| Purpose:To observe and record the location,shape and color of the white eye collaterals in patients with coronary heart disease,analyze its change rule,and explore the correlation between the change of white eye collaterals and coronary heart disease.Material and method:From September 2021 to November 2022,patients who were hospitalized in the Department of Cardiology were selected according to the inclusion and exclusion criteria.The information of patients was collected,including general information(name,gender,age,etc.),clinical symptoms,comorbidities,course of disease,carotid artery color Doppler ultrasound results,degree of coronary artery stenosis,etc.The control group selected healthy patients who had no serious heart,cerebrovascular disease,diabetes,no eye disease and the age of the observation group.The images of white eye collaterals were collected by mobile phone camera and stored in computer.All the collected data were input and transformed,and Excel software was used to establish a database and analyze the data.SPSS 25.0 statistical software was used for statistical processing to summarize the law of changes in white eye collaterals in patients with coronary heart disease.Results:1.The area of abnormal white eye collaterals in patients with coronary heart disease in this group was mostly complex,but it was mostly concentrated in the heart and small intestine area,upper Jiao area,hepatobiliary area,spleen and stomach area,and there was a significant difference with the control group(P < 0.05).2.The abnormal white eye collaterals in this group of patients with coronary heart disease were more complex,among which the exposed,coarse roots,and blurred one were more,and there was a significant difference with the control group(P < 0.05).3.The color of abnormal white eye collaterals in patients with coronary heart disease in this group was more complex,among which bright red,dark gray and purple red were more common,and there was a significant difference compared with the control group(P < 0.05).4.Among the 106 patients included in the study,there were 30 cases of phlegm and blood stasis syndrome,23 cases of qi and yin deficiency syndrome,26 cases of qi stagnation and blood stasis syndrome,21 cases of qi deficiency and blood stasis syndrome,2 cases of yin cold stagnation syndrome,and 3 cases of yang qi deficiency syndrome.According to statistics,there was no significant difference in the number of patients with hypertension,diabetes,cerebrovascular disease and gastrointestinal disease among different syndromes(P > 0.05).The division,color and shape of the white eye collaterals of the four syndromes are comparable.The abnormal white eye collaterals of coronary heart disease with phlegm and blood stasis are mostly distributed in the heart and small intestine area,the upper energizer area,the spleen and stomach area.The shape is mostly exposed,the root is thick,extends to other areas and blurs.The color is bright red,purple red and dark gray;the abnormal white eye collaterals of coronary heart disease with deficiency of both qi and yin are mostly distributed in the heart and small intestine area,upper Jiao area,lung and large intestine area.The shape is more exposed,the root is coarse,extends to other areas and has bifurcation,and the color is bright red and dark gray.The abnormal white eye collaterals of coronary heart disease with qi stagnation and blood stasis are mostly distributed in the heart and small intestine area,hepatobiliary area,kidney bladder area and upper Jiao area.The shape is mostly blurred,dewy and thick,and the color is bright red,purple red and dark gray.Qi deficiency and blood stasis type coronary heart disease abnormal white eye collaterals are mostly distributed in the heart and small intestine area,lung and large intestine area,upper Jiao area,liver and gallbladder area.The shape is more exposed,the root is coarse,blurred and bifurcated,and the color is dark gray,bright red and light.5.The abnormal white eye collaterals in patients with mild coronary artery stenosis are mostly distributed in the heart and small intestine region,the upper focus region,and the hepatobiliary region.The shape of the abnormal white eye collaterals is mostly dewy,blurred,and the root is thick.The color of the abnormal white eye collaterals is bright red,dark gray,purplish red,and light yellow;In patients with moderate coronary artery stenosis,the abnormal white eye collaterals are mostly distributed in the heart and small intestine region,the upper focus region,the spleen and stomach region,and the hepatobiliary region.The shape of the abnormal white eye collaterals is mostly seen in a thick,dewy,fuzzy area of the root and extends to other regions,and the color is mostly bright red,dark gray or purplish red;Severe stenosis and abnormal white eye collaterals are mostly distributed in the heart and small intestine region,spleen and stomach region,hepatobiliary region,and central focus region.The shape of the collaterals is mostly dewy,varicose or distended,the root is thick and extends to other regions,and the color is mostly bright red,purple red or red with yellow.6.The abnormal white eye veins in the low Crouse score group mostly appeared in the heart and small intestine area,the upper focus area and the lung and large intestine area,and the morphology was mainly manifested as drooping,extending to other areas and having many bifurcations,and the color was mainly manifested as bright red,dark gray and purplish red;The abnormal white eye collaterals in the middle Crouse integral group mostly appeared in the heart and small intestine area,the upper focus area and the hepatobiliary area.The shape of the collaterals was mostly dewy,the root was thick and fuzzy,and the color was mostly bright red,purple red and dark gray;The abnormal white eye collaterals in the high Crouse score group mostly appear in the heart and small intestine area,hepatobiliary area and upper focus area.The shape of the collaterals is mainly manifested as a thick,dewy and fuzzy root,and the color is mostly bright red,dark gray,purple and yellow in red.7.For patients with a course of 0 to 5 years(55 cases in total,accounting for 55% of the total number of cases),the abnormal white eye collaterals are mostly concentrated in the heart and small intestine area,hepatobiliary area,upper focus area and middle focus area.The shape of the abnormal white eye collaterals is mostly dewy,the root is thick and fuzzy,and the color is mostly bright red,purple red with yellow and dark gray;The patients with a course of disease of 5 to 10 years(26 cases in total,accounting for 26% of the total number of cases)mostly have abnormal white eye collaterals in the heart and small intestine area,the upper focus area,the lung and large intestine area and the spleen and stomach area.The morphology is mostly manifested as prolapse,thick root,blurred and extended to other areas,and the color is mostly bright red,dark gray and red with black;The abnormal white eye collaterals of patients with a disease course of more than 10 years(19 cases in total,accounting for 19% of the total cases)are mostly distributed in the heart and small intestine area,the upper focus area and the kidney bladder area.The morphology of the abnormal white eye collaterals is mostly characterized by prolapse,thick roots and extension to other areas,and the color is dark gray,bright red and purple.Conclusion:1.Most patients with coronary heart disease have abnormal white eye collaterals,which are significantly different from those of healthy people.The abnormal collaterals mostly appear in the heart and small intestine region,with the most appearance of prolapse and the most color of bright red,which is consistent with the theory that coronary heart disease is located in the heart and "blood stasis" factor runs through the course of disease.2.Among the four syndrome types of coronary heart disease,phlegm and blood stasis are the most common.On the white eye,there are abnormalities in the heart and small intestine,the upper focus and the spleen and stomach,which are related to the pathogenesis of spleen dysfunction,the disorder of body fluid dispersion,the accumulation of dampness into phlegm,the stagnation of blood flow into blood stasis,and the interaction of phlegm and blood stasis.3.If there is varicose or angry shape and/or purplish red color,it indicates that the degree of coronary artery stenosis is high.The higher the score of carotid plaque,the more abnormal white eye veins will appear.4.The longer the course of the disease,the greater the probability of the appearance of the white eye veins with extended shape and dark gray color,indicating that the more viscera involved in coronary heart disease,and if the color is bright red,it more indicates that the onset time of coronary heart disease is not long.5.The results of this study are consistent with the theory summarized by Professor Peng Jingshan.The changes of the white eye meridians in patients with coronary heart disease have obvious regularity,which has certain significance in assisting clinical early diagnosis of coronary heart disease. |
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