Yangxin Dingzhi Decoction, coronary heart disease, #CoronaryHeartDisease

Function and Indications
Tonifies heart qi, replenishes heart yang, nourishes heart yin, stabilizes mental focus. Indications: Coronary heart disease (CHD).

Formula Composition
Pseudostellaria heterophylla (15g), Poria cocos (10g), Acorus tatarinowii (10g), Polygala tenuifolia (10g), Salvia miltiorrhiza (10g), Cinnamomum cassia (8g), Glycyrrhiza uralensis (honey-fried, 5g), Ophiopogon japonicus (10g), Ligusticum chuanxiong (10g).

Usage and Dosage
1 dose daily, decocted in water for oral administration.

Modifications

Chest stuffiness and pronounced yang obstruction: Add Trichosanthes kirilowii (Gua Lou) and Allium macrostemon (Xie Bai).

Severe angina with radiation to shoulder/back (severe qi-blood stasis): Add Panax notoginseng (San Qi) and Melia toosendan (Jin Ling Zi).

Irritability, palpitations, sweating (heart-liver disharmony): Add Triticum aestivum (Xiao Mai) and Ziziphus jujuba (Da Zao).

Hypertensive heart disease: Remove Os Draconis (Long Gu) and add Cassia obtusifolia (Jue Ming Zi), Cyathula officinalis (Chuan Niu Xi), and Eucommia ulmoides (Du Zhong).

Cor pulmonale: Add Ginkgo biloba (Yin Xing), Asparagus cochinchinensis (Tian Dong), Rehmannia glutinosa (Sheng Di), and Prunus armeniaca (Xing Ren); remove Ligusticum chuanxiong (Chuan Xiong).

Case Validation
In a clinical trial of 329 CHD patients, results showed:

Marked improvement: 201 cases

Moderate improvement: 112 cases

Ineffective: 16 cases
Total effective rate: 95%.