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51例心脏X综合征患者证候特点分析
引用本文:毛静远,王恒和,葛永彬,王强,张其梅,常延平,李红,吴慧轩,郑颍,李彬,张振鹏,李明,邵磊,赵春燕. 51例心脏X综合征患者证候特点分析[J]. 中医杂志, 2007, 48(12): 1111-1112
作者姓名:毛静远  王恒和  葛永彬  王强  张其梅  常延平  李红  吴慧轩  郑颍  李彬  张振鹏  李明  邵磊  赵春燕
作者单位:1. 天津中医药大学第一附属医院,天津市南开区鞍山西道314号,300193
2. 中国中医科学院广安门医院
3. 天津中医药大学
基金项目:天津市科技攻关计划重大科技项目;冠心病单元建设及关键问题研究项目;颜德馨基金会资助项目
摘    要:目的探讨心脏X综合征中医证候学特点。方法收集51例心脏X综合征患者的临床资料,按照证候诊断标准,分析归纳其中医证候特点。结果心脏X综合征临床症状多为胸痛、胸闷、脘闷腹胀、情志抑郁等实证表现;舌质多为紫暗或伴瘀斑,舌苔多腻;脉象以弦为主;以气滞 痰阻 血瘀的标实证为主,占66.7%,兼有本虚者(心气虚、心阴虚)占33.3%。结论气滞 痰阻 血瘀证是心脏X综合征的基本证型。

关 键 词:心脏X综合征  证候  气滞痰阻血瘀
收稿时间:2006-08-10
修稿时间:2006-10-24

Analysis on the Characteristics of TCM Syndrome in 51 Patients with Cardiac Syndrome X
MAO Jing-yuan, WANG Heng-he, GE Yong-bin,et al.. Analysis on the Characteristics of TCM Syndrome in 51 Patients with Cardiac Syndrome X[J]. Journal of Traditional Chinese Medicine, 2007, 48(12): 1111-1112
Authors:MAO Jing-yuan   WANG Heng-he   GE Yong-bin  et al.
Affiliation:MAO Jing-yuan, WANG Heng-he, GE Yong-bin, et al.
Abstract:Objective To explore the TCM syndrome characteristics of cardiac syndrome X(CSX).Methods The signs and symptoms of 51 patients with CSX were analyzed according to the diagnosis of TCM syndromes to summarize their syndrome character- istics.Results of the 51 CSX cases,the following signs and symptoms took dominance:chest pain,fullness in chest,epigastric and abdominal distention,emotional distress,dark purple tongue with petechia,greasy coating,string-taut pulse.The syndromes were mainly of Biao-Superficial excess,including qi stagnation,phlegm retention and blood stasis,occupying 66. 7%,accompanied with Benroot deficiency,including qi deficiency,yin deficiency,qi and yin both deficiency,occupying 33.3%.Conclusion Qi stagnation, phlegm retention and blood stasis are the primary syndromes of CSX.
Keywords:Cardiac syndrome X  TCM syndrome  Qi stagnation  Phlegm obstruction and blood stasis
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