| 摘 要： | The authors present 30 cases of typical co-ronary heart disease (CHD) diagnosed in tradi-tional Chinese medical terms as instances ofvital energy deficiency (12 cases) and “Blood”stasis (18 cases) types.Systolic time interval(STI),apical cardiogram (ACG),cardiac func-tion,microcirculation of nail fold,blood vis-cosity and blood cAMP were investigated.Fivecases were diagnosed as stable angina,4 as un-stable angina,16 as acute myocardial infarction,1 as angina with papillary muscle dysfunctionand 4 as angina with arrhythmia.CHD patientswith vital energy deficiency or “Blood” stasisshowed a blood viscosity of 3.93±0.59 and 4.5±0.75 (P>0.05) respectively;plasma viscosity was1.73±0.15 and 1.69±0.71 (P>0.05),the incidenceof abnormal microcirculation of nail fold was5/14 (35.7%) and 7/9 (77.7%) (P<0.05),STI was0.43±0.1 and 0.37±0.07 (P<0.02),cardiac func-tion of grade Ⅱ-Ⅲ was found in 8/18 (44.4%) and5/12 (41.6%) and blood cAMP was 29.3±18.2pmol/ml and 31.5±23.8 pmol/ml respectively.The CHD patients with vital energy defi-ciency seemed to have more marked deteriora-tion of cardiac function,while those with “Blood”stasis showed more marked changes in bloodviscosity and in microcirculation of the nail fold.
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