| The thesis made researches into deficiency of heart and spleen syndrome in thorax arthralgia (Ischemic heart Disease) combining the disease and syndrome.A diagnosis chart was made by applying the method of the maximum likelihood discriminatory analysis to the four diagnosis methods information of thorax arthralgia patients 150 cases belonging to deficiency of heart and spleen syndrome and 156 cases non- deficiency of heart and spleen syndrome. Thus the qualitative diagnosis was initially achieved. By multiple linear regression on syndromes 36 factors from the 150 patients with deficiency of heart and spleen syndrome were analysed. The results showed that eleven of them, such as oppressed feeling in chest and cardiac pain had the maximum contribution, which being the base of diagnosis.By discussing pathogenic factor^ pathogenesis and characteristics of syndrome, the article also puts forward that the trait of the pathogenic factor and pathogenesis are immoderate diet, over thinking, and that, spleen and stomach are damaged, heart deprived of nourishment; the onset is due to the physical condition of insufficiency of the spleen with phlegm-dampness; deficiency of heart and spleen, deficiency in qi-blood, excessive in phlegm turbidity, obstruction of vessels and collaterals; deficiency of heart and spleen, disorder of qi, disturbance in ascending and descending. The syndromes are characterized by locating in heart, involving the spleen;coexing deficiency and excess types; owning the different degree in syndromes; having different tongue pictures.At the same time, by summarizing the clinical experiences of the tutor, the author thought that the basic principle of the disease is supplementing qi and nourishing the hearU strengthening the spleen and resolving phlegm. When applying the law, the following should be mastered: treating the heart and spleen simultaneously, searching for primary cause of the disease; strengthening the body resistance to eliminate pathogenic factors, attaching importance to regulating qi;observing the phlegm-dampness, applying the invigorating, unstopping and transforming at the same time. |
