Expert survey for Chinese medicine syndrome characteristics of different clinical types of coronary artery disease based on the Delphi method

• Published in: Zhongguo Zhong xi yi jie he za zhi Vol. 34; no. 10; p. 1192
• Main Authors: Bi, Ying-fei, Mao, Jing-yuan, Wang, Xian-liang, Li, Bin, Hou, Ya-zhu, Zhao, Zhi-qiang, Ge, Yong-bin, Zhao, Gui-feng
• Format: Journal Article
• Language: Chinese
• Published: China 01.10.2014
• Subjects: Angina Pectoris; Angina, Unstable; China; Coronary Artery Disease - diagnosis; Coronary Artery Disease - therapy; Coronary Disease - diagnosis; Data Collection; Heart Failure - diagnosis; Humans; Medicine, Chinese Traditional - methods; Qi; Syndrome; Yang Deficiency - diagnosis; Yin Deficiency - diagnosis; China
• ISSN: 1003-5370

To carry out expert survey for traditional Chinese medicine (TCM) syndrome characteristics of different clinical types of coronary artery disease (CAD). By using Delphi method, we carried out two rounds of nationwide expert surveys for modern TCM characteristics of syndrome elements and syndrome types of CAD. Based on expert consensus, qi deficiency, blood stasis, phlegm turbidity, qi deficiency blood stasis, and intermingled phlegm and blood stasis are common TCM syndromes for different clinical types of CAD. Of them, qi stagnation, blood stasis, phlegm turbidity, heat accumulation, cold coagulation, yang deficiency, deficiency of both qi and yang were more often seen in patients with unstable angina than in those with stable angina. Qi deficiency, yin deficiency, and deficiency of both qi and yin were less seen. We could see more excess syndrome and less deficiency syndrome (such as qi deficiency, yin deficiency, etc.) in acute ST-segment elevation myocardial infarction (STEMI) than acute non-ST-segment ele