Coronary artery disease and stroke are the first and second cause of death in various societies  and are estimated to maintain this rating by 2030 . The occurrence of cardiovascular problems varies from country to country and culture to culture. The Middle East and parts of Western Europe are likely to have the highest mortality rates of cardiovascular problems . Cardiac ischemic diseases have been ranked first among the most common causes of death in the Middle East, with the possibility that Iran has the highest incidence of illness in the region . The study of the incidence of stroke in Mashhad estimated 144 per 100,000 for men and 113 per 100,000 for women, which is one of the highest reported rates in the world . On the other hand, previous studies in Iran have shown that 32% of men and 41% of women have at least two main risk factors for cardiovascular disease including diabetes, hypertension, hyperlipidemia, obesity and smoking . However, according to data provided by the United States, more than 6 million people from emergency room referees each year have chest pain of which more than one million are diagnosed with acute myocardial infarction and are admitted in cardiac care units every year. Also, 500,000 deaths annually are due to coronary artery disease . Various therapeutic approaches, including medicine treatments using thrombolytic drugs, anti-thrombics, beta-blockers, calcium antagonists, etc., and invasive treatments like angioplasty and open heart surgery have also been used in the treatment of this disease. In spite of all these measures, these diseases are responsible for nearly half the deaths in industrialized countries  and is one of the most important causes of mortality in Iran . Accordingly, it seems necessary to think of measures to deal with this situation. An important factor in the development of syndromes or different spectra of the disease is inflammation and damage to the wall of the vascular endothelium . Various studies have shown that low-level lipoprotein oxidation plays an important role in the pathogenesis of atherosclerosis. Experimental studies in different experimental animals showed that antioxidants reduce low-level lipoprotein oxidation and decrease the rate of atherosclerotic plaque formation . Generally, epidemiological studies have shown that the increased intake of antioxidants as food or supplementary products is associated with a reduction in the risk of cardiovascular diseases . Despite the dramatic advances in the diagnosis and treatment of these diseases in the last three decades, this group of diseases is still a major health problem in the world and an important problem in developing countries. Today, with scientific advances and developments, coronary angiography is used as an invasive investigation in the diagnosis of known or suspected coronary artery disease. According to the latest data from the American Heart Association in the United States, one million patients are undergoing invasive and diagnostic heart tests. In Iran, about 16 to 18 thousand cases of angiography are performed annually. In most cases, invasive diagnostic tests cause stress and anxiety for the patient. Most hospitalized patients experience some degree of anxiety, one of the most common type happens before coronary angiography . However, it can be said that the increased number of heart disease, increased cases of hospitalization and the high cost of care and treatment challenges put pressure on the health system in the current century. For this reason, the prevention of heart disease complications and their successful treatment is essential because it requires preventive and therapeutic measures such as physical activity, proper diet and the continuation of drug use. This can be done only through active participation of patients in treatment while implementing the recommendations given by team members . There are also many reports declaring that the beneficial effects of effective medicinal herbs as well as traditional and complementary therapies have been observed along with the main treatment of cardiac patients in improving the life quality of patients, which might be used more by the patient while leading to lower costs [20-15]. In this regard, it was necessary to evaluate and make a scientific report based on a combination of modern and traditional Iranian medicine with new methods and medications that have the highest therapeutic effect in the shortest period of time.
Medical History and Examination according to Modern Medicine
The patient is a 53-year-old man, with no history of a heart problem, a history of high blood pressure and high blood fat for more than 10 years. The patient is a senior office worker, resident and born in Bojnurd city, weighing about 95 kg with height of about 170 cm. Although the patient suffered from short chest pain for three days, he travelled to Tehran for an official mission. The patient suddenly experienced persistent pain at the back of the chest six hours before his visit. This pain increased until the time of referral to the Emergency department of Tehran's Mehr hospital at 23 o'clock in December 2013. The patient was diagnosed with acute coronary syndrome and transferred to the cardiac care unit for 4 days due to his unstable angina. The main complaint was chest pain along with nausea, vomiting, and cold sweating. The patient received coronary artery angiography at the time and by diagnosis of cardiovascular obstruction, according to Figure 1, was considered as an angioplasty candidate willingly submitting his surgical intervention to another time. After discharge, the patient was treated regarding his blood pressure, blood fat and acute coronary syndrome. One month after being referred to Bojnurd, the patient was referred to the Hajtaleb traditional medicine center based on the advice of a relative. The patient had the following vascular risk factors: 1) smoking 5 cigarettes per day, 2) body mass index of 32/87, in other words, very obese; suffering from hyperlipidemia and hypertension for over 10 years treated with atorvastatin, 40 mg once a day, losartan pill 50 mg twice a day, amlodipine 5 mg once a day, 3) lack of sufficient physical activity, 4) severe occupational stress. During this period, the patient was treated with modern methods. He was anxious and depressed as a result of being hospitalized in cardiac care and undergoing angiography.
Medical History and Examinations according to Iranian Traditional Medicine
The patient had a hot and wet temperament, with good physical fitness and no problem regarding clinical symptoms. The patient's pulse was full and felt warmer when touching the skin; the patient did not use proper nutrition for prevention. On the other hand, he did not follow the advice of doctors to abstain and keep hygiene. The patient's sleep status was appropriate, he was in tune with nature and could breathe in natural clean air every month.
Measures to Protect Health and Nutrition:
The patient's treatment measures began on Jan 16, 2014. Given that the patient had undergone invasive diagnostic and cardiac care-related therapies during the previous month, he suffered from anxiety and depression. Therefore, in the first session, we tried to use behavioral therapy and counseling to revive the patient's hope and give him a full description of the treatment process. The patient's relatives were advised to treat him with kindness due to his depressive condition. Also, he was asked to stop cigarettes completely. In the next step, measures were taken along with nutritional and necessary recommendations. Therefore, the patient was advised to observe six principles of health in the traditional medicine of Iran in accordance with the following:
1) Use the proper air and walk in nature at least several times a week.
2) The patient was provided with a nutrition guide CD in order to apply all dietary and drinking instructions, and in particular, he was advised to avoid overeating and using fat and red meat but should consume more vegetables and fruits.
3) There were recommendations for sleep and awakening of the patient, in order for him to have a proper sleep.
4) The patient was advised to avoid heavy exercises but should take a short walk during the day.
5) Regarding the fact that the patient should have proper absorption and desorption, it was recommended that he should urinate several times a day while not having excessive sweating.
6) Psychological and stress-free psychotherapy has been applied because these patients need to be relaxed and away from stressful environments.
For this patient, due to his temperament and condition of the disease, medicinal herbs and combination drugs were used. Therefore, due to the fact that the patient was warm and wet in temperament, medicinal and natural herbs were used. In addition to the effect on the treatment of cardiovascular blockage, it balanced the warm and wet condition in the patient's body:
A) Boiled sour tea + rose flower + citrus aurantium + chicory roots: The plants are combined in equal proportions and are half-mashed. Two tablespoons of this proportion is boiled in half a glass of water until half of it evaporates. The rest will be filtered and consumed. It was ordered to use a glass every 8 hours of every day. The four plants above, in addition to the warming and wetting of the blood, have a therapeutic effect on heart disease, especially vascular obstruction. On the other hand, they are anti stress and relaxing.
B) After a few days when the patient was drinking boiled sour tea + rose flower + citrus aurantium + chicory roots according to the above instructions, he was recommended to use a combination of rose and senna leaf to repel the damaged material.
C) Garlic is one of the herbs used to treat cardiovascular diseases (especially vascular obstruction). The patient was recommended to receive three cloves of garlic daily, which was made with natural vinegar. For men, especially those who are warm in temperament, we cannot prescribe garlic individually, because warm garlic might reverse the effects of the treatment. Cerebrospinal fluid was reported through excessive use of garlic. However, if garlic is used with vinegar, it might have a therapeutic effect.
D) Jujube is one of the herbs that is effective in reducing obstruction in addition to dilution of blood, and about 20 jujubes are recommended daily.
E) Pomegranate paste is one of the best natural ingredients for warm and wet patients, and is also effective in the treatment of vascular obstruction. Three teaspoonfuls are recommended daily.
1 - Cupping: Full back cupping was recommended every two days because it works to strengthen the body while increasing the blood flow of the patient. On the other hand, it helps to eliminate corrosive edema, and most importantly, it strengthens the immune system. Also, it can even help in forming sputum.
2- Leech therapy: One of the best treatments for vascular obstruction in traditional medicine is leech therapy. In this patient, leech therapy was started with the anterior ankle of the left foot and the forearm of the left hand, as 5 leeches were used in each place. After a week, the patient completed the examination and again leech therapy was applied on his chest (on the anatomical shadow of the heart). This process was performed 5 times and the patient was constantly under different control and examination during this period. Leech therapy was performed in heart patients, including our patient, according to the following conditions:
2.1- Leech therapy must be performed by a physician and in a clinic environment equipped with full recovery equipment.
2.2- The medical records of the patient, including the electrocardiogram and echocardiography, must be evaluated by a physician in the field of vision and muscular strength of the patient's heart. In the treatment of heart patients, physicians must have adequate knowledge of the patient's physical strength and heart power, otherwise he / she has no right to treat the patient.
2.3- It is best if the patient is angiographed and the vascular obstruction is confirmed.
2.4- The physician who prescribes leech therapy should have enough information about the patient's physiopathology according to the knowledge of modern medicine and also be familiar with the basics of traditional medicine having been through the full course of scientific leech therapy.
2.5- For the purpose of treatment, the number of leeches, the size of leeches, the number of treatment rooms and the number of leech therapy sessions depends on the physical strength of the patient, the age of the patient, the severity of the vascular obstruction and the patient's temperament. The attending physician should pay attention to all these before starting the leech therapy.
Considering the combination of therapeutic methods of modern and traditional Iranian medicine, the patient's general condition improved after the second week, so that the patient's stress and anxiety were not observed or recorded. The patient underwent angiography on February 3, 2014, and all of the patient's vascular obstruction was improved in his clinical report, as shown in Fig. 2. At the moment, the patient was only treated with losartan 25 mg twice a day for his blood pressure and used health and nutritional measures. He also took medication and hand applications periodically over the past three years. The patient's condition was followed for 3 years and no recurrence was observed.
On a yearly basis, cardiovascular diseases cause many deaths in the world, such that these diseases are the first cause of death in developed countries . Cardiovascular diseases are multifactorial illnesses and so far many risk factors have been identified. Also, various studies have been carried out on these risk factors at home and abroad. In 1990, the world's population was about 3.5 billion, and cardiovascular disease was responsible for 3.34 million deaths, which equaled 28.4% of the world's 50 million deaths, of which 3.6 million died from coronary artery disease including 44% of deaths due to cardiovascular diseases and 4.4 million deaths from brain strokes which is equal to 31% of deaths from cardiovascular diseases. At the beginning of the 20th century, only 10% of the world's deaths were related to cardiovascular diseases, but it reached 28% by the end of the 20th century, and today it accounts for about half the deaths of developed countries and 25% of the deaths in developing countries. It is predicted that by 2020 these diseases will become the leading cause of mortality in the world with an estimated 36% of the total deaths in the world [7- 2]. Coronary artery inflammation with oxidative stress causes lipid accumulation and, as a result, leads to arterial injury called atheroma. In addition, high levels of lipid in the plasma lead to endothelial activity and increase the adhesion of immune cells to the endothelium, resulting in impaired functioning of the endothelium. The conditional risk factors associated with an increased risk of coronary artery disease include triglyceride, homocysteine, lipoprotein A, coagulation factors and inflammatory markers [12-10]. Despite the significant advances in the diagnosis and treatment of these diseases in the last three decades, morbidity and high cost of treatment of this disease impose a significant burden on the individual and the health system of the community . On the other hand, due to the high prevalence of coronary heart disease in Iran, there is need for more effective and cost lowering treatment methods. Therefore, due to the high cost of long-term treatments and high rates of cardiac complications and physical disabilities, various methods have been used to treat coronary heart disease all over the world, and new therapies are under investigation . The patient studied in this report had ischemic heart disease that was treated with combined therapy. In this report, an attempt was made to use the most effective and least complicated methods in these medical schools to maintain the health and treatment of the patient by combining these schools of medicine presenting a scientific report.
In general, there is no specific definition of modern medicine in the description of the traditional medicine for coronary artery disease. But with the knowledge of traditional medicine, these patients can be helped. In other words, if we want to treat ischemic heart disease according to traditional medicine texts, we cannot cure patients. However, a physician who knows the physiopathology of ischemic heart disease, can effectively combine the two schools of medicine (modern medicine and traditional medicine) to treat the disease and its complications. Over the past decade, new solutions have been proposed for the treatment of ischemic heart disease and this has reduced the mortality . With the creativity and innovation, which includes the use of physiopathology of modern medicine, the definitions of traditional medicine in Iran were used in the study of temperament, nutritional reform, strengthening of the patient, radiotherapy, herbal therapy and hand application such as balloon, etc. this is referred to as targeted effective medicine. Therefore, the patient needs therapeutic interventions including behavioral therapy, physical exertion, regeneration, nutrition, herbal medicine, effective Iranian leech therapy (including modern leech therapy and temperament leech therapy) and balloon. Various studies have shown that lifestyle modification toward a healthy lifestyle, including the use of healthy eating, proper nutrition, exercise, non-smoking, and good mental health can provide health indicators even in an individual with ischemic heart disease. It also significantly reduces the risk factors and complications [17-15]. In this study, nutritional recommendations and recommended dietary advice were provided to patients, in order to understand the dietary habits of traditional medicine.
Also in this patient, medicinal herbs were added: A) Boiled sour tea + rose flower + citrus aurantium + chicory roots. The four plants above, in addition to their warming and wetting effect (on the blood), have a therapeutic effect in heart disease, especially vascular obstruction. On the other hand, they are anti-stress and sedative. After a few days, the patient was treated with rose and Senna leaves in order to excrete the phlegm. One of the herbs used to treat heart and sweat (especially vascular obstruction) is garlic, and is accepted in all the herbal remedies of the world and the World Health Organization.
Jujube is another herb that is effective in the treatment of vascular obstruction besides diluting blood. Pomegranate paste, with its cold and dry temperament, is one of the best natural ingredients for patients with warm and wet temperament. It is also effective for the treatment of vascular obstruction. In choosing therapeutic methods in traditional Iranian medicine, the effective ingredient is important and then temperament must be considered. Namely, we chose plants that are strong in terms of the active ingredient and then adapt to the patient's temperament. In the method of effective medicine, we do not prescribe diligence and judgment in the way that we have been told in traditional medicine, but rather to correct the simple maladaptation. Also, we will use the necessary drugs with the necessary ingredients and, if needed, for treating the material maladaptation. We believe that in most patients, maladaptation is simple. In other words, if simple abnormalities are resolved and medicinal herbs or herbal medicines are administered with the required active ingredient, they will be recovered and there will be no need to examine the patient's temperament. We did the same for this patient. In other words, first we prescribed soda and bile reformer considering their effective substance and then a laxative will be prescribed, the use of which will not be prolonged [18-16]. Generally, herbal therapy in a patient with ischemic heart disease is complex but highly effective, and the placement of these plants is very important in both single or combination forms, which varies from patient to patient. This method of herbal medicine, considering the active ingredient of the plant and the temperament of the patient, is used for the first time in the world. Because temperament is not mentioned in modern books and effective ingredient is not discussed in traditional medicine books, combining these two knowledge is a very complicated process that has been used in many years of research and treatment using the method of effective medicine .
Unfortunately, there is no study on leech therapy in Iran. In this patient, we could not take a lot of blood due to his age and weakness of the body. Also, due to his mucoid temperament, it is not permissible for blood to be taken as there is a relative contradiction of leech therapy and blood therapy in traditional medicine. The leech treatment approach in this patient was saliva therapy and did not require blood taking. But because the leech did not take blood, it did not give saliva, therefore, it has to be blooded by leech, keeping the points in mind that a) the amount of drinking for the patient is more and smaller leeches were used B) The period between the two leech therapies was increased so that the patient's body had the opportunity to regenerate itself naturally. In this patient, the leech's saliva was helpful for treatment, of which the effective ingredient has anti-inflammatory, anticoagulant, antiviral, antimicrobial and blood-forming properties that can help with the treatment of ischemic heart disease. In other words, one of the best therapies in traditional medicine for treating vascular obstructions is leech therapy and it is accepted throughout the world. In leech's saliva, there are several anti-coagulant agents that can act as an anticoagulant and reopen and rebuild the cardiovascular system. Among these, heiridine and Colin can be mentioned, both of which are effective in the treatment of vascular obstruction. Heredine in leech's saliva is a substance that prevents blood coagulation, and also the Colin in its saliva keeps the wounds open for 12 hours and stops the activity of the Will Brunt factor. Hyaluronidase acts as a proliferator factor. This factor facilitates the removal of Mucopolysaccharides, and can serve as a route for subsequent biochemical materials. The salivary carboxy peptidase in leech's salvia is a kind of histamine-like inhibitor that expands the capillaries around the leech bite, thereby increasing the flow of blood at the site of fecundity. In short, heroin inhibits blood coagulation by joining thrombin, and quinine prevents blood coagulation by preventing the Van Will Brund factor from joining collagen [19-20]. In conclusion, with regard to the course of medicine, during the last century, one cannot say that there is no complete school in the world of medicine. Therefore, medical schools such as modern medicine, traditional medicine of Iran, Ayurveda in India, Chinese Medicine, etc. which are all into human health preservation, have many weaknesses and strengths because they are incomplete and incomprehensive.
Effective medicine as a combined school of two knowledge in two modern medicine and traditional Iranian medicine schools, provide effective clinical findings in the treatment of certain diseases, such as ischemic heart disease. Therefore, in the treatment of this disease, the use of effective medicine methods will cost less and improve the quality of life of patients. Therefore, according to the principles of modern medicine and traditional medicine in Iran, it can be investigated and evaluated as a non-invasive new therapeutic method with the highest therapeutic effect in the shortest time.
List of Abbreviations
CD: Compact Disk
The authors have no conflict of interest in the publication of this article.
This article is the outcome of treatment measures by Dr. Hassan Hajtalebi. Dr. Hassan Khani and Hamid Hajtalebi cooperated in documenting and writing the article.
The authors of this paper appreciate the patients and her families’ cooperation in participating and completing all treatment and healthcare processes. The authors also thank the nurses at Hajtaleb Medical Complex of Alternative and Complementary Medicine for helping to treat the patients.
Ugonjwa wa mshipa wa moyo na kiharusi ni sababu ya kwanza na ya pili ya vifo katika jamii mbalimbali na inakadiriwa kudumisha kiwango hiki hadi 2030. Matatizo ya moyo na mishipa ya damu hutofautiana kutoka nchi moja hadi nyingine na kutoka utamaduni mmoja hadi mwingine. Mashariki ya Kati na sehemu za Ulaya Magharibi zina uwezekano wa kuwa na viwango vya juu zaidi vya vifo vya matatizo ya moyo na mishipa ya damu. Ugonjwa wa moyo wa ischemic umekuwa wa kwanza kati ya sababu za kawaida za kifo katika Mashariki ya Kati, na uwezekano wa Iran kuwa na kiwango cha juu cha ugonjwa katika mkoa huo. Utafiti wa matukio ya kiharusi huko Mashhad ulikadiria 144 kwa 100,000 kwa wanaume na 113 kwa 100,000 kwa wanawake, ambayo ni moja ya viwango vya juu zaidi vilivyoripotiwa ulimwenguni. Utafiti uliofanywa nchini Iran umeonyesha kuwa asilimia 32 ya wanaume na asilimia 41 ya wanawake wana angalau sababu mbili kuu za hatari ya ugonjwa wa moyo na mishipa ya damu, ikiwa ni pamoja na ugonjwa wa kisukari, shinikizo la damu, hyperlipidemia, unene wa kupita kiasi na uvutaji sigara. Kulingana na ripoti ya Marekani, zaidi ya watu milioni sita kutoka kwa mahakimu wa chumba cha dharura kila mwaka wana maumivu ya kifua, ambayo zaidi ya milioni moja hupatikana na ugonjwa wa moyo wa moyo na kuingizwa katika vitengo vya huduma ya moyo kila mwaka. Kwa mfano, watu 500,000 hufa kila mwaka kutokana na ugonjwa wa mishipa ya damu. Matibabu mbalimbali, ikiwa ni pamoja na matibabu ya dawa kwa kutumia dawa za thrombolytic, anti-thrombin, beta-blocker, calcium antagonists, na matibabu ya uvamizi kama angioplasty na upasuaji wa moyo wazi pia umetumika katika matibabu ya ugonjwa huu. Licha ya hatua hizi zote, magonjwa haya ni wajibu kwa karibu nusu ya vifo katika nchi za viwanda na ni moja ya sababu muhimu zaidi za vifo nchini Iran. Kwa hiyo, inaonekana ni muhimu kufikiri juu ya hatua za kukabiliana na hali hii. Sehemu muhimu ya ugonjwa wa ugonjwa wa utumbo ni uchochezi na uharibifu wa ukuta wa endothelium ya mishipa. Uchunguzi mbalimbali umeonyesha kwamba oksidi ya lipoprotein ya kiwango cha chini ina jukumu muhimu katika kuanzishwa kwa ugonjwa wa atherosclerosis. Uchunguzi wa majaribio katika wanyama tofauti ulionyesha kwamba antioxidants hupunguza kiwango cha chini cha oxidation ya lipoprotein na kupunguza kiwango cha malezi ya plaque ya atherosclerotic. Kwa ujumla, utafiti wa magonjwa ya magonjwa umeonyesha kuwa kuongezeka kwa ulaji wa antioxidants kama chakula au bidhaa za ziada inahusishwa na kupunguzwa kwa hatari ya magonjwa ya moyo na mishipa. Licha ya maendeleo makubwa katika utambuzi na matibabu ya magonjwa haya katika miongo mitatu iliyopita, kundi hili la magonjwa bado ni tatizo kubwa la afya ulimwenguni na tatizo muhimu katika nchi zinazoendelea. Leo, kwa maendeleo ya kisayansi, angiography ya coronary hutumiwa kama uchunguzi wa uvamizi katika utambuzi wa ugonjwa wa coronary inayojulikana au inayodhaniwa. Kulingana na takwimu za hivi karibuni kutoka kwa Chama cha Moyo cha Amerika, wagonjwa milioni moja wanafanyiwa vipimo vya moyo vya uvamizi na utambuzi. Katika Iran, karibu kesi 16,000 hadi 18,000 za angiography hufanywa kila mwaka. Katika visa vingi, vipimo vya utambuzi vinavyovunja huwasababisha mgonjwa mkazo na wasiwasi. Wagonjwa wengi wa hospitali wanakabiliwa na kiwango fulani cha wasiwasi, moja ya aina ya kawaida hutokea kabla ya angiography ya coronary. Hata hivyo, inaweza kusemwa kuwa kuongezeka kwa idadi ya magonjwa ya moyo, kuongezeka kwa visa vya kulazwa hospitalini na gharama kubwa ya huduma na changamoto za matibabu huweka shinikizo kwenye mfumo wa afya katika karne ya sasa. Kwa sababu hii, kuzuia matatizo ya ugonjwa wa moyo na matibabu yao ya mafanikio ni muhimu kwa sababu inahitaji hatua za kuzuia na matibabu kama vile shughuli za mwili, lishe sahihi na kuendelea kwa matumizi ya dawa. Hii inaweza kufanywa tu kupitia ushiriki wa kazi ya wagonjwa katika matibabu wakati wa kutekeleza mapendekezo yaliyotolewa na wanachama wa timu. "Hata hivyo, ripoti nyingi zinasema kuwa athari nzuri za dawa za mitishamba na matibabu ya jadi na ya ziada yamegunduliwa pamoja na matibabu ya msingi ya wagonjwa wa moyo katika kuboresha ubora wa maisha ya wagonjwa, ambayo inaweza kutumika zaidi na mgonjwa wakati wa kuongoza kwa gharama za chini. """ Katika suala hili, ilikuwa muhimu kutathmini na kufanya ripoti ya kisayansi kulingana na mchanganyiko wa dawa ya kisasa na jadi ya Kiirani na mbinu mpya na dawa ambazo zina athari ya juu ya matibabu katika kipindi kifupi cha wakati. Utafiti wa matibabu na uchunguzi wa matibabu ya kisasa: Mgonjwa ni mtu wa miaka 53 na hakuna historia ya matatizo ya moyo, historia ya shinikizo la damu la juu na mafuta ya damu ya juu kwa zaidi ya miaka 10. Mgonjwa huyo ni mfanyakazi wa ofisi, mwenyeji na mzaliwa wa mji wa Bojnurd, ana uzito wa karibu 95 kg na urefu wa karibu 170 cm. Ingawa mgonjwa huyo aliteseka kutokana na maumivu mafupi ya kifua kwa siku tatu, alisafiri kwenda Tehran kwa utume rasmi. Mgonjwa huyo alipatwa na maumivu makali nyuma ya kifua saa sita kabla ya ziara yake. "Ugonjwa huo ulizidi kuongezeka hadi alipopelekwa katika idara ya dharura ya hospitali ya Mehr ya Tehran saa 23 Desemba 2013.""" Mgonjwa huyo alipatwa na ugonjwa wa moyo wa moyo na kuhamishwa kwenye kitengo cha huduma ya moyo kwa siku nne kwa sababu ya angina yake isiyo na utulivu. Malalamiko makuu yalikuwa maumivu ya kifua pamoja na kichefuchefu, kutapika, na kuhara kwa baridi. Mgonjwa alipokea angiography ya mshipa wa moyo wakati huo na kwa utambuzi wa kizuizi cha moyo, kulingana na Picha ya 1, alichukuliwa kama mgombea wa angioplasty kwa hiari ya kuhamisha upasuaji wake kwa wakati mwingine. Baada ya kuachiliwa, mgonjwa alitibiwa kuhusu shinikizo lake la damu, mafuta ya damu na ugonjwa mkali wa coronary. Mwezi mmoja baada ya kuelekezwa kwa Bojnurd, mgonjwa huyo alielekezwa kwa kituo cha dawa za jadi cha Hajtaleb kwa msingi wa ushauri wa jamaa. Mgonjwa alikuwa na sababu zifuatazo za hatari ya vascular: 1) kuvuta sigara 5 kwa siku, 2) index ya uzito wa mwili ya 3287, kwa maneno mengine, alikuwa na uzito mkubwa, alikuwa na hyperlipidemia na shinikizo la damu kwa zaidi ya miaka 10, alitibiwa na atorvastatin 40 mg mara moja kwa siku, losartan 50 mg mara mbili kwa siku, amlodipine 5 mg mara moja kwa siku, 3) ukosefu wa shughuli za kutosha za mwili, mkazo mkubwa wa kazi. Katika kipindi hicho, mgonjwa huyo alitibiwa kwa njia za kisasa. Alikuwa na wasiwasi na kushuka moyo kwa sababu ya kulazwa hospitalini katika idara ya utunzaji wa moyo na kufanyiwa angiografia. Historia ya matibabu na uchunguzi kulingana na dawa ya jadi ya Iran Mgonjwa alikuwa na tabia ya moto na unyevu, na afya nzuri ya mwili na hakuna tatizo kuhusu dalili za kliniki. Mshtuko wa moyo wa mgonjwa ulikuwa kamili na ulihisi joto wakati wa kugusa ngozi; mgonjwa hakutumia lishe sahihi kwa kinga. Kwa upande mwingine, hakufuata shauri la madaktari la kujizuia na kudumisha usafi wa mwili. Mgonjwa huyo alikuwa na usingizi mzuri, alikuwa na uhusiano mzuri na asili, na angeweza kupumua hewa safi kila mwezi. Hatua za kulinda afya na lishe: Hatua za matibabu ya mgonjwa zilianza Januari 16, 2014. Kwa kuwa mgonjwa alikuwa amepitia matibabu ya kugundua na ya moyo katika mwezi uliopita, aliteseka na wasiwasi na unyogovu. Kwa hiyo, katika kikao cha kwanza, tulijaribu kutumia tiba ya tabia na ushauri ili kuamsha matumaini ya mgonjwa na kumpa maelezo kamili ya mchakato wa matibabu. Watu wa ukoo wa mgonjwa huyo walishauriwa kumtendea kwa fadhili kwa sababu ya hali yake ya kushuka moyo. Pia, aliombwa aache kabisa kuvuta sigareti. Katika hatua iliyofuata, hatua zilichukuliwa pamoja na mapendekezo ya lishe na ya lazima. "Kwa hivyo, mgonjwa alishauriwa kufuata kanuni sita za afya katika dawa ya jadi ya Iran kulingana na zifuatazo: (1) Tumia hewa sahihi na kutembea katika asili angalau mara kadhaa kwa wiki. """ "Mgonjwa huyo alipewa CD ya mwongozo wa lishe ili atumie maagizo yote ya lishe na kunywa, na haswa, alishauriwa kuepuka kula kupita kiasi na kutumia mafuta na nyama nyekundu, lakini anapaswa kula mboga na matunda zaidi. """ 3) Kuna mapendekezo ya kulala na kuamka kwa mgonjwa, ili aweze kulala vizuri. Mgonjwa alishauriwa kuepuka mazoezi mazito lakini anapaswa kutembea kwa muda mfupi wakati wa mchana. 5) Kwa habari ya kuwa mgonjwa anapaswa kuwa na upungufu na uharibifu sahihi, ilipendekezwa kwamba anapaswa kukojoa mara kadhaa kwa siku bila kuwa na jasho kupita kiasi. 6) Tiba ya kisaikolojia na ya kuondoa mkazo imetumiwa kwa sababu wagonjwa hawa wanahitaji kupumzika na mbali na mazingira yenye mkazo. Kwa mgonjwa huyu, kwa sababu ya tabia yake na hali ya ugonjwa, mimea ya dawa na dawa za mchanganyiko zilitumiwa. Kwa hiyo, kwa sababu mgonjwa alikuwa na tabia ya joto na unyevu, mimea ya dawa na ya asili ilitumiwa. Kwa kuongezea athari ya matibabu ya kuzuia moyo, ilisawazisha hali ya joto na unyevu katika mwili wa mgonjwa: A) Chai ya chachu iliyokaushwa + ua la rose + citrus aurantium + mizizi ya chicory: Mimea hiyo imeunganishwa kwa uwiano sawa na ni nusu-mashed. Keki mbili za mlo wa kiasi hicho huchemshwa katika nusu glasi ya maji hadi nusu yake itakapopungua. Mabaki yatasafishwa na kutumiwa. Alilazimika kutumia glasi moja kila baada ya saa nane. Mimea hii minne, pamoja na kupasha joto na kunyunyiza damu, ina athari ya matibabu juu ya magonjwa ya moyo, hasa kuzuia mishipa ya damu. Kwa upande mwingine, ni anti-mfadhaiko na kupumzika. Baada ya siku chache, wakati mgonjwa alikuwa akinywa chai ya chumvi iliyokaushwa, maua ya rose, citrus aurantium, na mizizi ya chicory kulingana na maagizo ya juu, alipendekezwa kutumia mchanganyiko wa majani ya rose na senna ili kuondoa uharibifu. C) Vitunguu ni mojawapo ya mimea inayotumiwa kutibu magonjwa ya moyo na mishipa ya damu (hasa kizuizi cha mishipa ya damu). Mgonjwa huyo alipendekezwa kupokea vitunguu vitatu vya vitunguu kila siku, ambavyo vilitengenezwa kwa siki ya asili. Kwa wanaume, hasa wale ambao ni joto katika tabia, hatuwezi kuagiza vitunguu moja kwa moja, kwa sababu vitunguu joto inaweza kugeuka athari za matibabu. Umajimaji wa ubongo uliripotiwa kupitia matumizi ya kupita kiasi ya vitunguu. Hata hivyo, ikiwa vitunguu hutumiwa pamoja na siki, huenda ikawa na matokeo ya kitiba. Jujube ni moja ya mimea ambayo ni ufanisi katika kupunguza kizuizi pamoja na dilution ya damu, na kuhusu 20 jujube ni ilipendekeza kila siku. Pasta ya pomegranate ni moja ya viungo bora vya asili kwa wagonjwa wenye joto na unyevu, na pia ni ufanisi katika matibabu ya kizuizi cha mishipa. Kikombe cha chai tatu kinapendekezwa kila siku. Cupping: Cupping ya nyuma kamili ilipendekezwa kila baada ya siku mbili kwa sababu inafanya kazi kuimarisha mwili wakati wa kuongeza mtiririko wa damu ya mgonjwa. Kwa upande mwingine, husaidia kuondoa uvimbe wenye kuharibu, na muhimu zaidi, huimarisha mfumo wa kinga. Pia, inaweza hata kusaidia kutokeza matope. 2 - Upasuaji wa leech: Moja ya matibabu bora kwa ajili ya kizuizi cha mishipa katika dawa ya jadi ni tiba ya leech. Kwa mgonjwa huyu, matibabu ya leeches yalianza na mguu wa mbele wa mguu wa kushoto na mkono wa kushoto, kama leeches tano zilitumiwa katika kila mahali. Baada ya juma moja, mgonjwa alimaliza uchunguzi na tena tiba ya leech iliwekwa kwenye kifua chake (juu ya kivuli cha mwili cha moyo). Utaratibu huu ulifanywa mara tano na mgonjwa alikuwa chini ya udhibiti tofauti na uchunguzi wakati huu. Matibabu ya Leech yalifanywa kwa wagonjwa wa moyo, ikiwa ni pamoja na mgonjwa wetu, kulingana na masharti yafuatayo: 2.Tiba ya Leech lazima ifanywe na daktari na katika mazingira ya kliniki yenye vifaa kamili vya kupona. 2.2.- Rekodi za matibabu za mgonjwa, ikiwa ni pamoja na electrocardiogram na echocardiography, lazima zithibitishwe na daktari katika uwanja wa maono na nguvu ya misuli ya moyo wa mgonjwa. Katika matibabu ya wagonjwa wa moyo, madaktari lazima wawe na maarifa ya kutosha ya nguvu ya mwili na nguvu ya moyo wa mgonjwa, vinginevyo hana haki ya kumtibu mgonjwa. 2.Mtu anapaswa kupewa angiography ili kugundua kwamba ana upungufu wa mishipa. Daktari anayependekeza matibabu ya leech anapaswa kuwa na habari ya kutosha kuhusu physiopathology ya mgonjwa kulingana na maarifa ya dawa ya kisasa na pia kuwa na ufahamu wa misingi ya dawa ya jadi baada ya kuwa na kozi kamili ya matibabu ya kisayansi ya leech. """Kwa madhumuni ya matibabu, idadi ya vifusi, ukubwa wa vifusi, idadi ya vyumba vya matibabu na idadi ya vikao vya matibabu ya vifusi inategemea nguvu za mwili wa mgonjwa, umri wa mgonjwa, uzito wa kizuizi cha mishipa na tabia ya mgonjwa." Daktari anayehudhuria anapaswa kuzingatia mambo hayo yote kabla ya kuanza matibabu ya kuingiza damu. Kwa kuzingatia mchanganyiko wa mbinu za matibabu ya kisasa na jadi ya Kiirani, hali ya jumla ya mgonjwa iliboreshwa baada ya wiki ya pili, kwa hivyo mgonjwa hakuwa na mkazo na wasiwasi. Mgonjwa huyo alipewa angiography mnamo Februari 3, 2014, na upungufu wote wa mishipa ya damu ya mgonjwa uliboreshwa katika ripoti yake ya kliniki, kama inavyoonyeshwa katika picha. 2. Uwezekano wa kupata Kwa sasa, mgonjwa huyo alikuwa akipatiwa losartan 25 mg mara mbili kwa siku kwa shinikizo lake la damu na alitumia hatua za afya na lishe. Pia alichukua dawa na maombi ya mkono mara kwa mara katika miaka mitatu iliyopita. Mgonjwa huyo alifuatwa kwa miaka mitatu na hakupata maradhi ya mara ya pili. Kwa kila mwaka, magonjwa ya moyo husababisha vifo vingi duniani, kwa hivyo magonjwa haya ni sababu ya kwanza ya kifo katika nchi zilizoendelea. Magonjwa ya moyo na mishipa ya damu ni magonjwa ya sababu nyingi na hadi sasa sababu nyingi za hatari zimetambuliwa. Pia, masomo mbalimbali yamefanywa juu ya mambo haya ya hatari nyumbani na nje ya nchi. Katika mwaka wa 1990, idadi ya watu duniani ilikuwa bilioni 3.5 na ugonjwa wa moyo ulikuwa na jukumu la vifo milioni 3.34 ambayo ni sawa na 28.4% ya vifo milioni 50 duniani, ambayo milioni 3.6 walikufa kutokana na ugonjwa wa mishipa ya damu, ikiwa ni pamoja na 44% ya vifo kutokana na magonjwa ya moyo na mishipa ya damu na vifo milioni 4.4 kutokana na kiharusi ya ubongo ambayo ni sawa na 31% ya vifo kutokana na magonjwa ya mishipa ya damu. Katika karne ya 20, asilimia 10 tu ya vifo duniani vilihusiana na magonjwa ya moyo na mishipa ya damu, lakini kufikia mwisho wa karne ya 20, asilimia 28 ya vifo vilihusiana na magonjwa ya moyo na mishipa ya damu, na leo ni asilimia 25 ya vifo katika nchi zinazoendelea. Inakadiriwa kuwa kufikia mwaka 2020, magonjwa haya yatakuwa sababu kuu ya vifo duniani, na takriban asilimia 36 ya vifo vyote duniani. Uvimbe wa ateri ya shingo unaosababishwa na mkazo wa oksidi husababisha mkusanyiko wa lipidi na, kwa sababu hiyo, husababisha jeraha la ateri linaloitwa atheroma. Kwa kuongezea, viwango vya juu vya lipid katika plasma husababisha shughuli ya endothelial na kuongeza kushikamana kwa seli za kinga kwa endothelium, na kusababisha utendaji mbaya wa endothelium. Kwa sababu ya hatari ya ugonjwa wa mishipa ya damu, triglycerides, homocysteine, lipoprotein A, na alama za uvimbe zinahusishwa. Licha ya maendeleo makubwa katika utambuzi na matibabu ya magonjwa haya katika miongo mitatu iliyopita, ugonjwa na gharama kubwa ya matibabu ya ugonjwa huu huweka mzigo mkubwa kwa mtu binafsi na mfumo wa afya wa jamii. Kwa upande mwingine, kwa sababu ya kuenea kwa ugonjwa wa moyo wa moyo nchini Iran, kuna haja ya mbinu za matibabu yenye ufanisi zaidi na kupunguza gharama. Kwa hivyo, kwa sababu ya gharama kubwa ya matibabu ya muda mrefu na viwango vya juu vya matatizo ya moyo na ulemavu wa kimwili, mbinu mbalimbali zimetumika kutibu ugonjwa wa moyo duniani kote, na matibabu mapya yanapimwa. Mgonjwa aliyejaribiwa katika ripoti hii alikuwa na ugonjwa wa moyo wa ischemic ambao ulitibiwa na tiba ya pamoja. Katika ripoti hii, jaribio lilifanywa kutumia mbinu bora na rahisi zaidi katika shule hizi za matibabu kudumisha afya na matibabu ya mgonjwa kwa kuchanganya shule hizi za matibabu zinazotoa ripoti ya kisayansi. Kwa ujumla, hakuna ufafanuzi maalum wa dawa ya kisasa katika maelezo ya dawa ya jadi kwa ugonjwa wa mshipa wa damu. Lakini kwa ujuzi wa tiba ya kitamaduni, wagonjwa hao wanaweza kusaidiwa. Kwa maneno mengine, ikiwa tunataka kutibu ugonjwa wa moyo wa ischemic kulingana na maandishi ya dawa ya jadi, hatuwezi kuponya wagonjwa. Hata hivyo, daktari anayejua physiopathology ya ugonjwa wa moyo ischemic, inaweza ufanisi kuchanganya shule mbili za dawa (dawa ya kisasa na dawa ya jadi) kutibu ugonjwa na matatizo yake. Katika miaka kumi iliyopita, suluhisho mpya zimependekezwa kwa matibabu ya ugonjwa wa moyo wa ischemic na hii imepunguza vifo. Kwa ubunifu na uvumbuzi, ambayo ni pamoja na matumizi ya physiopathology ya dawa ya kisasa, ufafanuzi wa dawa ya jadi nchini Iran ilitumiwa katika utafiti wa tabia, marekebisho ya lishe, kuimarisha mgonjwa, radiotherapy, tiba ya mimea na matumizi ya mkono kama vile puto, nk. Hii inaitwa dawa yenye ufanisi wa lengo. Kwa hivyo, mgonjwa anahitaji uingiliaji wa matibabu ikiwa ni pamoja na tiba ya tabia, mazoezi ya mwili, kuzaliana, lishe, dawa ya mimea, tiba ya ufanisi ya Iran (pamoja na tiba ya kisasa ya leech na tiba ya leech ya tabia) na puto. Uchunguzi mbalimbali umeonyesha kwamba mabadiliko ya mtindo wa maisha kuelekea mtindo wa maisha wenye afya, ikiwa ni pamoja na matumizi ya chakula cha afya, lishe sahihi, mazoezi, kutokuwa na uvutaji sigara, na afya nzuri ya akili inaweza kutoa viashiria vya afya hata katika mtu mwenye ugonjwa wa moyo ischemic. Pia hupunguza kwa kiasi kikubwa sababu za hatari na matatizo [17-15]. Katika utafiti huu, mapendekezo ya lishe na ushauri wa lishe uliopendekezwa ulitolewa kwa wagonjwa, ili kuelewa tabia za lishe za dawa za jadi. Pia katika mgonjwa huyu, mimea ya dawa iliongezwa: A) Chai ya chumvi iliyopikwa + ua la rose + citrus aurantium + mizizi ya chicory. Mimea minne iliyotajwa hapo juu, pamoja na athari zao za joto na unyevu (juu ya damu), zina athari ya matibabu katika magonjwa ya moyo, haswa kizuizi cha mishipa. Kwa upande mwingine, ni dawa ya kupunguza mkazo na ya kutuliza. Baada ya siku chache, mgonjwa alitibiwa kwa majani ya rose na Senna ili kuondoa umajimaji. Miongoni mwa mimea inayotumiwa kutibu moyo na jasho (haswa kizuizi cha mishipa) ni vitunguu, na inakubaliwa katika dawa zote za mitishamba za ulimwengu na Shirika la Afya Ulimwenguni. Jujube ni mimea mingine yenye matokeo katika kutibu kizuizi cha mishipa ya damu pamoja na kuyeyusha damu. Pasta ya pomegranate, yenye tabia baridi na kavu, ni moja ya viungo bora vya asili kwa wagonjwa wenye tabia ya joto na unyevu. Pia ni yenye matokeo katika kutibu kizuizi cha mishipa ya damu. Katika kuchagua mbinu za matibabu katika dawa ya jadi ya Kiirani, kiungo chenye ufanisi ni muhimu na kisha tabia lazima izingatiwe. Kwa mfano, mimea ambayo ina nguvu ya kiungo hai na inaweza kubadilika kulingana na tabia ya mgonjwa. Katika mbinu ya tiba ya ufanisi, hatuagizi bidii na uamuzi kwa njia ambayo tumeambiwa katika dawa ya jadi, lakini badala yake kurekebisha maladaptation rahisi. Pia, tutatumia dawa zinazohitajika na viungo vinavyohitajika na, ikiwa inahitajika, kwa matibabu ya kutoelewana kwa vifaa. Tunaamini kwamba kwa wagonjwa wengi, kutojipatanisha ni jambo rahisi. Kwa maneno mengine, kama kasoro rahisi zimepatikana na dawa za mitishamba au dawa za mitishamba zinatolewa na kiungo kinachohitajika, zitapona na hakutakuwa na haja ya kuchunguza tabia ya mgonjwa. Tulifanya vivyo hivyo kwa mgonjwa huyu. Kwa maneno mengine, kwanza tulipewa soda na reformer ya bile kwa kuzingatia dutu yao ya ufanisi na kisha laxative itaagizwa, matumizi yake hayatakuwa ya muda mrefu. Kwa ujumla, tiba ya mimea kwa mgonjwa wa ugonjwa wa moyo wa ischemic ni ngumu lakini yenye ufanisi sana, na uwekaji wa mimea hii ni muhimu sana katika aina zote mbili za moja au mchanganyiko, ambayo inatofautiana kutoka kwa mgonjwa hadi mgonjwa. Njia hii ya dawa ya mimea, kwa kuzingatia kiungo hai cha mmea na tabia ya mgonjwa, hutumiwa kwa mara ya kwanza ulimwenguni. Kwa sababu tabia haitajwi katika vitabu vya kisasa na kiungo chenye ufanisi hakizungumziwi katika vitabu vya dawa za jadi, kuchanganya maarifa haya mawili ni mchakato mgumu sana ambao umetumika katika miaka mingi ya utafiti na matibabu kwa kutumia njia ya dawa yenye ufanisi. Kwa bahati mbaya, hakuna utafiti juu ya tiba ya leech nchini Iran. """Hatuwezi kumchukua mgonjwa huyu damu kwa sababu ya umri wake na udhaifu wa mwili." Pia, kwa sababu ya tabia yake ya mucoid, hairuhusiwi damu kuchukuliwa kwani kuna utata wa jamaa wa tiba ya leech na tiba ya damu katika dawa ya jadi. Njia ya matibabu ya leech katika mgonjwa huyu ilikuwa tiba ya saliva na haikuhitaji kuchukua damu. "Lakini kwa sababu mnyama huyo hakutoa damu, kwa hiyo, ni lazima apate damu kwa kutumia mnyama huyo, akizingatia kwamba: a) kiasi cha kunywa kwa mgonjwa ni zaidi na mnyama huyo alitumia mnyama mdogo zaidi; b) Kipindi kati ya matibabu mawili ya mnyama huyo kiliongezwa ili mwili wa mgonjwa uwe na nafasi ya kujirekebisha.""" Katika mgonjwa huyu, mate ya leech ilikuwa na manufaa kwa matibabu, ambayo kiungo chenye ufanisi kina anti-inflammatory, anticoagulant, antiviral, antimicrobial na damu-kuunda mali ambayo inaweza kusaidia katika matibabu ya ugonjwa wa moyo ischemic. Kwa maneno mengine, moja ya matibabu bora katika dawa ya jadi kwa ajili ya kutibu vizuizi vascular ni leech tiba na ni kukubaliwa duniani kote. Katika mate ya leech, kuna dawa kadhaa za kuzuia kuganda kwa damu ambazo zinaweza kufanya kazi kama anti-coagulant na kufungua tena na kujenga mfumo wa moyo na mishipa. Miongoni mwa hizo, heiridine na Colin zinaweza kutajwa, ambazo zote mbili zina matokeo katika kutibu kizuizi cha mishipa ya damu. Heredine katika mate ya leech ni dutu ambayo huzuia damu kuganda, na pia Colin katika mate yake huhifadhi majeraha wazi kwa masaa 12 na kuacha shughuli ya Will-Braun factor. Hyaluronidase hufanya kazi kama sababu ya kuenea. Sababu hii kuwezesha kuondolewa kwa Mucopolysaccharides, na inaweza kutumika kama njia kwa ajili ya vifaa vya baadaye biochemical. Carboxyl peptidase katika saliva ya leech ni aina ya histamine-kama inhibitor ambayo kupanua capillaries karibu leech kuumwa, na hivyo kuongeza mtiririko wa damu katika tovuti ya uzazi. "Heroin inazuia ""kuungana kwa thrombin"" na quinine inazuia ""kuungana kwa van-Will-Brund"" na ""kuungana kwa collagen.""" Kwa kumalizia, kuhusu mwendo wa dawa, katika karne iliyopita, mtu hawezi kusema kwamba hakuna shule kamili katika ulimwengu wa dawa. Kwa hiyo, shule za matibabu kama vile dawa ya kisasa, dawa ya jadi ya Iran, Ayurveda nchini India, Tiba ya Kichina, nk. Kwa sababu ya kuhifadhi afya ya binadamu, kuna udhaifu na nguvu nyingi kwa sababu hazijakamilika na hazina uelewa. "Utaalamu wa matibabu ya kisasa, pamoja na elimu ya kisasa na ya jadi ya Iran, ni ""mfano mzuri wa matibabu ya magonjwa ya moyo.""" Kwa hiyo, katika matibabu ya ugonjwa huu, matumizi ya mbinu za dawa zenye ufanisi yatagharimu kidogo na kuboresha ubora wa maisha ya wagonjwa. Kwa hivyo, kulingana na kanuni za dawa ya kisasa na dawa ya jadi nchini Iran, inaweza kuchunguzwa na kutathminiwa kama njia mpya ya matibabu isiyo ya uvamizi na athari ya juu ya matibabu kwa muda mfupi zaidi. CD: Compact Disk Waandishi hawana mgogoro wa maslahi katika kuchapishwa kwa makala hii. Makala hii ni matokeo ya hatua za matibabu na Daktari Hassan Hajtalebi. Dk Hassan Khani na Hamid Hajtalebi walishirikiana katika kurekodi na kuandika makala hiyo. Waandishi wa karatasi hii wanathamini ushirikiano wa wagonjwa na familia zao katika kushiriki na kukamilisha michakato yote ya matibabu na huduma za afya. Waandishi pia wanashukuru wauguzi katika Hajtaleb Medical Complex ya Matibabu ya Mbadala na ya Kuongeza kwa kusaidia kutibu wagonjwa.