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[Expert survey for Chinese medicine syndrome characteristics of different clinical types of coronary artery disease based on the Delphi method].
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2014 Oct; 34(10):1192-6.ZZ

Abstract

OBJECTIVE

To carry out expert survey for traditional Chinese medicine (TCM) syndrome characteristics of different clinical types of coronary artery disease (CAD).

METHODS

By using Delphi method, we carried out two rounds of nationwide expert surveys for modern TCM characteristics of syndrome elements and syndrome types of CAD.

RESULTS

Based on expert consensus, qi deficiency, blood stasis, phlegm turbidity, qi deficiency blood stasis, and intermingled phlegm and blood stasis are common TCM syndromes for different clinical types of CAD. Of them, qi stagnation, blood stasis, phlegm turbidity, heat accumulation, cold coagulation, yang deficiency, deficiency of both qi and yang were more often seen in patients with unstable angina than in those with stable angina. Qi deficiency, yin deficiency, and deficiency of both qi and yin were less seen. We could see more excess syndrome and less deficiency syndrome (such as qi deficiency, yin deficiency, etc.) in acute ST-segment elevation myocardial infarction (STEMI) than acute non-ST-segment elevation myocardial infarction (NSTEMI). Qi deficiency, blood stasis, water retention, yang deficiency, phlegm turbidity, yin deficiency, Xin-qi deficiency, and qi deficiency blood stasis induced water retention are the most common TCM syndrome types of CAD heart failure (HF). Blood deficiency, yin deficiency, heat accumulation, deficiency of both Xin and Pi, deficiency of both qi and blood, deficiency of both qi and yin, yin deficiency and fire hyperactivity were more often seen in CAD arrhythmias.

CONCLUSIONS

TCM syndrome distributions of different clinical types of CAD have common laws and individual characteristics. Results based on the expert consensus supplied evidence and support for clinical diagnosis and treatment of CAD.

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

25509260

Citation

Bi, Ying-fei, et al. "[Expert Survey for Chinese Medicine Syndrome Characteristics of Different Clinical Types of Coronary Artery Disease Based On the Delphi Method]." Zhongguo Zhong Xi Yi Jie He Za Zhi Zhongguo Zhongxiyi Jiehe Zazhi = Chinese Journal of Integrated Traditional and Western Medicine, vol. 34, no. 10, 2014, pp. 1192-6.
Bi YF, Mao JY, Wang XL, et al. [Expert survey for Chinese medicine syndrome characteristics of different clinical types of coronary artery disease based on the Delphi method]. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2014;34(10):1192-6.
Bi, Y. F., Mao, J. Y., Wang, X. L., Li, B., Hou, Y. Z., Zhao, Z. Q., Ge, Y. B., & Zhao, G. F. (2014). [Expert survey for Chinese medicine syndrome characteristics of different clinical types of coronary artery disease based on the Delphi method]. Zhongguo Zhong Xi Yi Jie He Za Zhi Zhongguo Zhongxiyi Jiehe Zazhi = Chinese Journal of Integrated Traditional and Western Medicine, 34(10), 1192-6.
Bi YF, et al. [Expert Survey for Chinese Medicine Syndrome Characteristics of Different Clinical Types of Coronary Artery Disease Based On the Delphi Method]. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2014;34(10):1192-6. PubMed PMID: 25509260.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Expert survey for Chinese medicine syndrome characteristics of different clinical types of coronary artery disease based on the Delphi method]. AU - Bi,Ying-fei, AU - Mao,Jing-yuan, AU - Wang,Xian-liang, AU - Li,Bin, AU - Hou,Ya-zhu, AU - Zhao,Zhi-qiang, AU - Ge,Yong-bin, AU - Zhao,Gui-feng, PY - 2014/12/17/entrez PY - 2014/12/17/pubmed PY - 2015/4/24/medline SP - 1192 EP - 6 JF - Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine JO - Zhongguo Zhong Xi Yi Jie He Za Zhi VL - 34 IS - 10 N2 - OBJECTIVE: To carry out expert survey for traditional Chinese medicine (TCM) syndrome characteristics of different clinical types of coronary artery disease (CAD). METHODS: By using Delphi method, we carried out two rounds of nationwide expert surveys for modern TCM characteristics of syndrome elements and syndrome types of CAD. RESULTS: Based on expert consensus, qi deficiency, blood stasis, phlegm turbidity, qi deficiency blood stasis, and intermingled phlegm and blood stasis are common TCM syndromes for different clinical types of CAD. Of them, qi stagnation, blood stasis, phlegm turbidity, heat accumulation, cold coagulation, yang deficiency, deficiency of both qi and yang were more often seen in patients with unstable angina than in those with stable angina. Qi deficiency, yin deficiency, and deficiency of both qi and yin were less seen. We could see more excess syndrome and less deficiency syndrome (such as qi deficiency, yin deficiency, etc.) in acute ST-segment elevation myocardial infarction (STEMI) than acute non-ST-segment elevation myocardial infarction (NSTEMI). Qi deficiency, blood stasis, water retention, yang deficiency, phlegm turbidity, yin deficiency, Xin-qi deficiency, and qi deficiency blood stasis induced water retention are the most common TCM syndrome types of CAD heart failure (HF). Blood deficiency, yin deficiency, heat accumulation, deficiency of both Xin and Pi, deficiency of both qi and blood, deficiency of both qi and yin, yin deficiency and fire hyperactivity were more often seen in CAD arrhythmias. CONCLUSIONS: TCM syndrome distributions of different clinical types of CAD have common laws and individual characteristics. Results based on the expert consensus supplied evidence and support for clinical diagnosis and treatment of CAD. SN - 1003-5370 UR - https://www.unboundmedicine.com/medline/citation/25509260/[Expert_survey_for_Chinese_medicine_syndrome_characteristics_of_different_clinical_types_of_coronary_artery_disease_based_on_the_Delphi_method]_ L2 - https://medlineplus.gov/coronaryarterydisease.html DB - PRIME DP - Unbound Medicine ER -