A Preliminary Study Of Myocardial Infarction In Patients With TCM Syndrome Spectrum Distribution

Objective: This study was designed to investigate the myocardial infarction TCM syndrome distribution, provide valuable reference for clinicians Differential Treatment of myocardial infarction, myocardial infarction while TCM candidate for a preliminary summary of the spectrum.Methods: First performed by China National Knowledge Medicine database literature, statistics and frequency of each variable constituent ratio, sum dialectical laws of this disease and to develop TCM syndrome questionnaire, followed 151 patients with myocardial infarction collected clinical research, spss19.0 establish statistical database, using statistical methods to explore its related syndromes distribution characteristics.Results: Literature Study: phlegm syndrome in up to six common syndrome in myocardial infarction, followed by stasis syndrome, yin qi deficiency syndrome, qi stagnation, yang deficiency. Myocardial infarction syndromes combination of elements can be divided into single-factor card, two-factor card, three-factor and four-factor card certificates, and yin qi + + + phlegm stasis syndrome highest proportion. Qi stagnation, most found in univariate cards, two-factor + phlegm and blood stasis syndrome in the majority, in the three factors qi deficiency syndrome is more common folder Phlegm and blood stasis is the highest frequency of known disease resistance elements appear in myocardial infarction.Clinical case observations:1 By exploratory factor analysis to get nine common factors, combined with the expertise of these common factors combined to give the phlegm, qi, yin, yang four elements and their common clinical syndromes symptoms included 22 MI, according to the frequency of the various clinical symptoms will be divided into two main parts of the symptoms and secondary symptoms, myocardial infarction main symptoms: chest pain, chest tightness, palpitations, shortness of breath; myocardial infarction associated with symptoms: fatigue, dizziness, spontaneous, bloating and so on.2 Myocardial infarction by clustering analysis of 151 cases, in general can be divided into four categories, phlegm total of 61 patients; 39 patients with qi deficiency syndrome; Yin deficiency of 11 patients; Yang Deficiency total of 8 patients. 3 Through the tongue and pulse information and syndromes in patients with optimal scaling analysis shows that: blood stasis and dark purple tongue, tongue cracks, pulse astringent related; phlegm and big fat tongue, with scalloped, greasy moss, slippery pulse concerned; qi stagnation and Wiry related; Yin and red tongue, thin veins related; Qi and white fur, weak pulse concerned; Yang Deficiency is the big fat tongue, greasy moss relationship. 4 The clinical case studies for syndromes statistics showed: disease resistance syndrome elements of myocardial infarction with phlegm, blood stasis mainly, Qi followed. Features syndrome element combination is consistent with the literature, phlegm and blood stasis syndrome element widely distributed in various combinations. Statistical studies on the disease Slip and combinations of elements of myocardial infarction coronary heart disease-bit instructions in mind, but is closely related to the liver and spleen.Conclusion: Comprehensive literature research and clinical case studies, phlegm, blood stasis is the main elements of myocardial infarction syndrome, Qi, phlegm, blood stasis is the main pathological mechanism of myocardial infarction, myocardial infarction heart disease location, but is closely related to the liver and spleen.