不稳定型心绞痛41例的中西医结合治疗

不稳定型心绞痛是介于稳定型心绞痛和心肌梗塞之间的一种临床综合征。以往对此症候群的认识不甚一致,有多种不同名称,如梗塞前综合征、濒临心肌梗塞、急性冠状动脉机能不全.中间症候群以及不稳定型心绞痛等。七十年代以来,多数作者趋向于应用不稳定型心绞痛这一名称。1979年国际心脏病学会和协会/WHO,提出用新近发生的心绞痛、增剧性心绞

英文摘要:

Differential diagnosis of 41 cases of unstable angina pectoris-revealed progressive angina pectoris(23 cases), intermediate syndrome(15 cases),latest angina pectoris(1 case),post-infarction angina pectoris(1 case)and variant angina pectoris(1 case). The differential diagnosis in TCM was divided into two categories:"Biao-Zheng"(标证,the outward signs of illness)and"Ben-Zheng"(本证,illness that has attacked vital organs of the human body).The category of Biao-Zheng consisted of 37 cases and were complicated into turbid sputum).Many patients manifested the signs of blood stasis(血瘀,Xue-Yu)in TCM.The category of Ben-Zheng showed weakness of the heart,spleen,or kidney(心、脾、肾虚:Xin,Pi,Shen-Xu). The patients were given decoctions according to the traditional differential diagnosis of"Biao-Shi"(标实) and"Ben-Xu"(本虚).The results showed that remission occurred in 39 cases with 2 cases progressing to cardiac infarction of which one died.After a treatment period of 3 days the anginal pain in 27 out of 39 cases began to ease.After one week better results with relief of anginal pain were obtained in 38 out of 39 patients. The anginal pains in 13 outof 15 cases of intermediate syndrome were/eased 3 days after admission.One case had an acute anterior septal cardiac infarction 2 days after admission,and the other case obtained no relief. The results of treatment proved that TCM had beneficial effects on unstable angina pectoris.It can control anginal pain rapidly and decrease the incidence of cardiac infarction.Further clinical studies should be continued. Xin-Xu,Pi-Xu,Sheu-Xu(weakness of the heart,spleen,and kidney respectively)are frequent syndromes in TCM,marked by fatigue,palpatation,dyspnea,dyspepsia,abdominal fullness,Diarrhea,emaciation,feeble pulse, lumbago,etc.

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