Coronary Heart Disease And Stable Traditional Chinese Medicine Syndrome Characteristics

In this paper,including literature review and clinical research in two parts.Literature Review:Objective:To analyse coronary heart disease(CHD)over the past 10 years the distribution of the characteristics of traditional Chinese medicine(TCM) syndromes,in order to provide reference for the Clinical Diagnosis and Treatment.Method:With"coronary heart disease AND syndrome"for the words on the years 1994-2008 in the domestic official journal published the treatment of CHD and syndrome differentiation-based statistical analysis of the literature,use the syndrome factor to analyse characteristics of CHD syndromes.Results:Selected in line with the requirements of 95 documents,14,210 cases of selected cases.The syndromes of the distribution of Overall and angina pectoris syndrome of CHD related 8 syndrome factors,frequency of high to low as follows: blood stasis,Qi deficiency,phlegm turbidity,Yin deficiency,Qi stagnation,Yang deficiency,cold coagulation and heat,in which blood stasis,Qi deficiency, phlegm turbidity,Yin deficiency,Qi stagnation,Yang deficiency syndromes six factors of the detection rate of greater than 10%.South,North syndromes in patients with major factors(including phlegm turbidity)no significant difference in the distribution.Conclusion:Over the past 10 years,CHD syndromes common factors were as follows:blood stasis,Qi deficiency,phlegm turbidity,Yin deficiency,Qi stagnation,Yang deficiency,cold coagulation and heat,reflecting the pathogenesis of CHD is root insufficiency and surface hyperactivity.South, patients with no significant difference in the north.And the last 10 years, compared with phlegm turbidity,heat implies an increase in patients.Should be strengthened for future CHD syndromes in different populations and comparative analysis of the distribution of the dynamic evolution Syndrome research.Clinical Research:Objective:To analyze the patients with stable CHD syndromes of TCM and the law of distribution,in order to provide reference for the Clinical Diagnosis and Treatment.Method:Of the past have a history of old myocardial infarction or coronary angiography in 346 cases of diagnosed CHD patients with stable cross-sectional survey.TCM Syndrome Differentiation in the light of the Chinese Society of Cardiovascular Institute of Integrated Traditional and Western Medicine in October 1990 revised"TCM standard CHD",and is divided into blood stasis, phlegm turbidity,Qi stagnation,cold coagulation,Qi deficiency,Yang deficiency and Yin deficiency 7 factors of a syndrome.Using crosstabs analysis and Logistic multiple regression analysis method,combined with gender,age,past history, personal history(diet characteristics,tobacco and alcohol habits,personality types, professional nature,etc.),family history of CHD in patients with stable stage the overall population and different population sub-group of syndromes characterized by the analysis.Results:1,the general data analysis:346 cases of patients with stable CHD,male 254, female 92,male to female ratio greater than 2:1;the average age of 60.82±9.616 years old,mainly in middle-aged and elderly;have a family history of CHD 126 persons,accounting for 36.4%;the combined 260 patients with Hyperlipidemia disease,accounting for 75.1%;of 223 people with Hypertension,accounting for 64.5%;of 121 people with Diabetes,accounting for 35.0%;a smoking history of 196,accounting for 56.6%;obese patients(body mass index(BMI)＞28)63 people, accounting for 18.2%,A-type character of 278,accounting for 80.3%).2,the distribution of common symptoms:patients with CHD of 346 cases of all the main disease,and disease statistics,results showed that the 10 most common symptoms were:dizziness＞weak＞shortness of breath＞chest tightness＞Tinnitus＞dry mouth for drink＞palpitations＞lumbar acid＞vertigo＞chest pain.3,tongue,pulse characteristics of analysis:the majority of patients were manifested as tongue dark red/short dark/faint purple/dark purple/black purple, almost all have the sublingual venae with abnormal performance for the rough-shaped bulging veins or varicose,black purple or purple colored veins.The vast majority patients with obese large/teeth marked tongue,on the basis of this, many have greasy moss or crack.In pulse,string pulse and under pulse are common,both of which are 191 cases,accounting for 55.2%;Slippery pulse followed by 146 cases,accounting for 42.2%,111 cases of a minor pulse, accounting for 32.1%,31 cases of weak pulse,accounting for 9.0%,15 cases of fast pulse,accounting for 4.3%;less appears is 5 cases of not smooth pulse,5 cases of relief pulse,2 cases of node clock pulse and other kind of pulses three cases.4,the situation of TCM Syndrome Types:346 cases of stable CHD patients involving 7 syndrome factors,the frequency of high to low as follows:blood stasis (94.2%),Qi deficiency(45.4%),phlegm turbidity(39.0%),Yang deficiency (34.4%),Yin deficiency(15.0%),Qi stagnation(7.2%),cold coagulation(0.3%), and most patients have 2 or 3 syndromes,with Qi deficiency and blood stasis, Yang deficiency and blood stasis,phlegm turbidity and blood stasis,qi deficiency phlegm turbidity and blood stasis,Yang deficiency phlegm turbidity and blood stasis is often.5,the law and distribution of the characteristics of TCM syndromes:in patients with stable CHD and blood stasis have the elderly and patients with a family CHD history of the majority;phlegm heat syndrome of many Hyperlipidemia disease, smoking history or frequently overwork;Qi stagnation syndrome combined with sweet preferable;Qi deficiency syndrome exertion angina in the majority;Yin deficiency syndrome most have myocardial infarction history;and the most Yang deficiency syndrome have Diabetes family history and the relevant to the nature of professional,according to the size of the risk of Yang deficiency followed by a combination of mental strength＞mainly manual＞mainly mental.Conclusion:Comprehending stable CHD patients with symptoms and characteristics of the tongue and pulse,the TCM Syndrome is characterized by root insufficiency and surface hyperactivity,and more complex syndromes, surface hyperactivity factors to blood stasis,phlegm turbidity often,followed by Qi stagnation,cold coagulation,the root insufficiency factors of Qi deficiency, Yang deficiency,followed for the Yin deficiency.Syndromes of different distribution of population has its own characteristics,and to patients with stable CHD clinical diagnosis and treatment has a certain reference value,it is worth in depth study.