A Study On The Diagnosis And Treatment Of Coronary Heart Disease And Angina Pectoris In Beijing

Objective:This topic through counting and analyzing clinical research literature on TCM diagnosis and treatment of coronary heart disease of Beijing in recent 20 years to explore general rules for the diagnosis and treatment of angina pectoris, in order to provide valuable reference for clinical medicine for the Beijing area.Method:This topic retrieves clinical literature reported in Beijing from 1995 to 2015 for traditional Chinese medicine diagnosis and treatment of angina pectoris, selects qualified documents, collection of the basic case (sex and age) of patients and TCM syndromes,syndrome elements, symptoms, tongue, pulse, medication etc., uses Excel2007 system to create database and conduct statistical analysis of frequency, frequency and sorting, and then summarizes the general laws of Chinese medicine diagnosis and treatment for angina pectoris.Result:1 The study included 74 articles,3474 cases of collected data, including 2039 men and 1435 women, men and women ratio of about 1.42:1. IN the age distribution,51 to 60 years age group was the largest proportion and which accounted for 57.77% of the total.2 Distribution regularity of syndrome and syndrome elements:(1)The Syndrome sequence related to frequency, descending order, the top 10 were: syndrome of Qi stagnation and blood stasis,syndrome of Qi asthenia causing blood stasis, syndrome of deficiency of both vital energy and Yin, syndrome of stagnation of phlegm in the vessel, syndromeof deficient and weak YANG QI,syndrome of cariac bloodstasis, heart Yang weakness, heart kidney Yin deficiency syndrome, phlegm heat and blood stasis resistance, Yin cold stagnate, Qi and Yin deficiency card and stagnation of phlegm in the vessel. (2) The sequence related to syndrome elements frequency, descending order, were:syndrome of blood stasis, syndrome of deficiency of QI, syndrome of stagnation of phlegm, syndrome with yin asthenia, syndrome of stagnation of QI, syndrome with yang asthenia, syndrome of cold coagulation, syndrome of hot stagnation of phlegm, syndrome of pyretic toxicity.3 Distribution regularity of symptoms, tongue and pulse:(1)symptoms:higher frequency for chest pain, chest tightness, palpitations, shortness of breath, fatigue, dizziness, insomnia, irritability, chills warm, burnout;(2)tongue:the highest frequency tongue color was purple (the highest frequency among purple tongue was lilac),tongue-shaped tongue was thick,moss color was white fur, fur quality was greasy coating; (3)pulse:higher frequency of occurrence of veinlets, veins astringent, slippery pulse.4 Drug distribution:(1)Category distribution of medicines:higher frequency for deficineney tonificating medicinals,blood-activating and stasis-resolving medicinals,Qi-regulating medicinals, eliminating phlegm cough antiasthmatic, exterior-releasing medicinals;(2) Distribution of drug-induced taste and Meridian: higher frequency related to use for sweet,pungent and warm, owned by the top five was followed by the liver, spleen, heart, lung and stomach;(3)Distribution of high frequency drugs:salvia, safflower,szechwan lovage rhizome, trichosanthes, angelica, scallion white, licorice, poria, red peony root, astragalus, codonopsis etc.; (4)Distribution of common syndromes medication:syndrome of Qi stagnation and blood stasis were used such as safflower, salvia, bupleurum, citrus aurantium, turmeric, saffron, sweet, red peony root, angelica, etc.;syndrome of Qi asthenia causing blood stasis were used such as astragalus,radix andradix, licorice, safflower, angelica root, red peony, peach kernel, etc.;syndrome of deficiency of both vital energy and Yin were used such as radix, angelica, licorice, salvia, schisandra, poria, Astragalus, codonopsis, atractylodes;syndrome of stagnation of phlegm in the vessel were used such as breit, trichosanthes, scallion white, poria, citrus aurantium, salvia, magnolia, safflower,orange peel,etc.;syndromeof deficient and weak YANG QI were used such as safflower, cassia twig, astragalus, ginseng, safflower, licorice, aconite, cinnamon, angelica, etc.;syndrome of cariac blood-stasis were used such as safflower, szechwan lovage rhizome, salvia miltiorrhiza peach, peony root, angelica, sandalwood, habitat, Achyranthes,etc.;heart Yang weakness were used such as codonopsis, licorice, angelica, safflower, tuber, astragalus, radix rehmanniae, scallion white, peach, etc.;heart kidney Yin deficiency syndrome were used such as salvia, radix, angelica, safflower, licorice, codonopsis, red peony root, radix rehmanniae, rehmannia glutinosa, etc.;phlegm heat and blood stasis resistance were used such as breit, turmeric, trichosanthes, salvia, scallion white, sandalwood, citrus aurantium, tangerine peel, poria etc.; Yin cold stagnate were used such as cassia twig,trichosanthes,angelica, scallion white, safflower, peach, red peony root, asarum etc.Conclusion:Coronary heart disease angina pectoris incidence of people in Beijing area are mainly middle-aged,men slightly more than women; comprehensive clinical manifestations, tongue and pulse certificate shows that the pathogenesis sex is the vacuity to standard real-based, mainly for standard real blood stasis, phlegm, qi stagnation, the virtual main for qi deficiency, yin; pathogenesis master almost stagnation, blood stasis, which previous studies nationwide pathogenesis basic line, but the present study suggests that phlegm qi stagnation play an important role in the pathogenesis in Beijing area. Former home four drug classes are tonic medicine, blood circulation drugs, qi medicine, eliminating phlegm cough antiasthmatic, which is consistent with the distribution of syndromes.