The Distribution Of CHD TCM Syndrome And The Relation Of Symptoms, NEFA And Syndrome Differentiation

Objective: The aim of the study was to observe the distribution of CHD TCM syndromeand the relation of symptoms and syndrome differentiation, and exploreing the relationshipof symptoms and syndrome differentiation typing. And exploreing the relationship of NEFA,serum lipids and syndrome differentiation typing. By measuring NEFA and serum lipids, fixquantity ration of syndrome differentiation typing, explore its dangerous in order to directclinic treatment, through which we can find the theory basis of the diagnosis anddifferentiation of syndrome differentiation typing in CHD. It can make clinic treatmentmore individual and efficiency.Method: 232 patients with coronary heart disease were divided into eight groups basedon syndrome differentiation typing. We investigated the the relationships of symptoms andsyndrome. The level of NEFA and serum lipids were tested in order to explore the relationsbetween syndrome differentiation and these markers. By statistics test, analyze thecorrelations of free fatty acid and serum lipids.Results: 1. The distribution of CHD TCM syndrome was not symmetry. The turbidphlegm obstructing the heart syndrome, the heart-blood stasis syndrome, deficiency of bothqi and yin syndrome, and qi deficiency and blood stasis syndrome were more; theheart-kidney yin deficiency syndrome, qi stagnation and blood stasis syndrome, thecold-pathogen invading the heart syndrome, and the heart-yang deficiency syndrome wereless.2.The following 20 symptoms had difference between syndrome differentiation typing:chest pain, stabbing pain, gripping pain, fat, dizziness, insomnia, sweating, and so on(P＜0.05).3. The lever of NEFA in CHD groups were higher than those in healthy controlgroup signification (P＜0.05). They were different between syndrome differentiation typing(P＜0.05). The lever of NEFA in turbid phlegm obstructing the heart syndrome and theheart-blood stasis syndrome were higher than it in deficiency of both qi and yin syndromeand qi deficiency and blood stasis syndrome.4. Blood sugar and serum lipids were differentbetween syndromes in CHD group, P＜0.05.5. It had high relational between NEFA andTG or LDL-C. It was line-relation between NEFA and TG.Conclusion: 1. The distribution of CHD TCM syndrome was not symmetry. The turbidphlegm obstructing the heart syndrome, the heart-blood stasis syndrome, deficiency of bothqi and yin syndrome, and qi deficiency and blood stasis syndrome were more in clinicl.2. The following symptoms can be used to diagnose syndrome differentiation typing: chestpain, stabbing pain, gripping pain, fat, dizziness, insomnia, sweating, and so on. 3. Thelever of NEFA in CHD groups were higher than it in healthy control group signification.The lever of NEFA in turbid phlegm obstructing the heart syndrome and the heart-bloodstasis syndrome were higher than it in deficiency of both qi and yin syndrome and qideficiency and blood stasis syndrome.so,it can be one of the objective indexs in thediagnose of turbid phlegm obstructing the heart syndrome and the heart-blood stasissyndrome.4. It had relation between NEFA and TG.