Survey On The Diagnosis Of Coronary Heart Disease With Huizhuotanzu Syndrome

Objective:The purpose of this study was to explore and establish related items of diagnostic criteria for the CHD syndrome of Huizhuotanzu,to provide reference for the formulation of diagnostic criteria,and to contribute to the construction of the theoretical system of TCM syndrome.Methods:by sorting out the relevant literatures on the syndrome of Huizhuotanzu in ancient and modern CHD,and analysing the basic concept,etiology,pathogenesis of the syndrome of Huizhuotanz.Sorting out the relevant clinical symptoms,tongue and pulse,physical and chemical indexes,risk factors and other items of CHD,through group discussion to determine the inclusion of items,the item pool was established,the items in the pool were evaluated by Delphi method,and the grade sum,mean,full score rate,coefficient of variation,weight coefficient of each indicator in diagnostic items pool were comprehensively evaluated.The indicators after multiple rounds of expert consultation were verified through clinical investigation.Results:After two rounds of Delphi expert consultation,the experts’positive coefficient were 86.67%and 96.15%respectively,the degree of authority were 0.92 and 0.95,and the coordination coefficient were 0.34 and 0.27respectively.The weight of clinical symptoms in the two rounds of questionnaires was the largest,followed by tongue and pulse,and the weights of physical and chemical indexes and risk factors were lower.Conclusion:In the diagnostic index of Huizhuotanzu syndrome of CHD.oppression in chest,chest pain,obesity,excessive phlegm,offensive breath,abdominal fullness and distention,body trapped,sticky and greasy in mouth,head heavy as wrapped,slippery pulse,turbid greasy moss,yellow and greasy fur,petechia or ecchymosis of tongue,white greasy coating,plump and teeth-printed tongue,elevated LDL-C,elevated TG,elevated TC,BMI≥25kg/m~2,smoking history,drinking history,metabolic syndrome,Diabetes history,CHD history,hypertension history,eating fat sweet(spicy,roasted,dairy products)these indicators are of high importance.Combined with clinical investigation,the indicators with frequency and sensitivity greater than 70%are:oppression in chest,family history of premature CHD,palpitation,chest pain,slippery pulse,burnout and hypodynamia,offensive breath,short of breath,wiry pulse,turbid greasy moss,abdominal fullness and distention and hypertension.