Coronary Syndrome Characteristics

Purpose: This subject have in-depth study of providing theoretical basis anddata of clinical trials for coronary syndromes distribution features, deepen the understanding of TCM differentiation method,enhance the level of TCM coronary heart disease clinical diagnosis and treatment, using Clustering etc. various mathematical statistic method to analysis clinical expert questionnaire 3d structural correlation database of coronary heart disease syndrome factor,syndrome features, syndrome pathology evolution rule, clear its syndrome features of coronary heart disease of different phases. Hope to help for TCM dialectical of coronary heart disease and provide reference for TCM treatment and research of coronary heart disease.Material and method: According to the national standards, the literature,expert consultation, from modern psychological measurement theory and the method of structured decision-making, application of the Scale learn, have three Delphi methods, develop the clinical expert questionnaire of coronary heart disease syndrome factor,syndrome features, syndrome pathology evolution rule, its reliability and validity of the evaluation of excellent, survey the northeast, north, northwest, southwest, southeast China, six areas, 41 hospitals, collect 1218 questionnaires, using a qualified computer equ- ipment, established the questionnaire survey database of Access, input and second check input, established clinical expert questionnaire 3d structural correlation database of coronary heart disease syndrome factor,syndrome fe- atures,syndrome pathology evolution rule, using SAS software, use frequency , Clustering etc. Various mathematical statisti- cal analysis method.Results:1. In the lights of any syndrome features of different stages: (1)In the early stage, there are syndrome of Qi stagnation cardiothoracic, syndrome of deficiency of both Qi and Yin;(2)In the attack period, there are syndrome of retention of phlegm due to stagnation of Qi, syndrome of lack of heart-yang, syndrome of coagulation of heart due to cold-pathogen, syndrome of deficiency of Yang due to blood of stagnation;(3)In the remission stage, there are syndrome of incoordination between liver and spleen, syndrome of Yang deficiency of both heart and kidney, syndrome of Qi deficiency of heart and lung; (4) In the recovery period,there are syndrome of deficiency of heart-Qi, syndrome of deficiency of Yang due to stagnation of Qi, syndrome of deficiency of both Qi and Yin.2. Syndrome clustering of tongue inspection and pulse taking Results'. The Chinese Medicine pathogenesis of Coronary Heart Disease is intermingled deficiency and excess. Clinic syndrome is manifestation deficiency and root cause excess.Conclusion:1. Questionnaire Research. Chinese medicine theory as the guide, combining the characteristics of coronary heart disease pathogenesis, from theory and modern psychological measurement into a structured decision-making, developed the clinical expert questionnaire of coronary heart disease syndrome factor,syndrome features,syndrome pathology evolution rule. In a comprehensive, objective comparison of the whole process of lesion reduction of coronary heart disease, to describe the different stages of symptoms,signs, and using Delphi method revision of questionnaire, structure and content of coronary heart disease symptoms dimensions and the dialectical dimension beneficial exploration and try to analysis and summary coronary heart disease syndrome factor,syndrome features,syndrome pathology evolution rule.It will be on humanism philosophy and science in the modernization of TCM theory research, provide reference templates and methodology.2. Questionnaire Survey. This subject adopts evidence-based medicine and clinical epidemiological methods, reliability and validity good, and easier to implement, and is a valuable research methods;The longitudinal observation method can be considered.3. Syndrome Clustering Results. We have finished a statistical analysis for large-sample expert questionnaire database with the method of clustering, and enduced to four stages and twelve syndrome features: (1)In the early stage, there are syndrome of Qi stagnation cardiothoracic, syndrome of de- ficiency of both Qi and Yin;(2)In the attack period, there are syndrome of retention of phlegm due to stagnation of Qi, syndrome of lack of heartya-ng, syndrome of coagulation of heart due to cold-pathogen, syndrome of defi- ciency of Yang due to blood of stagnation; (3)In the remission stage, there are syndrome of incoordination between liver and spleen, syndrome of Yang deficiency of both heart and kidney, syndrome of Qi deficiency of heart and lung;(4)In the recovery period, there are syndrome of deficiency of heart-Qi, syndrome of deficiency of Yang due to stagnation of Qi, syndrome of def- iciency of both Qi and Yin.4. Important Factors. Emotional factors and the factors of Qi-deficiency are always with Coronary Heart Disease.5. Pathogenesis Of Syndrome. In the lights of any syndrome of different stages, in the early stage, the remission stage and the.recovery period of Coronary Heart Disease, the main syndrome feature is yang-deficiency. In the attack period ,the main syndrome feature is Empirical, for example blocked-blood and Sputum. The Pathogenesis of Coronary Heart Disease is intermingled deficiency and excess.CIinic syndrome is manifestation deficiency and root cause excess. def iciency. The result is in line with the clinical symptoms of Coronary Heart Disease, and it is practical significance for the Chinese traditional medicinal treating Coronary Heart Disease.