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Clinical and biochemical basic research of the qi and yin deficiency syndrome of coronary heart disease stable angina
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DOI   10.11656/j.issn.1672-1519.2019.01.06
Key Words   coronary heart disease stable angina pectoris;qi and yin deficiency syndrome;clinical biochemistry;multi-centers;finesse
Author NameAffiliationE-mail
XU Yilan Tianjin University of Traditional Chinese Medicine, Tianjin 301617  
GAO Shan Tianjin University of Traditional Chinese Medicine, Tianjin 301617  
DENG Bing Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China  
MAO Meijiao Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China  
DU Tinghai The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 136300, China  
LI Bin The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 136300, China  
YANG Baoping Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730699, China  
YU Yan Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730699, China  
ZHANG Hong Tianjin Nankai Hospital, Tianjin 300100, China  
ZHANG Shishu Tianjin Nankai Hospital, Tianjin 300100, China  
MAO Jingyuan The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
WANG Xianliang The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
XU Qiang The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300150, China  
ZHANG Lei Tianjin Wuqing Hospital of Traditional Chinese Medicine, Tianjin 301700, China  
SONG Guangming Tianjin Wuqing Hospital of Traditional Chinese Medicine, Tianjin 301700, China  
TIAN Li Tianjin Wuqing Hospital of Traditional Chinese Medicine, Tianjin 301700, China  
WANG Li Tianjin Second People Hospital, Tianjin 300192, China  
YAN Dandan Tianjin University of Traditional Chinese Medicine, Tianjin 301617  
LI Lin Tianjin University of Traditional Chinese Medicine, Tianjin 301617  
GAO Shuming Tianjin University of Traditional Chinese Medicine, Tianjin 301617  
PAN Ye Tianjin University of Traditional Chinese Medicine, Tianjin 301617  
CAI Xuemeng Tianjin University of Traditional Chinese Medicine, Tianjin 301617  
WANG Shuo Tianjin University of Traditional Chinese Medicine, Tianjin 301617  
LI Xiaofeng Tianjin University of Traditional Chinese Medicine, Tianjin 301617  
AI Le Tianjin Zhongxin Pharmaceutical Group Limited by Share Ltd. Lerentang Pharmaceutical Factory, Tianjin 300112, China  
HU Jingqing Institue of Basic Theory of Traditional Chinese Medicine, China Academy of Chinese Medicine Science, Beijing 100070, China  
BIAN Yuhong Tianjin University of Traditional Chinese Medicine, Tianjin 301617 bianyuhong_2012@163.com 
YU Chunquan Tianjin University of Traditional Chinese Medicine, Tianjin 301617 ycq-4@163.com 
Abstract
    [Objective] To explore the qi and yin deficiency syndrome of coronary heart disease by clinical biochemical basis through comparing the strict screening of coronary heart disease stable angina pectoris by clinical and biochemical indexes of patients and healthy people with the multicenter, small sample and fineness clinical research.[Methods] From the seven clinical research centers, 82 cases were selected to the observation. With 3 cases deletion, 79 cases were eventually into the subjects, including 39 cases of qi and yin deficiency syndrome, which were treated with traditional Chinese medicine on the basis of the routine treatment of Western medicine, and 40 healthy people were not involved in the treatment. Endothelial cell injury was detected, lipid metabolism, adhesion molecules and inflammatory mediators, metalloproteinases, homocysteine and blood coagulation function 7 class 28 indicators, were detected in patients with coronary heart disease (CHD) level 0, 8, 12 weeks, healthy people group testing at 0 week.[Results] The correlation between qi and yin deficiency syndrome of CHD and ApoB, LDL-C, AngⅡ was larger. After treatment of Tongmai Yangxin Pills, the level of AngⅠ, ET and sCD40L level were decreased (P<0.05). Overall levels of inflammatory cytokines tended to decrease.[Conclusion] The biochemical basis of Tongmai Yangxin Pills for the regulation of stable angina pectoris with CHD qi and yin deficiency syndrome is related to endothelial injury, lipid metabolism and inflammatory factors, which can provide reference for the next study.

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