Professor Li Xiaojuan 's Experience In Treating Diabetic Coronary Heart Disease From The Theory Of Collateral Disease

Diabetic coronary atherosclerotic heart disease,which is also called diabetic coronary artery disease(DCAD),is a heart disease,pathological basis of which is coronary arteriosclerosis or functional change of coronary artery caused by diabetes or abnormal glucose tolerance.The pathogenesis is localized cardiac ischemia,hypoxia,or necrosis caused by the narrowing or obstruction of blood vessel lumina.In traditional Chinese medicine,it belongs to the category of Diabetes(消渴)complicating with cardiodynia(胸痹)or angina pectoris(真心痛).Hyperglycemia is an independent dangerous factor for DCAD.According to epidemiological survey,the cardiovascular disease incidence of people who get diabetes is 2-4 times higher than of those who do not,and the coronary artery disease incidence of people who get diabetes is 2-3 higher than of those who do not.Therefore,the patients with diabetes should pay more attention to the prevention of cardiovascular disease.Professor Lee,engaged in clinical work for many decades,has accumulated rich experience of treatment on diabetic coronary heart disease.She claims that on the basis of well-controlled blood glucose,Chinese medicine is applied to alleviate symptoms.Thus,it can prevent the diabetic complications,and at the same time,patients will not feel so much pain.Pro.Li believes that pathological changes of diabetic coronary heart disease takes place in collateral-blood of heart and collateral-Qi.ts pathological mechanism includes Yin deficiency or Qi and Yin deficiency,which is root cause,and phlegm stasis or blood stasis,which is manifestation.So she makes the therapeutic principle of resolving phlegm and removing blood stasis,adjusting Qi and Xue,regulating Ying and Wei.She think that consumptive thirst and chest is mainly divided into five types: respectively,syndrome of fire excess from Yin deficiency and Yin and static blood blocking collaterals;syndrome of qi deficiency and phlegm and blood static in heart collaterals;syndrome of blood stasis due to qi deficiency and malnutrition of heart collaterals;syndrome of deficiency of Yin and Yang.Creating a prescription of traditional Chinese medicine,called “Xiong Biyu”.and according to the main pathogenesis and main symptoms of patients,Pro.Lee prescripts flexibly and relieves the pain of a large number of patients with diabetic coronary disease.