路志正教授调理脾胃治疗冠心病的临床证候学研究

The clinical syndrome research on professor LU Zhi-zheng treating coronary heart disease with conditioning spleen and stomach

目的:研究路志正教授调理脾胃治疗冠心病临床证候学特征。方法:收集路教授诊治的冠心病病例,将每一病例所涉及的具体内容录入名老中医临床信息采集系统(广安门医院),并进行数据的处理与转化,采用频数分析、Logistic回归等方法对数据进行分析。结果:冠心病除胸闷、心悸、不寐、胸痛外,以脘腹胀满、纳呆等脾胃症状最多见,证候以心脾两虚、湿热内阻、痰浊内阻最多,其次为中气不足、胸阳不振、肝气郁结、气阴两虚等证。心脾两虚常见乏力、不寐、便干;痰浊内阻常见口黏、胸闷、头沉;中气不足常见大便不成形、气短、痞满;气阴两虚常见口干、眩晕、多汗、气短。结论:调理脾胃在冠心病治疗中占有十分重要的地位。

Objective：to discuss the features of clinical syndrome of coronary heart disease and the typical symptoms in every syndromes type.Methods：Collecting professor Lu＇s cases of treating coronary heart disease to input them into＇clinical data acquisition system of prestigious tcm specialists＇,to deal with these datas,and to use frequency analysis and Logistic regression to analyze them.Result：Syndromes of digestive system are the most common in coronary heart disease besides cardiovascular symptoms.Deficiency of both heart and spleen,heat resistance permits and phlegm resistance is the most common syndromes type,followed by middle qi insufficiency,deficiency of yang in chest,liver qi stagnation,and deficiency of both qi and yin.Hypodynamia,Insomnia and constipation are common in deficiency of both heart and spleen.Sticky in mouth,chest tightness and head heaviness are common in phlegm resistance.Loose stool,short breath and stuffy and full sensation are common in middle qi insufficiency.Mouth dryness,dizziness,hyperidrosis and short breath are common in deficiency of both qi and yin.Conclusion： Organizing the spleen and stomach have very important status in the treatment on coronary heart disease.