| Purpose:This study aimed to explore the basis of coronary heart disease and diabetes mellitus, the rule is clear various stages of coronary heart disease and diabetes mellitus syndromes check against every major governing law, the governing party, drug treatment,selected on the basis of the development of effective treatment programs and the syndrome level treatment programs, and thus effectively prevent the development of coronary heart disease and diabetes mellitus, and coronary heart disease and diabetes mellitus diagnosis and treatment of traditional Chinese medicine to provide a theoretical basis for normalization.Material and method:The use of coronary heart disease complicated with diabetes treatment, treatment of clinical experts questionnaire, multi center, large sample clinical expert investigation. The survey of 1500 clinical doctors distributed in six regions of 61 hospitals nationwide, a total of 1500 copies of valid questionnaires. This study uses R3.1.2statistical analysis platform and Microsoft Office 2013 office software to column contingency table and stacked bar chart form summary statistics, and by the combination analysis and arrangement analysis method of data for statistical analysis, draw given by the expert based method of medicine and syndrome differentiation method of medicine, combining schemes of internal consistency, in order to develop an effective treatment program.Results:1. The basic rule is coronary heart disease and diabetes:1.1 Evidence: A treatment program to determine the specimen, the actual situation-H Diabetes Yin Fang-A-D sour and sweet medicine to Yang Yin Sheng Jin; B determine the severity of illness urgency-H Yin Fang-A-D Diabetes drug to sour and sweet Yang Yin Sheng Jin; D Analyzing the Diseases(organs, meridians, the gas in the blood)-H Diabetes Yin Fang-A-D sour and sweet medicine to Yang Yin Sheng Jin; E Analyzing disease of Yin Yin and Yang is-H- D Diabetes square-A sour and sweet medicine to Yang Yin Sheng Jin; C Analyzing the clinical manifestations of chills and fever genuine-H Diabetes Yin Fang-A-D sour and sweet medicine to Yang Yin Sheng Jin; A judge specimens,the actual situation-F Qi- D Diabetes Party- G Gan Wen medicine to Qi Jianzhong; DAnalyzing the Diseases(organs, meridians, the gas in the blood)- F Qi-D-G Gan Wen Fang Diabetes drug to Qi Jianzhong.1.2 Deficiency: A treatment program to determine the specimen, the actual situation-H-B Yin Liu Wei Di Huang Wan- A drug to sour and sweet Yang Yin Sheng Jin; B determine the severity of illness urgency-H-B Yin Liu Wei Di Huang Wan- A sour and sweet medicine in Yang Yin Sheng Jin; A judge specimens, the actual situation-H Yin- A Shengmaisan- A drug to sour and sweet Yang Yin Sheng Jin; B determine the severity of illness urgency-H Yin- A Shengmaisan- A sour and sweet medicine to keep Yin Sheng Jin; D Analyzing the Diseases(organs, meridians, the gas in the blood)-H-B Yin Liu Wei Di Huang Wan- A drug to sour and sweet Yang Yin Sheng Jin; E Analyzing disease of Yin Yin and Yang is-H-B Liu Wei Di Huang Wan- A drug to sour and sweet Yang Yin Sheng Jin; D Analyzing the Diseases(organs,meridians, the gas in the blood)-H Yin- A Shengmaisan- A drug to sour and sweet Yang Yin Sheng Jin; A judge specimens,-F actual situation Qi- A drug to Shengmaisan-G Gan Wen Qi Jianzhong.2. Early coronary heart disease and diabetes DM:2.1 wang syndrome: diagnosis and treatment of kidney yin scheme B- B ZDP- A Rehmanniae, Scrophulariaceae, etc. Ziyinqingre drugs; A Yang Xin Yin- A Tianwangbuxin Dan- A Rehmanniae, mayonnaise and other Scrophulariaceae Yin antipyretic; B kidney yin-B ZDP- B foxglove, dogwood and other nourishing yin drugs; B kidney yin- B ZDP- C littoralis, Radix Yang Yin Sheng Jin drug; B kidney yin- A Tianwangbuxin Dan- A Rehmanniae, Scrophulariaceae, etc. Ziyinqingre drugs.2.2 deficiency of both qi: C health clinic program to temper- D spleen soup- A ginseng,astragalus and other qi and blood; A Yixin gas- D spleen soup- A ginseng, astragalus and other qi and blood; A Yixin gas- A Yang Xin Tang- A ginseng, astragalus and other qi and blood; E complement efforts- D spleen soup- A ginseng, astragalus and other qi and blood;C Kin temper- E Ba Zhen Tang- A ginseng, astragalus and other qi and blood; E complement efforts- A Yang Xin Tang- A ginseng, astragalus and other qi and blood.2.3 temper stagnation Syndrome: A treatment program is Spleen Qi- A Xiangsha Liujunzi-A Senate, stilbene, surgery, grass and other spleen Qi drugs; B Acrid bitter drop, Spleen stagnation Li- C half Xia Xie Xin Tang- B Qinlian Jiang Xia et Acrid bitter drop, good offices qi; D Lipi Shugan Jieyu-F Xiaoyaosan- C Cyperus, Chuanxiong qi Gloomy drugs; A spleen Qi- A Xiangsha Liujunzi- E woody, Amomum qi spleen and stomach medicine; D Lipi Shugan Jieyu-F Xiaoyaosan- E woody, Amomum qi spleen and stomach medicine; C qi Gloomy-B Banxiahoupu-C Cyperus, Chuanxiong qi Gloomy medicine.2.4 Stagnation blood network card: treatment programs for the B Huayutongluo- B blood Xuefuzhuyutang- B peach kernel, safflower, etc. Traditional medicine; B Huayutongluo- C Taohongsiwutang- B peach kernel, safflower etc. Traditional medicine; B Huayutongluo- A danshenyin- B peach kernel, safflower, etc. Traditional medicine; F Huoxuezhitong- B blood Xuefuzhuyutang- B peach kernel, safflower blood circulation drugs; B Huayutongluo- B blood Xuefuzhuyutang- F Puhuang Wulingzhi other blood painkillers; B Huayutongluo- A danshenyin- A sandalwood, Amomum and other spices Shuluo drugs; A spicy Huoxue Shuluo- A danshenyin- A sandalwood, Amomum and other spices Shuluo drug programs such as coronary heart disease and diabetes applies to blood stasis network card.3. DM of coronary heart disease and diabetes:3.1 Qi Deficiency: A treatment program to benefit the heart qi- A Shengmaisan by liquid soup- A ginseng, astragalus, etc. Wen Qi Gan drugs; A Yixin gas- A Shengmaisan by liquid soup- B Ophiopogon, Schisandra and other sour and sweet Jiyin drug; C health temper- A Shengmaisan by liquid soup- A ginseng, astragalus, etc. Wen Qi Gan drugs; G kidney yin- A Shengmaisan by liquid soup- B Radix, Schisandra and other sour and sweet Jiyin drugs; G kidney yin- A Shengmaisan by liquid soup-D littoralis, land, etc. Gan Liang Qing tonic; C Kin temper- A Shengmaisan by liquid soup- C fried Atractylodes, Poria spleen Qi medicine.3.2 knot heat syndrome: treatment programs for the B heat dampness- C Xiexintang together even Pak drink- B skullcap, berberine and other heat dampness drugs; B heat dampness- B two wonderful Powder- B skullcap, berberine, etc. heat dampness drugs; A dampness spleen- A Pingwei-A herb, Magnolia dampness spleen drug; B heat dampness- B Powder-A two wonderful herb, Magnolia dampness spleen medicine; A dampness spleen- B Powder-A two wonderful herb, Magnolia dampness spleen drug; A dampness spleen- B Ermiao Powder- B skullcap, berberine and other heat dampness drugs; B heat dampness- C Xiexintang together even Pak drink- A herb, Magnolia dampness spleen medicine.3.3 Blockage of Phlegm Syndrome: A treatment program for the phlegm Chest- A Gualouxiebai Banxia Decoction resist pill- A Trichosanthes, scallion and white phlegm drugs;F blood circulation- A Gualou Xiebai Decoction resist pill- D peach kernel, safflower, etc.Traditional medicine; A + F Chest phlegm and blood circulation- A Gualouxiebai Banxia Decoction resist pill- A Trichosanthes, scallion and white phlegm drugs + D peach kernel,safflower, etc. Traditional medicine; B Tong Yang Sanjie- A Gualouxiebai Banxia Decoction resist pill- A Trichosanthes, scallion and white phlegm drugs; A phlegm Chest- A white Gualouxiebai Decoction combined withstand pill- C Pinellia, Citrus dampness and phlegm and other drugs.3.4 both spleen and kidney: C treatment program for the spleen and kidney double up- C Fuzi soup in soup reasonable- A aconite, ginger isothermal yang in medicine; A Warming Spleen-A Wenpitang- A aconite, ginger in isothermal Yang drug; C spleen double up- A Wenpitang- A aconite, ginger and other temperature Yang drug; C spleen double up- C Fuzi soup in soup reasonable- B Atractylodes, grass Kou isothermal transport spleen medicine; C spleen double up- C Fuzi soup in soup reasonable- C Guizhi, ginseng yang of gas medicine; B Warming kidney- G Jinguishenqi Pill- A aconite, ginger and other temperature yang medicine.4. chronic complications of coronary heart disease and diabetes4.1(kidney) yin stasis syndrome: diagnosis and treatment solutions for nourishing yin B- B Qijudihuang Pills Shengmai Yin- A habitat, Angelica nourishing yin drugs; B nourishing yin-A Liu Wei Di Huang Wan- A habitat, A Yin Qi- B Qijudihuang pills Shengmai Yin- A habitat, Angelica nourishing yin drugs; Angelica nourishing Yin Yin Qi drug A- A Liu Wei Di Huang Wan- A habitat, Angelica raised Yin and blood medicine; E blood circulation- F Taohongsiwutang- D peach kernel, safflower, etc. Traditional medicine; E blood circulation-H Xuefuzhuyu soup- D peach kernel, safflower blood circulation drugs.4.2(kidney) yang deficiency blood stasis syndrome: diagnosis and treatment plan for the C warming yang- A Jishengshenqiwan- A Gui, aconite yang of gas and other drugs; A warm kidney of gas- A Jishengshenqiwan- A Gui, aconite yang of gas and other drugs; C warming yang- A Jishengshenqiwan- B cinnamon, antler Warming kidney and other drugs; E blood circulation- E Taohongsiwutang- C peach kernel, safflower and other blood circulation drugs. 4.3 Heart and two deficiency: A treatment program for the Qi and blood- A spleen soup- A ginseng, astragalus and other qi and blood; B tonic temper- A spleen soup- A ginseng,astragalus and other qi and blood; B tonic temper- A spleen soup- B yam, Atractylodes spleen Qi drugs; C nourishing effort- A spleen soup- A ginseng, astragalus and other qi and blood; A Qi tonic- A spleen soup- B yam, Atractylodes spleen Qi drugs.Conclusion:1. Basic rule Coronary heart disease complicated with Diabetes foundation treatment therapy for nourishing Yin, invigorating Qi, application of diabetes and Shengmai Powder,Liuwei Dihuang Pill addition and subtraction, medication to acid Gan to nourishing Yin drugs and Ganwen to Qi building herb.2. Staging syndrome treatment Coronary heart disease complicated with diabetes Hyperactivity of fire due to yin deficiency excess syndrome to nourishing Yin as the main treatment, emphasis on tonifying kidney yin, nourishing heart Yin, application of Zhibai Dihuang Wan, Tianwang Buxin Dan addition and subtraction, medication to Ziyin heat clearing drug, nourishing yin and nourishing Yin drugs.Syndrome of deficiency of both qi and blood with Supplementing Qi and nourishing blood as the main treatment, emphasis on strengthening the spleen qi and Tonifying Qi and repair efforts, using Guipi soup, Yangxin Decoction, Bazhen decoction,medication to Qi blood medicine.Temper stasis to invigorate the spleen of stagnation, Qi Yu as the main treatment, emphasis on replenishing qi to invigorate the spleen, acrid opening and bitter descending, spleen and stagnation, Lipi Shugan Jieyu, application of Xiangsha Liujunzi Decoction, Xiaoyaosan, ban Xia Xie Xin Decoction, Banxia Houpu Decoction addition and subtraction, medication with drugs for invigorating spleen and benefiting Qi Xin, open and bitter descending Qi medicine mediation, Qi open Yu medicine and regulating the spleen qi medicine mainly.Obstruction of collaterals by blood stasis syndrome with promoting blood circulation to remove blood stasis, dredging the pain as the main treatment method, emphasis on Huayu Tongluo, promoting blood circulation and relieving pain, spicy and activating blood circulation and dredging meridian, used Xuefu by Xuefu Zhuyu Decoction, Taohong Siwu Decoction and Danshen Decoction, medication to promoting blood circulation and removing blood stasis and activating blood to relieve pain mainly.Coronary heart disease complicated with diabetes Syndrome of deficiency of both qi and Yin with Supplementing Qi and nourishing Yin as the main treatment method, the emphasis in Yi Qi, Jian spleen, tonifying kidney yin and Shengmai Powder Combined with increasing liquid decoction, medication to Ganwen Reinforcing Qi medicine, acid Gan Ji Yin medicine, replenishing qi to invigorate the spleen medicine and Gan Liang Qing tonic mainly.Damp heat stasis with clearing heat and removing dampness as the main treatment method, focus on clearing heat and removing dampness, Zaoshi Yunpi, application of Xiexin Decoction Combined even Pu Yin, Pingwei Powder, addition and subtraction, medication to heat dampness medicine and dampness transport spleen medicine.Blockage of phlegm and blood stasis syndrome with phlegm Kuanxiong, promoting blood circulation and removing blood stasis as the main treatment method, the emphasis in phlegm wide chest, Tong Yang Sanjie, application of Trichosanthes kirilowii Allium white Pinellia decoction combined to resist pill addition and subtraction, medication to phlegm scattered nodes medicine,promoting blood circulation to remove blood stasis and phlegm dampness medicine mainly.Syndrome of deficiency of both the spleen and kidney to supplement the spleen and tonifying the kidney as the main treatment, emphasis on spleen and kidney double compensation and temperature and Tonifying Spleen Yang, temperature and invigorating kidney yang, application of Aconite Decoction reasonable in soup, temperature spleen decoction, Jinkui Shenqi Pill addition and subtraction, medication to Wenzhong Yang medicine, Wen Yunpi Yang herbs and help Yang of gas medicine.Coronary heart disease complicated with diabetes mellitus and chronic complications(Kidney) Yin deficiency and blood stasis syndrome by Nourishing Yin solid kidney,invigorate the circulation of blood as the main treatment, emphasis on Nourishing Yin,invigorating qi and nourishing Yin, Blood Stasis Decoction application Qiju Dihuang pill and Shengmai drink, Liuwei Dihuang pill, pink Siwu Decoction, Xuefu Zhuyu, medication to nourishing nourishing Yin drugs and promoting blood circulation to remove blood stasis.(Kidney) Yang deficiency and blood stasis syndrome with Warming Yang and tonifying kidney and promoting blood circulation to remove blood stasis as the main treatment,emphasis to warming kidney yang, warming kidney gas, the application of economic ShenqiPill, Taohong Siwu Decoction, medication to help Yang Qi medicine, medicine for warming and recuperating the kidney yang and promoting blood circulation to remove blood stasis.Syndrome of deficiency of both heart and spleen invigorating heart and spleen as the main treatment, emphasis on blood and Qi, invigorating spleen, nourishing blood, using Guipi Decoction, medication to Qi students serum and Spleen Qi medicine.The diagnosis and treatment program of the experts, has good clinical application value,can provide the basis for standardized diagnosis and treatment of coronary heart disease complicated with diabetes. |
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