The Study On The Disease Classification And TCM Syndrome Of Angina Pectoris In CHD

ObjectiveThe study focuses on clinical TCM syndrome distribution pattern based on 141 cases of angina pectoris in coronary heart disease clinical patients,at the same time analyzes patients’ sex、age、onset months、danger and inducing factors、coronary artery lesions and cardiac function、clinical syndrome type distribution、the TCM symptoms,and provides a reference for clinical syndrome differentiation.MethodsAccording to the diagnosis standard of angina pectoris in coronary heart disease,collecting a total of 141 patients with angina pectoris in coronary heart disease in cardiovascular of the First Affiliated Hospital of Guangzhou University of Chinese Medicine in patient deparment,from 2013 to 2015.According to the clinical doctors’ diagnosis,collected cases symptoms and established Excel database.The database was finished by stata11.0 and spss17.0 statistical software by the descriptive statistical analysis and factor analysis on the clinical syndromes.ResultsIn this study,83 patients with male,58 patients with women,were 58.87%and 41.13%.There were 2 patients at 20 to 40 years old,41 patients at 40 to 60 years old,87 patients at 60 to 80 years old,11 patients at 80 to 90 years old,were 1.42%,29.08%,61.70%,7.80%of the total respectively.There were 28 cases in July(19.86%),19 cases in August(13.48%),17 cases in June(12.06%),a total of 64 patients with disease(45.4%).There were 5 months that the disease incidence of more than 5%:September(14 cases,9.93%),October(12 cases,8.51%),May(11 cases,7.80%),November(10 cases,7.09%),April(9 cases,6.38%).Four months were less than 5%:January(7 cases,4.96%),December(7 cases,4.96%),February(4 cases,2.84%),March(2 cases,1.42%).In the healthy survey with patients,the patients with high Blood Pressure disease were 88(62.41%),30 cases of patients with Diabetes(21.28%),8 cases of patients with Hyperlipidemia(5.67%)and 54 patients with long-term smoking(38.3%),18 patients with long-term drinking(12.77%),42 patients with a history of PCI surgery(29.79%).There were 88 patients with coronary artery lesions(62.41%),33 cases of patients with single vessel disease(38.82%),double vessel disease in 25 cases(29.41%),24 patients with three vessel disease(28.24%),6 patients with left main stenosis(7.06%).Cardiac function Ⅰ and Ⅱ patients were 134 patients(95.03%),95 patients with cardiac I level(67.37%),39 patients with Ⅱlevel(27.66%),Ⅲ level in 6 cases(4.26%),1 case patients with Ⅳlevel(0.71%).There were 47 patients with predisposing factors,36 cases attacked when activities or tired(76.60%),7 cases when getting cold(14.89%),6 cases when in emotional(12.77%),3 cases when eating and suffering from insomnia(6.39%).Clinical syndrome types are as follow:there are 50 cases of Syndrome of muggy phlegm and blood stasis(35.46%),46 cases of Syndrome of phlegm and blood stasis(32.46%),20 cases of Syndrome of qi and Yin deficiency(14.18%),16 cases of Syndrome of qi and blood stasis(11.35%),only 9 cases of Syndrome of blockade of phlegm-turbidity(6.38%).After the statistical analysis of clinical data,there are 4 different common syndromes in cases.The main clinical manifestations of muggy phlegm and blood stasis syndromes are chest tightness、chest pain、pain when cold sweat out,also appears dry mouth,colporrhagia,shortness of breath and insomnia.The tongue and the pulse in the most of the cases present with dark red tongue、yellow greasy fur、thready and slippery pulse.The main clinical manifestations of syndrome of phlegm and blood stasis are chest tightness,chest pain,phlegm in the throat,dizziness,insomnia.The tongue and the pulse in the most of the cases present with dark purple tongue、white and greasy fur、thready and slippery pulse.Except the symptoms of the chest pain and chest tightness,the main clinical manifestations of syndrome of qi and Yin deficiency are heart palpitations,shortness of breath,dry mouth,insomnia,constipation,tireness.The tongue and the pulse present with dark red tongue、white fur、deep and thin pulse.Except the symptoms of having an excruciating pain、chest tightness、painful to shoulder and back,the main clinical manifestations of syndrome of qi and blood stasis are fixed pain,heart palpitations,dizziness,headache,sighing.The tongue and the pulse present with dark red or dark purple tongue、thin tongue fur、astringent and string pulse.The main clinical manifestations of Syndrome of blockade of phlegm turbidity are the chest tightness,chest pain,expectoration of thick sputum,phlegm,body weight,anorexia,sticky mouth.The tongue and the pulse present with pale tongue、white greasy or slippery fur、slippery pulse.By the factor analysis of syndrome elements of the disease mainly involved "qi deficiency","qi stagnation","Yin deficiency"," stagnation of phlegm","toxic-heat".The main disease in the"heart","liver","spleen","kidney".Analysis of the four syndrome types:qi and Yin deficiency with blood stasis Syndrome,phlegm and blood stasis with qi deficiency of spleen syndrome,qi and blood stasis with qi Yin deficiency syndrome,phlegm and blood stasis with toxic-heat syndrome.ConclusionAccording to the statistical result of this study,the male patients with angina pectoris in coronary heart more than female,and mostly in 60 to 80 years old patients,mainly onset in June,July and August,high blood pressure and long-term smoking are two important risk factors of the disease,when activities or tired will induce the disease.In the aspect of clinical syndromes,the disease mainly involves five types:Syndrome of muggy phlegm and blood stasis,Syndrome of phlegm and blood stasis,Syndrome of qi and Yin deficiency,Syndrome of qi and blood stasis,Syndrome of blockade of phlegm-turbidity.The main syndrome factors related to "qi deficiency","qi stagnation","Yin deficiency","stagnation of phlegm".The main disease in the "heart".The four types from analysis can provide reference for clinical diagnosis and treatment.