long-term stability and control of the condition of the target. In the face of coronary heart disease, we do not have to worry too much, active formal medical treatment is very critical, in the professional doctor comprehensive assessment of the condition after the formulation of individualized programs, and adhere to the treatment and regular review. We believe that with the progress of medical technology, we will make breakthroughs in the treatment of coronary heart disease in the future.

Coronary heart disease includes five major categories: asymptomatic myocardial ischemia, angina pectoris, myocardial infarction, ischemic cardiomyopathy, and sudden death, and its treatment options include lifestyle, medication, stent intervention, and coronary artery bypass grafting, etc., which should be chosen according to the specific condition. The vast majority of patients with coronary artery disease are asymptomatic myocardial ischemia or stable angina pectoris, which can be well controlled by lifestyle interventions and medications, and generally do not need intervention and bypass grafting, while for patients with frequent angina episodes, coronary stenosis of ≥75%, and acute myocardial infarction, it is recommended to decide whether or not to place a stent after a doctor's evaluation, and for patients with complex coronary artery lesions who are ineffective in stenting, it is recommended that bypass grafting should be used. Patients with complex coronary artery disease and ineffective stenting are recommended to be treated with bypass grafting.

The main drug treatments for coronary artery disease are aspirin and statins for long-term use, and ACEI/ARBs, beta-blockers, CCBs, and nitrates depending on the condition. Stent intervention must be used after evaluation by a doctor. Stent implantation can quickly open the blood vessels and restore blood supply. Although stents exist permanently after implantation, they are not a once-and-for-all method; stents do not solve the underlying problems such as atherosclerosis, so they must be used in conjunction with medication and lifestyle interventions after the procedure to avoid the formation of thrombi within the stent, which can lead to the occurrence of restenosis.

Coronary heart disease patients should pay attention to a low-salt, low-fat, low-sugar diet in daily life, actively quit smoking, limit alcohol consumption, appropriate regular exercise, maintain a good state of mind and regular work and rest, and control weight. While we are on regular treatment, we also need regular review so that the doctor can better formulate and adjust the treatment plan to achieve the purpose of long-term stable control of the disease.Thanks for reading and good health to all. This article was originally written by General Practice Sweeper on Today's Headlines & Wukong Q&A, Copyright © All Rights Reserved.

Coronary Heart Disease Chinese Herbal Remedies

Chinese Medicine Prescription 1:Diagnosis:Qi deficiency and blood stasis. Treatment:Relieve chest and benefit qi, invigorate blood circulation. Name of Formula: Shujiqi Tang. Ingredients:Astragalus 30g, Radix Codonopsis pilosulae 30g, Salvia miltiorrhiza 30g, Radix Paeoniae Alba 10g, Radix Paeoniae Alba 10g, Rhizoma Ligustici Chuanxiong 10g, Radix Bupleurum officinale 10g, Citrus aurantium dulcis 10g, Safflower 10g, Rhizoma Ophiopogonis 20g, Radix et Rhizoma Glycyrrhizae 15g. Usage: Decoction with water, 1 dose per day, 2 times per day.

TCM Prescription 2:Identify hyperactivity of fire in the heart. Treatment:Lowering fire and opening the veins, promoting blood circulation and tranquilizing the heart. Name of Formula: Tong Wei Ning Xin Tang. Ingredients: 10 grams of Mouton, 10 grams of Lutong, 15 grams of Radix et Rhizoma Shengdi, 5 grams of Piper betel, 15 grams of Salviae Miltiorrhizae, 10 grams of Yujin, 10 grams of Poria, 10 grams of Radix et Rhizoma Glycyrrhizae. Usage:Decoction with water, 1 dose per day, 2 times per day.

Chinese Medicine Prescription 3: Diagnosis: deficiency of qi and yin. Treatment:Enhance qi and nourish yin, dissolve blood stasis and clear the channels. Name of the formula: Qi and Yin Nourishing and Penetrating Soup. Ingredients: 20g of Salvia divinorum, 20g of Salvia divinorum, 20g of Ophiopogon, 10g of Fructus schisandrae, 10g of Cinnamomum cassiae, 30g of Radix et rhizoma Shengdi, 25g of Salvia divinorum, 15g of Rhizoma ligustici Chuanxiong, 15g of Motherwort. Dosage:Decoction with water, 1 dose per day, 2 times per day.

Chinese Medicine Prescription 4: Diagnosis: deficiency of qi and yin, stasis in the heart veins, combination of deficiency and reality. Treatment:Benefit qi and nourish yin, invigorate blood circulation and eliminate blood stasis. Name of Formula: Ning Xin Tang. Ingredients: 9g of Radix Panax Ginseng, 9g of Salvia Miltiorrhiza, 6g of Radix Angelicae Sinensis, 3g of Rhizoma Ligustici Chuanxiong, 9g of Radix Rehmanniae Praeparata, 9g of Radix Paeoniae Alba, 9g of Rhizoma Paeoniae Alba, 9g of Peach Kernel, 5g of Flos Safflora, 9g of Poria, 5g of Magnolia, 3g of Pericarpium Citri Reticulatae, 3g of Radix Glycyrrhiza Uralensis. Usage:Decoct with water, 1 dose per day, 2 times per day.

TCM Prescription 5: Diagnosis: Yang deficiency of the heart and kidney, blood stasis in the heart. Treatment:Warming yang and benefiting qi, nourishing yin and blood, resolving blood stasis and clearing channels. Name of Formula: Astragalus and Paralysis Soup. Ingredients:Astragalus 30g, Angelica Sinensis 12g, Radix Paeoniae Alba 12g, Rhizoma Ligustici Chuanxiong 9g, Radix Rehmanniae 15g, Salviae Miltiorrhizae 20g, Radix et Rhizoma Glycyrrhizae 6g. Usage:Take 1 dose with water, 2 times a day.

TCM Prescription 6:Identify Qi deficiency and phlegm. Treatment:Tonify Qi and strengthen the spleen, remove phlegm and eliminate blood stasis. Name of Formula: Benefiting Qi and Removing Phlegm Soup. Ingredients:18g of Radix Codonopsis, 50g of Rhizoma Polygonati Odorati, 10g of Semen Armeniacae, 6g of Tangerine Red, 10g of Bamboo Roots, 6g of Citrus Aurantium, 15g of Atractylodes Macrocephalae, 15g of Poria, 15g of Salviae Miltiorrhizae, 15g of Fructus Crataegi, 5g of Radix glycyrrhizae. Usage:Decoction with water, 1 dose per day, 2 times per day.

TCM Prescription 7:Diagnosis:Deficiency of heart qi and lack of heart yang. Treatment:Nourishing the heart and fixing the will. Name of Formula: Nourishing the Heart and Determining the Will Tang Plus Reduction. Ingredients: 10 grams of Radix Panax Ginseng, 10 grams of Poria, 8 grams of Acorus Calamus, 8 grams of Radix Polygoni Multiflori, 5 grams of Radix et Rhizoma Glycyrrhizae Praeparata, 8 grams of Cinnamomum Cassiae, 10 grams of Wheat, 5 jujubes, 10 grams of Salviae Miltiorrhizae, 8 grams of Fructus Fructus, 15 grams of Bone of Longan and 15 grams of Mother of Pearl. Usage:Decoction with water, 1 dose per day, 2 times per day.

Chinese Medicine Prescription 8: "Regulating Heart Soup" to prevent and control coronary heart disease! Drug composition: 15 grams of Chaihu, 10 grams of Sichuan pepper, 30 grams of Perilla seeds, 30 grams of Codonopsis, 10 jujubes, 10 grams of licorice, 15 grams of Scutellaria, 30 grams of Lily, 10 grams of Wuyao, 30 grams of Piper betle, 30 grams of Salvia, 15 grams of Yujin, 30 grams of oysters. One dose a day, ten days as a course of treatment. This formula takes Xiao Chaihu Tang as the general formula, declaring its surface and interior, dredging and adjusting the triple jiao, filling its fluid to make the five organs wear ze, adjusting its yin and yang to make the qi and blood balance, the formula insists on serving for a long time, and the effect is quite obvious, in a word, all kinds of heart disease, especially coronary heart disease, has a good clinical effect.

It can be cured, but it's not stenting or bypass surgery!

Interventional procedures can cure coronary heart disease?

Interventional procedures (stents, bypasses) are a first aid measure, not a cure, and are emergency rather than curative.Every patient who undergoes an interventional procedure does so as a last resort.But when life can pass away at any time, the only choice we have is to survive, and interventional surgery is based on this purpose, and a kind of emergency surgery to let the patient or, but interventional surgery is not a cure for coronary heart disease.

Each coronary artery disease patient's physical condition, the degree of disease varies, whether to intervene, also need to consider comprehensively, whether ischemia, what degree, if the patient's coronary artery stenosis is serious, has seriously affected the life, resulting in a decline in their standard of living, then we will only consider interventional surgery.

But after the intervention was done.It doesn't mean that coronary artery disease will be cured. In a sense, surgery or not has no significance on coronary artery disease, you still need to take medication and there is still the possibility of stenosis and blockage, so the intervention is just a kind of first aid to help you buy time.

Why do you go back and forth with so many surgeries?

This patient's experience is not surprising, and is even clinically very normal. Coronary artery disease is caused by a large number of factors, and this patient may not have realized or paid attention to these causes, so the coronary arteries underwent secondary and tertiary... Stenosis, in order to buy time, this patient had to undergo a second and third... Surgery.

Current conventional treatment options for coronary heart disease: Pre-medication control, supplemented by a regimented diet, late intervention to save lives, and then an infinite cycle that continues until death.The only difference is that some people have longer intervals and some have shorter intervals, which makes the difference between good and bad, and this patient typifies the shorter intervals and poorer control.

How should coronary heart disease be treated?

Treating the cause!

Our traditional understanding: coronary heart disease is caused by high salt diet, high fat diet, late night smoking, age and heredity, but in fact, it is not comprehensive, there are some special cases of patients in the community, there are no such causative factors, but still suffer from coronary heart disease, this part of the group can not be explained by the traditional theory, that is, there is a causative factor, has not been known to the public.

Years of clinical treatment and tracking, I found this factor, not only these special groups of patients mentioned above, from the point of view of all patients with coronary heart disease, the vast majority of patients with coronary heart disease have varying degrees of changes in the spine, these changes are abnormal, which can be called foci, these foci will be a long-term stimulation of sympathetic nerves from the, so that it is abnormally excited discharge, and then the coronary arteries that are innervated by them to spasm and contraction. Spasm and contraction of the coronary arteries, and the spasm and contraction of the coronary arteries will lead to lower blood flow, myocardial ischemia, hypoxia, on the one hand, blocking the coronary arteries, on the other hand, damage to the function of the heart, which is why all kinds of drugs can only control the rate of development of coronary heart disease, but can not treat coronary heart disease reasons.

We address this factor by treating the focal point from the root of the disease in patients with coronary artery disease, and then by lifting nerve excitability through our original neuromodulation technology to re-expand narrowed and occluded coronary arteries, restoring their health and returning to normal life!

(This article was originally written by Prof. Luo Min. Some of the pictures in the article are from the Internet, if copyright is involved, please contact me for deletion. If you have any questions, welcome to leave a message at the end of the article, private chat contact, common discussion. (Follow the author of this article to get more medical knowledge, welcome to like, comment, reproduced, common progress)

First of all, let's review the most fundamental definition of coronary heart disease: the latest update of the "Coronary Heart Disease Guidelines for Rational Use of Drugs" points out that: coronary atherosclerotic heart disease refers to heart disease caused by coronary atherosclerosis so that the lumen is narrowed or occluded, resulting in myocardial ischemia, hypoxia, or necrosis, collectively referred to as coronary artery heart disease or coronary artery disease, coronary heart disease for short, categorized as ischemic heart disease, and it is the Atherosclerosis leads to the most common type of organ disease.

At present, the common means of treating coronary heart disease in modern medicine mainly include: drug therapy, percutaneous coronary intervention and coronary artery bypass grafting.

Drug therapy is mainly applicable to patients who cannot undergo interventional surgery or patients whose coronary artery lesions are not serious and do not require surgery. Through the action of drugs on the lesion site or through the inhibition of platelet aggregation, stabilization of vascular plaque and other effects to prevent vascular embolism, either prolonging the time of blood supply to the coronary arteries or expanding the coronary arteries to increase the supply of blood to achieve the role of symptomatic relief.

Percutaneous Coronary Intervention, also known as stenting, is called PCI, and it involves passing a guidewire through the embolized area, and then placing a stent in, holding it open, and squeezing the plaque to the outside, i.e., killing the plaque to keep the coronary artery open.

Coronary artery bypass grafting is often referred to as bypass grafting, in which a blood vessel is taken from another part of the body (e.g., the leg) and placed in the heart instead of the coronary arteries to transport blood. Bypass grafting is used in patients with diffuse lesions in multiple coronary arteries, meaning that the overall condition of the patient's blood vessels is no longer good, and placing 1 or 2 stents will not solve the problem of the blood vessels.

The above are now commonly used methods of treatment of coronary heart disease, it is very regrettable that all the current technology and drugs are not able to cure coronary heart disease, but as long as the patient actively cooperate with the doctor's treatment, on-time medication, and actively change the lifestyle can still reduce the number of episodes of coronary heart disease as well as prolong the life expectancy and reduce the mortality rate of the long term. Can not because of modern technology can not be cured on self-loathing, give up treatment, not to mention superstitious prescriptions, believe in pseudo-science, but delayed the formal treatment, increase the risk of embolism.

Finally, I suggest that a rational lifestyle is the most important prescription for improving coronary heart disease, and it includes:

1. Psychological aspects: patients should maintain and control their emotions to avoid anxiety, depression, tension and over-excitement, so as not to induce or aggravate coronary heart disease.

2. Diet: give low-salt, low-calorie, high-quality protein, high-vitamin light and easy-to-digest diet, avoid seafood, gas-producing food and strong tea, coffee or spicy stimulating food; quit smoking and alcohol; eat more vegetables and fruits, less time and more meals, especially pay attention to the dinner is not easy to be overfull, should not be eaten again after the meal.

3. Rest activities

(1) Ensure adequate sleep.

(2) The patient should have appropriate activities to minimize the patient's maladaptive state. Generally speaking, walking, cycling, tai chi and so on are better ways to exercise. The amount of exercise varies from person to person, and it is generally appropriate not to induce panic, shortness of breath, chest tightness and other uncomfortable symptoms.

4. Defecation

Patients should develop the habit of defecating on time every day to prevent constipation. Defecation should not be used excessively, so as not to increase the heart load, or even induce severe myocardial ischemia. Long-term bedridden patients regularly change position, abdominal clockwise massage, or daily contraction of the abdominal muscles several times, if necessary, give the right amount of laxative.

5. Use of drugs and medication

Long-term oral drug therapy is a key measure to maintain stability and reduce the risk of adverse cardiovascular events. If there is a change in his/her condition, he/she should seek prompt medical attention and should not change his/her medication regimen or discontinue the medication on his/her own, as discontinuing the medication on his/her own will increase the risk of thrombosis.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Coronary heart disease is the narrowing or blockage of blood vessels due to atherosclerosis of coronary vessels. Therefore, the hardening of cardiovascular and cerebrovascular is the same reason, which belongs to the law of nature, no one can change. Understand this reasoning, understand this disease can not be cured. Coronary heart disease can only go to think of ways to slow down the hardening of blood vessels, rather than stopping the hardening of blood vessels. Some diseases like high blood pressure, high blood sugar, high blood fat and so on can accelerate the hardening of blood vessels, which will also induce the occurrence of cardiovascular and cerebrovascular diseases. Therefore, controlling the elevation of blood pressure, blood sugar and blood fat is equal to controlling the occurrence of this disease. In addition, some bad habits, such as smoking, drinking, temper, nervousness, etc. will accelerate the hardening of blood vessels. On the contrary, eating more foods that soften blood vessels, such as tomatoes, garlic, eggplant, kelp, black fungus, shiitake mushrooms and so on, can play a very good preventive role in this disease. In conclusion, maintaining a correct mindset and a happy mood about the disease will help to control it and minimize the risk of the disease.