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Analysis of Professor ZHANG Boli's clinical thinking on syndrome differentiation and treatment of vasospastic angina from the theory of “disharmony of stomach leads to insomnia with restlessness”
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DOI   10.11656/j.issn.1673-9043.2022.01.03
Key Words   vasospastic angina;chest stuffiness and pains;disharmony of stomach leads to insomnia with restlessness;ZHANG Boli
Author NameAffiliationE-mail
LIU Yaoyuan First Teaching Hospital of Tanjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
WANG Kai Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China  
LYU Ling Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LI Xiao Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
ZHANG Zexi Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
QIN Xiude The Fourth Clinical College of Guangzhou University of Chinese Medicine, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518000, China qinxiude@foxmail.com 
JIANG Feng Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China wecm@sina.com 
Abstract
    Starting with the theory of "disharmony of stomach leads to insomnia with restlessness", this paper holds that the pathogenesis of vasospastic angina takes "Yangweiyinxian" as the core, and the key points of vasospastic angina are the disorder of qi ascending and descending in the middle-jiao, the lack of yang in the upper-jiao, and the obstruction of dampness pathogen, phlegm and fluid-retention and stagnated blood, which has the characteristics of deficiency in origin and excess in superficiality. The syndrome differentiation and treatment should focus on four levels:reinforcing the heart-yang of upper-jiao, clearing dampness pathogen, phlegm and fluid-retention and removing stagnated blood, regulating qi ascending and descending in the middle-jiao and relieving vasospasm of the heart. This paper analyzes the thinking of syndrome differentiation and treatment of vasospastic angina, in order to understand Professor ZHANG Boli's clinical thinking in the diagnosis and treatment of the disease.

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