主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

JOURNAL OF BEIJIGN UNIVERSITY OF TRADITIONAL CHINE ›› 2014, Vol. 37 ›› Issue (2): 130-134.doi: 10.3969/j.issn.1006-2157.2014.02.014

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Distribution characteristics of TCM syndrome factors in patients with chronic heart failure of coronary heart disease in Chinese medicine hospitals

LUO Liang-tao1, ZHAO Hui-hui1, WANG Juan1, CHEN Jian-xin1, GAO Kuo1, ZHANG Peng1,2, CHEN Chan1,3, BI Li-fu1, WANG Wei1   

  1. 1 School of Preclinical Medicine, Beijing University of Chinese Medicine, Beijing 100029;
    2 Chinese Medicine Hospital of Wuhan City;
    3 Chinese Medicine Hospital of Xiaoshan District of Hangzhou City
  • Received:2013-03-09 Online:2014-02-28 Published:2014-02-28

Abstract: Objective To provide clinical reference for syndrome differentiation and treatment through investigating distribution characteristics of TCM syndrome factors in patients with chronic heart failure (CHF) of coronary heart disease (CHD). Methods The case observation form was designed and the patients with CHF (n=924) were chosen from 17 Chinese medicine hospitals. The distribution of syndrome factors was given descriptive statistical analysis and distribution rules of syndrome factors were discussed in 915 patients from 924 ones. Results The main names of TCM diseases were chest impediment, heart failure, heart palpitations, dyspnea syndrome and edema. The syndrome factors involving disease nature were mainly qi deficiency, blood stasis, water fluid, yin deficiency, phlegm turbidity and yang deficiency. The syndrome factors involving disease location were mainly heart, kidney, spleen, lung and liver. The syndrome factors involving disease nature were blood stasis (72.73%), qi deficiency (63.64%), yin deficiency (45.45%) and phlegm turbidity (27.27%) in 11 patients with grade Ⅰ cardiac function. The syndrome factors involving disease nature were qi deficiency (77.73%), blood stasis (76.52%), phlegm turbidity (28.34%) and yin deficiency (27.53%) in 247 patients with grade Ⅱ cardiac function. The syndrome factors involving disease nature were blood stasis (80.71%), qi deficiency (79.59%), water fluid (35.06%), yin deficiency (21.34%) and yang deficiency (20.59) in 539 patients with grade Ⅲ cardiac function. The syndrome factors involving disease nature were qi deficiency (78.81%), blood stasis (74.58%), water fluid (57.63%), yang deficiency (29.66%), phlegm turbidity (29.66%) and yin deficiency (27.12%) in 118 patients with grade Ⅳ cardiac function. Conclusion With the deterioration of cardiac function, the main syndrome factors will turn from qi deficiency, blood stasis, yin deficiency and phlegm turbidity into qi deficiency, blood stasis, yang deficiency and water fluid in patients with CHF, which suggests that the distribution of syndrome factors will change with the deterioration of cardiac function.

Key words: chronic heart failure, coronary heart disease, syndrome factors, cardiac function

CLC Number: 

  • R259.414