[Analysis on TCM syndrome distribution laws in 319 patients with coronary heart disease]
Huan-Lin Wu1, Xin-Min Ruan, Xiao-Bo Yang
1Department of Cardiology, Guangdong Provincial Hospital of TCM, Guangzhou. wuhuanlinboshi@yahoo.com.cn
Insights
Qi deficiency is the primary Traditional Chinese Medicine (TCM) syndrome in coronary heart disease (CHD) patients, often accompanied by blood stasis and phlegm retention. This epidemiological study highlights key TCM patterns in CHD.
Area of Science:
- Integrative Medicine
- Cardiology
- Epidemiology
Background:
- Coronary heart disease (CHD) is a leading cause of mortality worldwide.
- Traditional Chinese Medicine (TCM) offers a unique perspective on disease patterns and pathogenesis.
- Understanding TCM syndrome distribution in CHD is crucial for integrated treatment approaches.
Purpose of the Study:
- To investigate the epidemiological distribution of Traditional Chinese Medicine (TCM) syndromes in patients diagnosed with coronary heart disease (CHD).
- To explore the relationship between TCM syndrome elements and clinical manifestations, including coronary arteriography findings, symptoms, and pulse/tongue characteristics.
- To analyze the correlation between TCM syndrome typing and blood-lipid profiles in CHD patients.
Main Methods:
- A clinical survey was conducted on 319 inpatients with CHD confirmed by coronary arteriography.
- Data on TCM syndrome distribution, clinical symptoms, pulse and tongue findings were collected and analyzed.
- Statistical analysis was performed to examine correlations between TCM syndromes, arteriographic findings, and blood-lipid levels.
Main Results:
- Qi deficiency was the most prevalent TCM syndrome in CHD patients (87.1%).
- Blood stasis syndrome (79.9%) and phlegm retention syndrome (78.7%) were also common.
- No significant differences were observed in pulse and tongue findings related to affected coronary artery branches; dark-pale tongue with white greasy fur and taut-slippery pulse were dominant.
- Blood-lipid levels showed no significant variation across different TCM syndrome types.
Conclusions:
- The core Traditional Chinese Medicine (TCM) pathogenesis of coronary heart disease (CHD) involves qi deficiency.
- Blood stasis and phlegm retention are identified as significant pathological products in the TCM framework of CHD.
- These findings support the integration of TCM principles in understanding and managing CHD.
Objective:
To study TCM syndrome distribution laws in patients with coronary heart diseases (CHD) by epidemiological investigation.
Methods:
A clinical survey was carried out in 319 inpatients with CHD, whose diagnosis was confirmed by coronary arteriography, in the authors' hospital from January 2004 to December 2004. The TCM syndrome distribution laws were analyzed, and the relationship of coronary arteriographic picture with TCM syndrome elements, common symptoms, pulse and tongue figures, as well as the correlation between syndrome typing and blood-lipid levels were analyzed, too.
Results:
Qi deficiency was the most popular syndrome in patients with CHD (87.1%), blood stasis syndrome and phlegm retention syndrome took the second place, accounting for 79.9% and 78.7% respectively. No significant difference was shown in comparison of tongue and pulse figures with the affected branches of coronary artery, the dark-pale tongue with white greasy fur and taut-slippery pulse being the dominance in patients. The blood-lipid levels in patients with various TCM syndrome types were similar, showing insignificant difference.
Conclusion:
The TCM pathogenesis of CHD takes qi deficiency as the core, blood stasis and phlegm retention as the important pathologic products.
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