Study On TCM Syndrome Of Unstable Angina Pectoris (Chest Stuffiness And Pains)

Objective: By retrospective analysis of the case information of inpatients in previous cardiology department was carried out,to observe the syn dromes and distribution of unstable angina pectoris(chest stuffiness and pains),including syndromes,demographic distribution,regional distribution,and the characteristics of the disease,in order to provide data support for the study of TCM syndromes and epidemiology of unstable angina pectoris(chest stuffiness and pains).Methods: From January 1,2014 to January 1,2018,patients with unstable angina pectoris(chest stuffiness and pains)who experienced CAG or PCI surge who experienced CAG or PCI surgery in Department of Cardiology,Henan Provincial Hospital of traditional Chinese Medicine,Henan University of traditional Chinese Medicine,were selected for general data.Demographic data and geographical data are the main objects of observation.The d ata are analyzed retrospectively,including descriptive analysis of general situation,chi-square test of counting data,exploratory analysis of pathogenic factors,factor analysis,etc.categorical regression,cluster analysis of symptoms.Results:1.A total of 231 cases were collected in this study:(1)56.70% of the patients were male.Female accounted for 43.30%.(2)Most of patients aged 60-69,accounting for 35.9%.(3)In terms of the occupational composition of patients,accounting for 30.74%.(4)In the geographical distribution,64.94% were in Central Henan.(5)The most frequent onset season is spring which occupied 33.77%.2.(1)The frequency distribution of syndrome was the highest in 96 cases of phlegm turbid and blood stasis,82 cases of qi and yin deficiency and blood stasis,41 cases of qi deficiency and blood stasis,which accounting for 41.6%,35.5%,17.7% respectively.(2)According to frequency of the syndrome factors,its ranked as blood stasis frequency is 231,relative frequency is 100%;Qi deficiency frequency is 131,relative frequency is 56.7%;phlegm turbidity frequency is 106,relative frequency is 46%;Yin deficiency frequency is 84,relative frequency is 36.4%.(3)The combination form of syndrome elements consists of single factor,two elements combination,three elements combination and four elements co mbination form.Mainly: phlegm + blood stasis frequency is 96,the frequency is 41.5%;The frequency of qi deficiency + Yin deficiency + blood stasis was 82,and the frequency was 35.5%.The frequency of qi deficiency + blood stasis was 41,and the frequen cy was 17.7%.Among them,the two syndromes of blood stasis and phlegm are the most frequent evidence syndromes,qi deficiency and Yin deficiency are the most common syndromes.3.The results of Cluster analysis:(1)The general symptoms can be divided into 7 categories: chest pain and radiation pain are classified into two categories,and their associated syndromes may be related to blood stasis syndrome,and may also be qi stagnation and yin deficiency syndrome fact ors;the symptoms of annoyance,fatigue and shortness of breath are classified into three categories,and they are mainly related to Qi deficiency,which may be due to Yang deficiency,breathing,chest tightness and palpitation.It is mainly related to heart,lung and Qi deficiency,may be related to phlegm,qi stagnation and depression;dizziness,stomachache discomfort,mouth adhesion,dry mouth,bitter and astringent,perspiration may be related to liver,spleen and stomach,and may also be related to hea rt,water(wet),heat and other syndromes.(2)The results of the 5 types of tongue and tongue coating show that purple and dark tongue,yellow moss,thick moss and greasy fur are mainly represented by the blood stasis and spleen,and may be related to phlegm,heat and water(wet).Red tongue and dry moss(lack of fluid)are mainly related to heart,yin deficiency and heat,which may be empirical or deficiency syndrome;dark red tongue and less.It is mainly related to blood stasis and yin deficiency,which ma y be related to liver,lung,Qi deficiency and cold.The stagnation tongue,dim tongue,thin moss and white moss are mainly related to blood stasis,Qi deficiency,Yang deficiency and cold,and the light red tongue,teeth mark tongue and fat and big tongue are mainly related to spleen,Qi deficiency,Yang deficiency,water(wet)and cold.(3)According to the results of 4 kinds of pulse,it is found that the stringy pulse are mainly related to liver,bile and phlegm.The rapid pulse may be related to heat,phl egm,Qi deficiency,blood deficiency,etc.the slippery pulse,moderate pulse,weak pulse and floating pulse may be related to water(wet),Qi deficiency,wind and heat,and the irregularly intermittent(regularly intermittent)pulse,deep pulse and thread y pulse may be with heart,cold,Qi deficiency and blood deficiency,Blood stasis,phlegm and so on.Conclusion:1.The majority of the patients are mainly in Center Henan,male patients are more than female,and 60-69 years old is the peak of the disease,farmers and retired is the most,and spring is the high onset season for the disease.2.The main Syndrome elements of unstable angina(Chest stuffiness and pains)in this study are blood stasis and phlegm turbidity,qi deficiency,Yin deficiency,the main syndrome types have phlegm turbidity qi deficiency and blood stasis,blood stasis and Yin deficiency and blood stasis,mainly involving the zang-fu organs as the heart,liver,spleen,lung.