Clinical Practice of Coronary Microvascular Disease with the Integrated Approach of Traditional Chinese and Western Medicine
10.13288/j.11-2166/r.2025.16.007
- VernacularTitle:中西医汇通思想治疗冠状动脉微血管病变的临证实践
- Author:
Aolin LI
1
;
Xinnong CHEN
2
;
Lerong YU
1
;
Jun GE
1
;
Wei ZHOU
1
;
Kangzheng GUO
1
;
Junping ZHANG
1
Author Information
1. The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion，Tianjin，300381
2. The First Center Hospital of Tianjin
- Publication Type:Journal Article
- Keywords:
coronary microvascular disease;
integrated therapy of traditional Chinese and western medicine;
angina pectoris
- From:
Journal of Traditional Chinese Medicine
2025;66(16):1662-1667
- CountryChina
- Language:Chinese
-
Abstract:
This paper analyzed the traditional Chinese medicine （TCM） and western medical understanding of coronary microvascular disease （CMVD） from the three dimensions of "disease-syndrome-symptom". In western medicine， by summarizing the suspected diagnosis and understanding of CMVD， it is believed that inflammatory responses and vascular endothelial damage are the key mechanisms of the pathogenesis. From the perspective of TCM， the disease location is at blood， vessels and heart， and the fundamental cause is spleen and kidney depletion， closely realted to phlegm， stasis， toxin， wind and qi. Integrating the understanding of both TCM and western medicine， clinical treatment advocates taking the CMVD pathology as the base， and the TCM understanding of pathogenesis as the main focus. The properties of Chinese herbal medicinals is used as the guidance for medication， and the pharmacological understanding as the assisstance of treatment， with the medical history and the severity of the condition are additionally considered. It is finally proposed that during the acute phase， the methods of nourishing yin and resolving toxins， softening hardness and dissipating masses， dispelling wind and unblocking collaterals should be applied to alleviate the emergency. In the subacute phase， the focus should be on raising and lifting qi promote its movement， with flexible use of medicinals that can unblock yang. In the remission phase， the method of tonifying spleen and fortifying kidney should be used to maintain the stability of the condition.
