Song Yiting's Academic Thoughts And Clinical Experience Summary And "Yanhua Tang" In The Treatment Of Coronary Heart Disease With Angina Pectoris And Phlegm And Blood Stasis Syndrome

This research is divided into three parts.The first part is the origin of tutor's academic thought and summary of academic thought and clinical experience and typical cases finishing and innovation point.The second part is a literature review,including the understanding and research progress of traditional Chinese medicine on coronary heart disease and modern medical research of coronary heart disease.The third part is experimental study,academic research of Lou flower decoction in treating coronary heart disease with phlegm blood stasis and toxic syndrome.1.The origin of tutor's academic thought and summary of academic thought and clinical experience and typical cases1.1 An overview of the origin of the tutor's academic thoughtThe paper introduces the tutor Song Yi-ting's mentor life profile and his original thought.Professor Song Yi-ting's academic characteristics is De Yi double cultivation,with both a benevolent mind and heart,follow prestigious teachers,diligent and tireless,familiar with classical books,extensive adoption of various doctors' prescription,both ancient and modern learning,laying equal stress on both Traditional Chinese Medicine and Western Medicine.1.2 The summary of tutor's academic thoughtThe core idea is the balance of Yin and Yang,phlegm and blood stasis being derived from the same source.Analyze the causes of disease in detail.Pay attention to consider congenital factors and be good at strengthen kidney.The treatment of coronary heart disease is based on the spleen and stomach.The treatment of coronary heart disease is from the heart and spleen,liver and spleen,lung and spleen,kidney and spleen.The treatment of coronary heart disease is from harmonizing Qi and blood,resolving phlegm and removing blood stasis and strengthening the body resistance.The treatment of coronary heart disease is on the combination of dialectical theory and constitutional theory.The treatment of coronary heart disease is from the relationship between phlegm blood stasis and simultaneous treatment of brain and heart.The treatment of coronary heart disease should be based on three factors and abide by the law of viscera and Qi.The key pathogenesis of coronary heart disease is the phlegm and blood stasis resistance collaterals and heat injury.Good at using single drug and paired drug properly.Good at using insect drugs.1.3 The tutor's clinical experience and typical cases finishingSummarize 10 mainly diseases and each disease attaching a typical case.Xuan Yang Tong Bi,simultaneous treatment of heart and stomach,invigorating Qi and promoting blood circulation,strengthening Yang to suppress Yin,activating blood and excretion water,strengthen kidney and nourishing heart for treatment of obstruction of heartache,while particularly pay attention to the phlegm blood stasis and toxic syndrome.Treating vertigo disease is from the liver early,from the liver to the spleen in the mid-term,late treatment to kidney,regulating the liver and spleen.Deficiency of spleen and kidney is the root course of hyperlipidemia,while phlegm and blood stasis is the face courses of hyperlipidemia.Heart failure is from the heart and lung,heart and spleen,heart and kidney treatment simultaneously.Treatment of palpitation is by supplementing Qi and nourishing Yin,agitating the heart Yang,harmonizing Qi and blood,adjusting the dual power Yin and Yang.Treatment of insomnia is by nourishing blood heart Yin,liver Yin,kidney Yin on the basis of benefiting Qi and nourishing blood.The treatment of diabetes is from the spleen deficiency and blood stasis,while focusing on congenital deficiencies.Treatment of vasculitis is heat-clearing and detoxifying,promoting blood circulation to removing blood stasis.The treatment of pulmonary heart disease is from the correlation of five internal organs,acute and chronic remission.The treatment of sweating syndrome is from the five internal organs.The treatment of coronary heart disease is focuses on the phlegm and blood stasis and toxic syndrome.Innovation point:based on the present climate and environment,the theory of phlegm,blood stasis and toxin stasis in coronary heart disease was established.The clinical observation of coronary heart disease and angina pectoris was carried out by clearing away heat and toxic substances.Research findings show:Compared with the control group,Lou flower decoction significantly alleviate the symptoms of angina,ECG,lower the blood lipids and C-reactive protein,showed good clinical curative effect.2.Journals reviewed2.1 The understanding and research progress of traditional Chinese medicine on coronary heart disease;the treatment of coronary heart disease from five internal organs;the common syndromes and clinical study of coronary heart disease;the toxin stasis and coronary heart disease;theoretical origin of phlegm and blood stasis in coronary heart disease;the study on the relationship between phlegm blood stasis and toxic syndrome of coronary heart disease;the pathogenesis evolution of phlegm blood stasis and toxic syndrome of coronary heart disease.2.2 Modern medical research of coronary heart disease:the pathogenic factors of coronary heart disease(the three highs,the obesity,the age,the sexual,the distinction,the character,the sport);diagnosis of coronary heart disease(the electrocardiogram,the echocardiography,the 64 slice spiral CT);the treatment of coronary heart disease(the general treatment;the medication;the reconstruction of blood circulation and surgical treatment).3.Academic research of Lou flower decoction in treating coronary heart disease with phlegm blood stasis and toxic syndrome.Objective:To observe the clinical effect of Lou flower decoction in treating coronary heart disease with phlegm blood stasis and toxic syndrome.The study provides the clinical basis for the prevention and treatment of coronary heart disease in traditional Chinese medicine.Methods:Will meet the diagnostic criteria,inclusion criteria for coronary heart disease in patients with angina pectoris,using the method of random number table,were divided to two groups,control group for secondary prevention of coronary heart disease with oral administration of Xin tong oral liquid,treatment group in the secondary prevention of coronary heart disease based and self service Lou flower soup,4 weeks for a course of treatment,and compared between the two groups in before and after the treatment of angina pectoris attack,scores of TCM symptoms,ECG ST-T changes,high sensitive C reactive protein(CRP),total cholesterol(TC),glycerol triacetate(TG),low density lipoprotein cholesterol(LDL-C),high density lipoprotein(HDL-C),lipoprotein a(LPa).Results:65 cases were selected,5 cases were removed,60 cases were completed,30 cases in treatment group and 30 cases in control group.Angina pectoris curative effect?The effect of electrocardiogram(ECG)?The efficacy of TCM syndrome?CRP?Blood lipid levels,the clinical curative effect of treatment group was significantly better than the control group(P<0.05).Conclusion:(1)The self-made Lou flower Decoction in the treatment of coronary heart disease and angina pectoris phlegm,blood stasis and toxin stasis syndrome patients,effectively improve the patient's clinical symptoms,especially in improvement of angina pectoris,TCM syndrome has a significant effect and decrease the levels of TC,TG and LDL-C,increase the level of HDL-C and visible phlegm,blood stasis and toxin stasis is one of CHD pathogenesis and clinical application of expectorant by stasis,heat clearing and detoxifying treatment of coronary heart disease with the exploration.(2)Qing re jie du Chinese medicine can significantly reduced CRP levels,improve the symptoms of angina pectoris,illustrate the formation of atherosclerosis is closely related with the toxin in traditional Chinese medicine,is closely related to the toxin and inflammation in western medicine may continue to explore the heat clearing and detoxifying drugs and prescription to improve the role of endothelial cell function in patients with coronary artery disease.(3)Use to phlegm by stasis,heat clearing and detoxifying method of self-Lou flower soup can increase the level of high density lipoprotein(HDL),that expectorant and expel stasis,heat clearing and detoxifying can prevent atherosclerosis,in the aspects of "preventive treatment of disease" has a certain potential.