Guide to internal medicine of traditional Chinese medicine: syndrome differentiation and classification of coronary atherosclerotic heart disease

Throughout the dialectical views of modern schools, they can be classified into two categories and seven categories.

1. Demonstration

Chest distress due to phlegm coagulation or precordial pain is related to shoulder and arm, palpitation, palpitation, obesity, fatigue and general nausea. The coating is white or yellow and greasy, the pulse is heavy and slippery, and the knot or string is slippery.

Chest yang arthralgia is quite painful in chest and chest, accompanied by shoulder pain, chest pain, back pain and heartburn, which is induced by cold, palpitation and shortness of breath. The tongue is pale, the coating is white, and the pulse is heavy or late.

Qi stagnation, chest tightness, pain, always holding your breath, are all induced by emotional changes. The fur is thin and white, with strings or knots.

The stagnation of the heart pulse causes chest pain, like a cone prick, and the pain is local. Even to the shoulder and back, palpitation and shortness of breath, dark tongue or ecchymosis, thin or astringent pulse, or counting, or knot, or generation.

2. Deficiency syndrome

Deficiency of both qi and yin leads to dull chest pain, especially after fatigue, palpitation, shortness of breath, mental fatigue, spontaneous sweating, dry mouth and insufficient body fluid. The tongue is light or dark red, fat and tender, with teeth marks on the edge, little or no moss, and thin, thin, numerous or knotted pulse.

Deficiency of heart and kidney yang leads to palpitation, shortness of breath, mental fatigue, cold limbs and weak waist and knees. The tongue is pale with white fur, and the pulse is deep, late, weak or knotted.

Yang spirit wants to get rid of heartache, shortness of breath, night sweats, cold limbs, indifferent expression, pale face, blue lips and nails, and even fainting. The tongue is pale and dark with white fur, and the pulse is slightly heartbroken or knotted.

The clinical syndrome differentiation of coronary heart disease is complex, which includes both deficiency and excess, deficiency of both qi and blood and yin and yang, qi stagnation and blood stasis, phlegm turbidity and cold coagulation. We must weigh the weight and distinguish the primary and secondary, and we should not stick to it.