The Discussion Of Syndrome And Therapy Of Coronary Heart Disease And Cardiac Angina Conducted By Vessel Impediment Theory

The study is based on the theory of vessel impediment, according to clinical characteristics of coronary heart disease and cardiac angina, suggest the notion of heart vessel impediment, consider the basic pathogeny of it are wind, wet, depression and heat, and then formulate the identify pattens gist. Draw up the way of coping with the disease that is reducing fever and freeing the network vessels, dispersing pathogenic wind and eliminating dampness, and group formular according to modern pharmacology study and TCM theory. With this formular we treat 29 patients with coronary heart disease and angina pectoris accompay with 27 cases as control group. The result shows:1. compared with health group, there are inflammatory reaction and immunologic mjury in the patients with coronary heart disease and angina pectoris (p<0. 05) , the treated group possess favorable curative effect by comparison to control group (p<0. 05) ; The treatment group is more effective than the control group in theseaspects-hemorheology, alpha value of txb2/6 - pgf 1, cardiogram and heart function etc. (P<0. 05) , in the blood fat aspect, there are no significant difference, but the remedy trend is existence in the treatment group.; 3. in the clinical symptom total curative effect aspect, the total effective ratio of treatment group is 79. 31%, the total effective ratio of control group is 51.85%, they have significant difference (P<0. 05) . The study shows: 1. the theory of vessel impediment has important application value in treating the disease, wind, wet, depression and heat that lead to the occlusion of heart vessel and cardiac innutrition is the basic pathogenesis of vessel impediment. 2. the important Therapeutic measure to treat the disease is reducing fever and freeing the network vessels, its mechanism mainly is antiinflammatory, regulating immunity and ameliorating hemorheology produce effects. The research enrich the theory of TCM treating coronary heart disease with cardiac angina, it supply a new efficient path for clinical treatment.