Ma Xing Er San Tang is a compound recipe that derived from Ma Xing Shi Gan Tang, Er Chen Tang and San Zi Yang Qin Tang. 250 cases of Cor Pulmonale (CP) were treated by this Ma Xing Er San Tang with satisfactory therapeutic results. The main ingredients are Ma Huang, Xing Ren, Shi Gao, Gan Cao, Chen Pi, Ban Xia, Fu Ling, Su Zi, Che Qian Zi, Lai Fu Zi, Huang Qin, and Lou Lu.
For those who suffered from severe asthma and could not lie down, Sang Bai Pi and Ting Li Zi were added; for those who has yellowish, thick and stench phlegm, Chen Pi and Ban Xia were substituted by Lu Gen and Yi Yi Ren; for those with whitish, profuse and thin sputum, substitute Huang Qin and Lou Lu with Xi Xin and Sheng Jiang; for those who was difficult to expectorate, Dong Gua Ren, Zhe Bei Mu, Gua Lou were added; for those who had palpitation, shortness of breath and fatigue, Tai Zi Shen and Hong Shen were added; for those with cough and small amount of sputum, weak and rapid pulse, dry mouth and throat, red tongue with scanty coating, substitute Chen Pi, Ban Xia and Che Qian Zi with Sha Shen, Mai Men Dong and Nu Zhen Zi.
Results and Comment: In 250 cases treated, 156 cases were remarkable effective, 71 cases improved, and 23 cases were ineffective included 21 cases died. The total effective rate was 90.80%. Usually, acute onset of CP occurs in older persons with debility, multiple diseases and low general resistance, and it could not be satisfactorily treated by antibiotics. The combination of TCM and western medicine was used for combating against infection, clearing away heat, resolving phlegm, lowering the adverse flow of lung qi and relieving asthma, so as to enhance the therapeutic effects and lower the fatality rate.
Key Words: Ma Xing Er San Tang, cor pulmonale, acute stage
Writer: Huaitang Du
Dongzhimen Hospital, Beijing University of Traditional Chinese medicine and Pharmacy
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