Study On The Correlation Between Phlegm And Blood Stasis And Chest Obstruction And Heartache And Coronary CTA Results And Summary Of The Tutor's Treatment Experience

Purpose:To explore the correlation between phlegm-blood stasis type of chest pain and coronary artery lesions and summarize the treatment experience of the tutor through the results of coronary CTA examination,and to provide the basis for the evaluation,prevention and treatment of phlegm-blood stasis type of chest pain(coronary heart disease).Material and method:1.A retrospective analysis was made of 130 inpatients diagnosed as chest pain(CHD)by coronary CTA in the Department of Cardiology,Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from February 2017 to November 2018.Twelve patients were excluded.Collect patient’s medical records,gender,age,contents of four diagnoses of TCM and results of coronary CTA report,create database,and use SPSS19.0statistical software for statistical analysis.2.Through more than two years of learning from teachers,Professor Jiao Xiaomin summarized his understanding,treatment experience and commonly used clinical prescriptions of phlegm-blood stasis syndrome of chest stuffiness and heartburn.Results:1.The distribution of TCM syndromes in patients with chest obstruction and heartache:phlegm-blood stasis syndrome > Qi-deficiency and blood stasis syndrome > Qi-Yin Deficiency Syndrome = qi stagnation and blood stasis syndrome > heart-blood stasis syndrome > heart-kidney Yin deficiency syndrome = heart-kidney Yang deficiency syndrome;(2)there was no significant difference in gender distribution between phlegm-blood stasis and non-phlegm-blood stasis type of chest obstruction and heartache(P > 0.05);and(3)T test showed that the patients with chest obstruction and heartache of PHLE There was no significant difference between the two groups(P > 0.05);(4)In the number of non-calcified plaques,phlegm-blood stasis type was more than non-phlegm-blood stasis type,and there was significant difference between the two groups(P < 0.05);(5)According to chi-square test,phlegm-blood stasis type was more than non-phlegm-blood stasis type in severe coronary stenosis,and there was significant difference between the two groups(P < 0.01);(5)In the number of coronary lesions,phlegm-blood stasis type and non-phlegm There was no significant difference between the two groups(P > 0.05).2.Professor Jiao Xiaomin advocates that attention should be paid to the people withphlegm-blood stasis syndrome of chest stuffiness and heartache,and to the combination of prevention and treatment.In the treatment of this disease,the dialectical thinking and the overall concept of TCM should be fully embodied.Before clinical medication,syndrome differentiation should be identified,and patients diagnosed as complex syndrome should be differentiated again,so as to guide medication more accurately and maximize the effect of clinical medication.Conclusion:1.There is a certain correlation between the results of coronary CTA and chest pain(coronary heart disease)with phlegm and blood stasis.Severe stenosis of coronary artery and non-calcified plaque are common in phlegm-blood stasis type of chest pain(coronary heart disease);It can be used as a basis for evaluating patients’ condition.2.Professor Jiao Xiaomin attaches great importance to the application of phlegm differentiation,blood stasis differentiation and Blood-activating and stasis-removing drugs combined with Phlegm-removing drugs in the treatment of phlegm-stasis-stagnation-type chest arthralgia and heartburn.