The treatment of coronary heart disease should be a reasonable choice of traditional Chinese medicine

the prevention and treatment of coronary heart disease the most emphasis on comprehensive treatment, in which drug treatment occupies the main positionStudies have shown that the main reason for the decline in coronary heart disease mortality over the past 10 years is not the widespread use of techniques such as meritorative coronary interventional therapy (PCI), but the control of risk factors and the use of various therapeutic drugsThe results of research such as COURAGE and OAT further demonstrate the importance of drugs and comprehensive treatment in the prevention and treatment of coronary heart diseaseChinese medicineis a medical treasure of our country, has a wealth of clinical experience and remarkable efficacy in the treatment of coronary heart diseasePast research has shown that more than 70% of patients with coronary heart disease are treated with traditional Chinese medicine for a long timeHowever, there are still some vague understandings about the characteristics of various Chinese medicines and their differences in the treatment of coronary heart diseaseProfessor Wei League's introductionDirector of Internal Medicine, M.D., Chief Physician, Doctor of Physician, Ph.DTutor,Hospital, Sixth People'sHospital, affiliated with Shanghai Jiaotong University, enjoys special government subsidiesMainly engaged in coronary heart disease, intervention
heartdisease clinical work and research, has a deeper knowledgeHas undertaken and participated in a number of national and municipal level scientific research projects, published more than 100 papers, twice by the city-level results awardEditor-in-chief of "Diagnosis and Differential Diagnosis of CardiovascularDisease" and deputy editor of the monograph "PracticalHeartDisease" (4th edition)The etiology and pathogenesis of coronary heart diseasemodern medicine believe that coronary heart disease is a clinical syndrome, mainly in various atherosclerosis factors under the joint action, causing the accumulation of porridge plaque under the coronary artery membrane, and the increasing volume of plaques and on this basis the thrombosis caused by plaque rupture, resulting in chronic or acute myocardial ischemia, hypoxiaTraditional Chinese medicine believes that the cause of coronary heart disease, the disease machine inChinese medicineshould belong to the "chest paralysis, true heartache, heartache" and other categories, as early as the "Inner Book" era has a similar record"Su-Q- and Paralysed Theory" chapter cloud: "Heart palsy, the pulse is not clear." "Coronary heart disease machine is mainly blood line, blood is not accessible because of blood and sputum turbidity, and the production of sputum, sputum, gas hysteresis is a long-term result of the function of the dirty slugsTherefore, there is also the "heart of the main blood" said, think thatheartdiseaseand "blood", "pulse" is closely related, that is to say, treatment should start from the "blood" and "pulse" two waysThe advantages of traditional Chinese medicine in treating coronary heart disease
current synthetic drugs, coronary bypass, intervention and other Western medical methods can treat coronary heart disease, but as a traditional Chinese medicine, in improving the clinical symptoms of coronary heart disease and other aspects of the efficacy has been widely recognized Traditional Chinese medicine has the irreplaceable advantages of other treatment methods: 1 The treatment of traditional Chinese medicine starts with the overall regulation, and acts on a number of pathological links of coronary heart disease 2 Chinese traditional medicine can be urgent treatment, slow treatment: for example, first aid under the tongue can quickly relieve angina symptoms, long-term use can increase functional or structural coronary artery lateral branch circulation, suitable for coronary bypass surgery or interventional treatment patients 3 Even if some patients have received coronary bypass or interventional treatment, but after treatment, when vascular stenosis or re-cresting occurs, traditional Chinese medicine can still be used for a long time, and can achieve certain efficacy 4 The use of traditional Chinese medicine is convenient, improve the compliance of patients, thereby ensuring the efficacy of some classic Chinese medicine, such as musk heart pills treatment costs are low, to a certain extent, can reduce the financial burden of patients The treatment of coronary heart disease is commonly used chinese medicine
treatment of coronary heart disease a wide variety of traditional Chinese medicine, its treatment of coronary heart disease angina including the treatment of disease and dialectical treatment, of which the most commonly used is live hemorrhoids and aromatic warm medicine Activated hemorrhoids focus on the improvement of blood rheological, while aromatic temperature general focuses on the role and protection of blood vessels The "heart bloodline" contains both the blood and blood vessels The current research has confirmed that, on the whole, the use of traditional Chinese medicine can be used for both aspects, the combination of Chinese and Western medicine treatment, the effect will be more obvious Activated blood-based medicine focuses on the improvement of blood rheological learning
traditional Chinese medicine believes that: chest palsy, heartache-based false evidence, the main disease machine for heart palsy, blood clots often run through the disease all the time, so activated blood clots become the fundamental method of treating chest palsy heartache Activated blood-based medicine in the treatment of coronary heart disease has the following effects: 1 The representative drug of the activated hemorrhagic medicine is a preparation containing the ingredients of dansan, three seven, otters, slugs, etc In the prevention and treatment of coronary heart disease, clinical practice and experiments have proved that its efficacy is remarkable 2 The intervention of activated blood-based antimony to coronary heart disease is multifaceted, and from the perspective of modern pharmacology, activated blood-forming drugs have the effects of dilated coronary arteries, improve myocardial ischemia, reduce cardiomyopathy, improve blood rheology, protect blood vessel endothelial cells, prevent thrombosis in the coronary blood veins and so on 3 The main function of activated hematite drugs is to reduce blood viscosity, inhibit platelet aggregation, prevent thrombosis, and may even have a thrombolytic effect, i.e mainly for "blood" to work For patients with coronary heart disease, activated blood-based antimony can effectively improve the blood high coagulation state, with the reduction of blood viscosity and the lifting of siltresistance, circulation status has been improved Therefore, for the prevention and treatment of coronary heart disease patients thrombosis, activated blood-based drugs are very suitable Aromatic temperature medicine focus on the role of blood vessels and protection 1 The motherland traditional medicine believes that chest palsy, heartache although different types of physical, but the sudden heart attack, each induced by cold evil, to aroma temperature pass the standard of pain can be effective, is still commonly used in the clinic 2 Modern pharmacological studies have shown that aromatic temperature-pass drugs contain volatile oil, selective excitatic effect on the mouth and respiratory mucosal nerve endings, especially for cold receptors, so that the regulation of the coronary artery has reflexive changes, with the effect of lifting vascular spasms, dilating blood vessels, increasing the blood flow of the coronary artery, and reducing oxygen consumption in the heart muscle, and improving the ability to withstand hypoxia At present, the representative drug of aromatic temperature pass-through drugs is musk heart-to-heart pills, which are mainly composed of some aromatic drugs such as musk, sucrose and warm medicine cinnamon, ginseng and so on Aromatic drugs have a moving effect, warm drug cinnamon and can avoid cold drugs such as ice tablets caused by gastrointestinal discomfort and other adverse reactions , at the same time can replenish gas, to prevent the long-term use of aromatic drugs caused by the "dispersion gas." 3 In addition to having dilated coronary artery and relieve the role of myocardial ischemia, musk-centered heart pills can also protect the endothelial blood vessels, deter atherosclerosis, inhibit inflammation of blood vessels, stabilize vulnerable plaques, etc Recent research results show that drugs such as musk heart pills have obvious angiogenesis activity, can promote the proliferation of vascular endothelial cells and form a tube cavity structure, increase the blood vessel density of myocardial blood muscle, so as to increase the side branch circulation, reduce myocardial ischemia and myocardial infarction area, which is important for improving the long-term prognosis Aromatic temperature-pass drugs such as musk heart pills are more of a "safeguarding vein" Precautions for the use of activated hemorrhoids
there are also some side effects and potential risks of activated hemorrhoids The National Drug Adverse Reactions Monitoring Center in recent years reported that some patients taking activated blood-based drugs can have allergic reactions, in addition to oral mucosa ulcers, induced acute closed-angle glaucoma, decay edititit, gastrointestinal bleeding, platelet reduction and other adverse However, clinically often do not pay enough attention to this, it should be pointed out that patients with coronary heart disease should be careful to use live blood-based drugs: 1 patients with a history of hemorrhagic stroke or long-term use of aspirin, and then take a large dose of activated blood drugs may have an overlay effect on anticoagulant drugs, so the application of live hemorrhoids to such patients should pay attention to monitor platelet count, blood clotting indicators, etc 2 Coronary heart disease combined liver disease, cirrhosis patients due to platelet reduction and coagulation factor deficiency, coupled with the esophagus, stomach varicose veins and other factors, if the long-term use of activated blood medicine can induce gastrointestinal bleeding 3 When the brain examination of coronary heart disease patients finds congenital vascular malformations, aneurysms, etc., should be used with caution or avoid the use of live blood-based medicine, in order to prevent cerebrovascular rupture leading to brain haemorrhage The use of aromatic temperature medicine precautions
to the aromatic temperature medicine representative drug musk heart pills, for example, clinical use should pay attention to: because the drug contains musk, so pregnant women disabled; In the process of using traditional medicine to prevent coronary heart disease, the main contradiction should be based on disease is to choose the treatment drug in "blood" or "pulse", both the use of activated blood-based drugs to prevent thrombosis, but also the use of aromatic warm medicine to protect blood vessels and heart muscle for a long time Traditional Chinese medicine has the intervention characteristics of multi-dimensional and multi-target, among which the use of traditional Chinese medicine is convenient, which is an important supplement to modern treatment With the further deepening of research, the mechanism of chinese medicine to treat coronary heart disease will be more clear, and it will show a broader prospect in the prevention and treatment of coronary heart disease (Wei League)