Study On Professor Liu Zhongyong’s Clinical Experience In Diagnosis And Treatment Of Stable Angina Pectoris

Objective:Professor zhong-yong liu engaged in coronary heart disease stable angina the theory and clinical research,has the unique characteristics of syndrome differentiation for stable angina,therefore,the experience in treating stable angina were studied.To further deepen the understanding of the etiology and pathogenesis of stable angina,explore and professor zhong-yong liu of dialectical thinking and sent the clinical features,for the clinic diagnosis and treatment of the disease.Method:This study selected 203 cases from the tutor of outpatient cases with stable angina pectoris diagnosis standard of medical records,using Microsoft excel application software for the collected cases for data entry,general age and gender distribution statistics,syndrome elements,often witness type frequency and frequency statistics,commonly used drugs in combination with related literature research,analysis of inductive teacher understanding of the etiology and pathogenesis of stable angina,choose the clinical characteristics,treating thoughts and clinical experience.Results:1.Based on 203 valid cases of gender,age,general distribution statistics,in patients with stable angina,biggest 93 years old,smallest,22,30 or above accounted for 98.00% of morbidity crowd mainly occur among middle-aged and old patients;Gender distribution,of 82 patients with male,female patients of 121 cases,accounted for 40.39% of the total number,59.60%,approximate 2:3 ratio,female patients significantly more than male patients.2.Frequency statistics of syndrome elements of stable angina pectoris: according to the statistics of 203 cases,qi depression is the most common syndrome elements of stable angina pectoris,and the related factors are qi depression There were 119 cases,accounting for 58.62% of the total,50 cases(24.63%)with stagnation of liver qi,42 cases(20.69%)with stagnation of liver qi and phlegm,27 cases(13.30%)with stagnation of liver qi and heat,12 cases(5.98%)with syndrome elements associated with phlegm and heat,and 72 cases(5.98%)with etiology and pathogenesis associated with deficiency Among them,31 cases were deficiency syndrome with blood stasis and 29 cases with phlegm,accounting for 15.27% and14.29% of the total respectively;9 cases were simple deficiency syndrome and 3 cases were deficiency cold syndrome,accounting for 4.43% and 1.48%of the total respectively.3.Statistics of the frequency of syndrome types of stable angina pectoris: in 203 cases,the common syndrome types of 203 cases were liver stagnation and qi stagnation,qi stagnation and blood stasis,Qi deficiency and blood stasis,phlegm turbidity blocking,dampness and heat accumulating in spleen,Qi and blood deficiency,spleen weakness,spleen and stomach deficiency and cold type,which accounted for 69 cases,50 cases,31 cases,29 cases,12 cases,5 cases,4 cases,3 cases respectively It can be seen that the pathogenesis of stable angina pectoris is liver qi stagnation,qi stagnation and blood stasis,Qi deficiency and blood stasis,phlegm turbid obstruction,and the disease location is most closely related to liver and spleen.4.203 patients were included in the statistics when they were diagnosed,but not included in the statistics when they were followed up.Among them,the frequency of Radix Glycyrrhizae,Radix Bupleuri,radix paeoniae rubra,Radix Paeoniae Alba,Radix Salviae Miltiorrhizae and Fructus aurantii was 100 times or more;Astragalus,Radix Codonopsis,Rhizoma chuanxiong,radix curcumae,Pinelliae,Pericarpium Citri Reticulatae,Radix Angelicae sinensis,cortex trichosanthis,lotus leaf,wheat bud,Atractylodes macrocephala,Poria cocos,Rhizoma Atractylodis,Magnolia officinalis,Herba Leonuri,Rhodiola,eupat More than 40 times.conclusion :1.Etiology and pathogenesis: the tutor thinks that the main etiology and pathogenesis of the disease are stagnation of liver qi,stagnation of phlegm,internal injury of spleen and stomach,disharmony of Qi and blood,and the most common pathological factors are stagnation of Qi,phlegm and blood stasis.2.In the aspect of syndrome differentiation and treatment: the tutor is good at treating the disease from the liver,emphasizing the pathogenesis of phlegm,advocating the harmony of heart and spleen,and advocating the combination of Qi and blood,and analyzes the corresponding types of syndrome differentiation and treatment.In terms of medication,the most common drugs are Xingqi Jieyu and Huoxue Huayu.The application of fengyao in this disease is emphasized,and the more common drug pairs in clinical practice are listed.3.Summarize the clinical essentials of the tutor in the treatment of this disease,that is: emphasizing the overall concept;two hearts in harmony,body and mind in one;heart in the west,complementary advantages;pay attention to prevention,appropriate care.