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Traditional Chinese Medicine Formula for Heart Failure

Chinese Herbal Prescription (I)
【Formula Name】Heart Failure Formula One.
【Composition】Huangqi 10–15g, Dangshen 10g, Yimuxiang 10–12g, Ze Lan 10g, Ji Fupian 6–10g, Zhi Banxia 10g, Bei Wujia Pi 4–10g.
【Usage】Decoct and serve warm, divided doses.
【Treatment Principle】Tonify Qi and activate blood, warm Yang and promote diuresis.
【Indications】Heart failure.
【Additions/Modifications】If severe vomiting, add Zhuku and ginger; if coughing, shortness of breath, unable to lie down, add Suzi, Baiguo, and Zhi Ma Huang; if obvious edema with expectoration of thin white sputum, add Baizhu, Fuling, Zhuling, Cheqianzi, Suzi, Baijiezi to strengthen spleen, promote diuresis, and remove phlegm; if marked Yang deficiency with cold extremities, add Tusizi, Xianmao, Buguzhi to warm kidney Yang, or add Guizhi; if signs of Yin deficiency appear, discontinue Fupian and add Maidong, Wuweizi; if Yang collapse occurs, use Shengmai San combined with Sini Tang to tonify Qi and rescue Yang.
【Source】Complete Collection of Chinese Herbal Formulas.
Chinese Herbal Prescription (II)
【Formula Name】Heart Failure Formula Two.
【Composition】Fuzi (decocted first for 3 hours) 15–30g, Dangshen 24g (or Ren Shen 6g), Guizhi 9g, Chuanxiong 12g, Chishao 15g, Honghua 6g, Dingli Zi 12g, Cheqianzi 30g, Zhi Gancao 9g.
【Usage】One dose daily, concentrated to 200ml, divided into three doses, 7–10 days constitute one course. After improvement, rest one day before continuing 1–2 courses. After heart failure resolves, switch to Gui Pi Tang, Shengmai San, or Xiangsha Liujunzi Tang for post-treatment conditioning.
【Treatment Principle】Warm Yang and tonify Qi, activate blood and promote diuresis.
【Indications】Congestive heart failure.
【Additions/Modifications】If markedly reduced urine output and obvious edema, add Mutong and Fangji each 12g; if palpitations and insomnia, add Zao Ren 15g, Hupo 6g; if severe shortness of breath, add Huangqi 15g; if excessive phlegm, add Banxia 12g, Chenpi 9g; if loose stools and poor appetite, add Baizhu 15g, Sharen 6g; if ascites, add Heibai Chou 6g; if spontaneous sweating, add Longgu and Muli each 30g; if red tongue and dry mouth, remove Guizhi and add Maidong 15g, Wuweizi 6g.
【Source】Complete Collection of Chinese Herbal Formulas<Heart Failure>

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