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Chest Pain (angina Pectoris), Said Wind Disease And Clinical Syndrome Elements Distribution Of Observation

Posted on:2015-01-29Degree:MasterType:Thesis
Country:ChinaCandidate:M GuoFull Text:PDF
GTID:2264330428471148Subject:Traditional Chinese Medicine
Abstract/Summary:PDF Full Text Request
Coronary atherosclerotic heart disease, meaning coronary atherosclerosis vascular stenosis or obstruction, or (and) due to coronary functional changes (spasm) or necrosis leading to myocardial ischemia and hypoxia caused by heart disease, more performance for chest pain.In Chinese medicine theory, although there the word "angina pectoris" record, but its persistent chest pain, or associated with palpitations, shortness of breath, difficulty breathing, clinical manifestations, fatigue, spontaneous and other symptoms, and in medicine "weak heart yang" symptoms "stagnation" and caused close to, thus it can be attributed to the medicine "Chest","heartache","Jue heartache" and other ranges. Its episodic, recurrent features; basic characteristics of pain or a heart attack before the area, or radiation to the left shoulder, the back and other characteristics, with wind evil "good but a few changes", then the medicine "pathogenic wind-induced theory disease "has a certain relevance.The thesis is divided into two parts. The first part includes two literatures review were discussed thoracic obstruction nonaggressive, academic development overview pathogenesis, treatment, therapies and the like. Meanwhile in retrospect medicine "pathogenic wind cold", based on the combined experience of the majority of physicians in clinical drug therapy using wind thoracic obstruction (angina pectoris), and to explore the correlation with disease-causing pathogenic wind theory, intended to emphasize the wind pathogenic factors, wind drugs in the treatment of thoracic obstruction importance of the role.The second part of the clinical study. Through acquisition and data analysis of clinical cases treated, the patient characteristics observed in plain chest stuffiness and distribution of TCM, and its relationship with "Wind disease say" relevance to enhance awareness and understanding of the disease and to provide reference for clinical syndrome.Contents and methods:We collected178cases of thoracic obstruction (angina pectoris) in adult patients, patients generally preclude the collection information and syndromes information. Among middle-aged male-dominated, male to female ratio is about1.02:1, the oldest89and the youngest32years old. The age distribution in70-79age group the largest proportion,39.33%of the total number of cases; followed by the80-89year old age group60-69were28.09%of the total number of cases,20.79%.137patients with hypertension, the presence of the collected cases, accounting for76.97%; followed by dyslipidemia, accounting for43.26%.41.01%of the patients in the alternate season after season, feeling cold evil disease, its highest in more than five percentage constitute a predisposing factor in;21.91%of the patients in the incidence of fatigue, tired of incentives;19.10%of the patients with onset emotional factors are closely related.Data processing, the collected symptoms and signs into mapped into27standardized diagnostic differentiation factor weights, and then observe the factors involved in the distribution of certificates.Results:The survey, the largest occurrence frequency of chest stuffiness master card (heart disease location) elements of blood stasis syndrome, a total136cases,76.40%of the total number of cases; followed qi (64.04%); rest, such as phlegm, the proportion of heat Yun, Hanning, Yang, Qi stagnation, etc. are less than30%. Moreover mainly involve other organs and certificate to Qi Deficiency (46.07%), kidney (37.08%), deficiency (29.78%), liver deficiency (25.84%) and the proportion is much higher than other cards. Syndrome elements combine to QDBS most, accounting for66.83%; followed by Yang Qi and Blood, accounting for16.29%. Conclusion:1.Viscera Qi deficiency is the important foundation of chest pain syndrome onset and its main disease in the hearts, often accompanied by spleen kidney deficiency, is deficient in the nature of Qi(Yin) deficiency.2.Seasons, is closely associated with the passage of cold onset chest stuffiness. Heart kidney failure, the wind off context, blood block is an important pathogenesis chest pain syndrome.
Keywords/Search Tags:The Pathogenicity of Wind, Coronary Heart Disease, Chest Pain, Syndrome elements
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