Integrative Comprehensive Treatment Program Efficacy Of Pulmonary Heart Disease And Clinical Study Of Pulmonary Artery Pressure

Objective:To provide an integrated Traditional Chinese and Western Medicine treatmentprogram for the acute onset period of chronic pulmonary heart disease(CPHD),study the effect of the program on the acute onset period of CPHD. This program isbetter than pure Western medicine program and other plans which combination ofChinese medicine and Western medicine at the present time. It not only suitssituation in our country , but also can raise the clinical curative effect.Methods:(l)Reviewing TCM ancient works about CPHD and summarizing the TCMachievements of the CPHD in the latest twenty years.(2)Generalizing the onset mechanism and clinical researches progress of PAH whichdue to chronic obstructive pulmonary disease(COPD).(3)Systematically summarizing the clinical experience on acute onset of CPHD ofProfessor Chen Shaohong.(4)With prospective multi center randomized controlled trial, 66 patients with acuteonset CPHD were randomized divided in two groups. One is the control group andthe other is the cure group. Both groups were treated with Western medicine therapyexcept the anti-pulmonary-hypertensive drugs. In additional, the patients in the curegroup were treated with decoction 1 or 2 or 3, which based on differentiation.Analysed the 14 days fatality rate, the curative effect, the Pulmonary arteria systolicpressure (PAPs), and the symptom, the sign etc.Results:(l)The CPHD is one of a diseases of Western medicine, but there were abundance ofrecords about it in TCM ancient books. Although a great progress was achieved bythe modern TCM doctors on the study of CPHD, yet most of the research was abouta herb , a decoction ,or a therapeutic method. Otherwise ,the understanding of thedisease CPHD is not having been unified in TCM.(2)The mechanism of PAH because of COPD is complexity, only western medicinetherapy can not get satisfactory curative effect. All anti-pulmonary-hypertensivedrug except NO is not-selective-drugs which not only can reduce the pulmonaryartery pressure , but also systemic circulation. In addition NO is a toxic drug.