代谢综合征合并冠心病案——仝小林院士教学查房实录

Teaching ward round transcript on metabolic syndrome complicated with coronary heart disease case by academician Tong Xiaolin

以广安门医院内分泌科1例代谢综合征合并冠心病患者为例邀请仝小林院士进行教学查房,对代谢综合征合并冠心病的中医辨治思路、疾病发展、诊疗要点进行阐述。强调辨别脾瘅与消瘅异同,把握疾病发展的不同趋势,脾瘅易合并大血管、微血管并发症,消瘅则微血管并发症多见。注重脉络并治,从肝论治,注重运用态靶辨治体系,减少西药的使用。

Using a case study of invited academician Tong Xiaolin during teaching ward rounds for a patient with metabolic syndrome complicated by coronary heart disease in the Department of Endocrinology of Guang'anmen Hospital as an example,this article elaborates on the traditional Chinese medicine diagnostic and treatment strategies,the progression of the diseases,and key points in diagnosis and treatment of metabolic syndrome combined with coronary heart disease.It is believed that emphasis should be placed on distinguishing the similarities and differences between Pidan and Xiaodan,and grasping the distinct trends of disease development.Pidan is prone to comorbidities with large blood vessels and microvascular complications,while Xiaodan is associated more with microvascular complications.In this paper the approaches highlighte the importance of combined treatment of both meridians and collateral vessels,and following the theory of liver treatment.Additionally,it is emphasized to pay attention to the use of the state-target treatment based on syndrome defferentiation system to reduce the use of Western medicine.