Although action of TCM on certain pathological link is not so strong as chemotherapeutic chemical synthetic agents, it still show a certain superiority in prevention and treatment of many diseases of the cardiovascular system. It is an unavoidable practical problem in modern TCM clinic How to use the superiority of both Chinese and Western medicine in prevention and treatment of cardiovascular diseases so as to further increase clinical therapeutic effects. The present paper expounds concrete methods and ways for increasing TCM clinical therapeutic effects in prevention and treatment of cardiovascular diseases from combination of differentiation of syndromes with differentiation of diseases, vagueness of syndrome with standardization of syndrome. the concept of viewing the situation as a whole with comprehensive control treatment. complicated components of Chinese herbs with interfere of multiple ways, and traditional Chinese herbs theories wit modern pharmacological studies, and so on.

Objective To investigate the effects of GSTT on expression of inflammatory molecule ICAM-1 and the infiltration of neutrophils in rats after myocardial ischemia/reperfusion (MI/R) injury. Methods A model of myocardial ischemia 45min followed by 2h reperfusion was made by reversibly ligating coronary left descending artery. 32 Sprague Dawley (SD) rats were divided randomly to 4 groups, ie: sham-operated group, model group, large and dosage of GSTT. HE staining was used to observe infiltrating neutophils. The activity of MPO was measured, too. Immunohistochemistry was used to determine ICAM-1 expression in myocardium. Results Light microscopy showed that the infiltration of neutrophils in both large and low dosage of GSTT group was less serious than that in model group. Both large and low dosage of GSTT significantly decreased MPO activity (P

Objective To investigate the effects of gross saponin from Tribulus terrestris (GSTT) on myocardial ischemia/reperfusion (MI/R) injury. Methods A model of myocardial MI/R injury of the myocardium was reproduced by ligation of left descending artery for 45min followed by releasing the ligation for 2 hours in rats. 64 SD rats were divided randomly to 4 groups, i.e. sham-operated group, model group, large and low dose of GSTT groups. HE staining was examined to assess myocardial pathological changes. TTC staining was used to determine myocardial infarction area. Serum contents of lactate dehydrogenase (LDH), creatine phosphokinase (CPK) and malondialdehyde (MDA) were also determined. Results Both large and low dose of GSTT improved myocardial pathological changes after ischemia/reperfusion. Large dose of GSTT reduced myocardial infarction area (P

Objective To investigate the preventive effects of total saponin from Tribulus terrestris (GSTT) on cardiomyocytes subjected to low oxygen tension and re-oxygenation injury in vitro. Methods First passage of cultured cardiomyocytes was subjected to hypoxia followed by oxygenatim. The cells were divided into 4 groups, namely normal group, injury group, and large and low dose of GSTT groups. The frequency of contraction, survival rate and release of myocardial enzymes were determined. The morphologic changes were observed with light and electron microscopy. Results Both large and low dose of GSTT significantly improved the survival rate of cardiomyocytes after hypoxia and re-oxygenation injury (P

AIM:To investigate the effect of chronic unpredictable mild stress(CUMS) on plasma endothelin,nitric oxide and interleukin-6,high-sensitivity C-reactive protein(hs-CRP) in rats after acute myocardial infarction(AMI).METHODS:After the rats of myocardial infarction(MI) were established,the animals were treated under the condition of CUMS for 4 weeks,then the contents of plasma(or serum) endothelin,nitric oxide,interleukin-6 and hs-CRP were measured and data were analyzed by two factor factorial analysis. RESULTS:The results of factorial analysis showed:MI alone had no significantly effect on the level of nitric oxide(P>0.05),but CUMS had significantly effect on increasing the level of nitric oxide(P<0.01). The CUMS had significantly interaction with MI on increasing the level of nitric oxide(P<0.01). Both MI and CUMS increased the level of hs-CRP(all P<0.01). However,no interaction was discovered between MI and CUMS(P>0.05). Both MI and CUMS had no effect on the level of ET-1 and IL-6(P>0.05).CONCLUSION:CUMS increases nitric oxide content and has cooperative effect with MI on increasing NO,both MI and CUMS significantly increase the level of CRP,but have no effect on the level of ET-1 or IL-6,suggesting that the abnormal increase in nitric oxide and hs-CRP contents may be the important pathophysiological changes of post-MI depression.

Objective To investigate the effect of GSTT on the release of inflammatory molecules such as TNF-? and IL-1? in rats after ischemia/reperfusion injury. Methods An in vivo model of myocardial ischemia 45min followed by 2h reperfusion was made by reversibly ligating coronary left descending artery. 32 Sprague Dawley (SD) rats were divided randomly to 4 groups, ie: sham-operated group, model group, large and dosage of GSTT. TNF-? and IL-1? concentrations were examined by radioimmunoassay. Results Compared with model group, large dosage of GSTT significantly decreased the contents of TNF-? and IL-1?(P

Objective To investigate the effects of gross saponins from Tribulus terrestris L (GSTT) on myocardial apoptosis, and its related gene bcl-2 and bax expression after hypoxia/reoxygenation in cultured myocardial cells of neonatal rat. Methods After myocardial hypoxia/ reoxygenation model was established by culturing primary myocardial cell of neonatal rat in vivo. The myocardial cells were divided into four groups, the sham-operated group, model group, large- and low-dose of GSTT groups. The apoptotic rate of myocardial cells was determined by flow cytometry, and the expression of bcl-2 and bax was detected by using immuno-histochemical method. Results Both large- and low- dose of GSTT could significantly decrease the apoptotic rate (P

84 Cases were treated in the period Aug. 1989- Aug. 1994 with self-formulated Qilu Decoction with a total effective rate of 88. 10%. The difference as compared with that of western drug Propafenone was significant (P

Cases with coronary heart disease after successful PTCA were selected for observation of the preventive' action of CXZP on restenosis of the vessel. Results revealed that (1) In the western medicine group 15 cases experienced recurrent angina pectoris. Among them, 12 cases received repeated angiography, 11 of them were confirmed to have restenosis while the 3 other cases were positive in ECG exercise treadmill test. No obvious changes were observed in stasis integration before and after treatment (P

Rabbit model of arteriosckrosis of iliac artery was used in this experiment. Results showed: after 4 weeks of PTA operation, the calibre of the artery in large dose concentrated pill (LCP) group was obviously larger than that of the western drug group and Lovastatin group (P