Exploring the Pathogenesis of Coronary Heart Disease Combined with Hypertension in Chinese Medicine Based on Radial Pulse Wave Analysis
Objective To elucidate the traditional Chinese medicine pathogenesis of coronary heart disease combined with hypertension by comparing the differences in harmonic indicators of radial pulse waves in patients with coronary heart disease.Methods A total of 183 patients diagnosed with coronary heart disease who were hospitalized in the Department of Cardiovascular of the Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine from December 2022 to June 2023 were collected.Based on whether they had hypertension,the study subjects were divided into a hypertension group(113 cases)and non hypertension group(70 cases).A pulse diagnosis device was used to collect radial pulse wave data of the research object,the radial harmonic index was calculated through Fourier transform,the correlation between pulse wave harmonic index and coronary heart disease combined with hypertension was studied,and the traditional Chinese medicine pathogenesis of coronary heart disease combined with hypertension was analyzed.Results There was no statistically difference in C0(heart),C1(liver),C2(kidney),C3(spleen),C4(lung),C5(stomach)and C7(bladder)between the hypertension group and the non hypertension group(P all>0.05).But the C6(gallbladder)in the hypertensive group was higher than that in the non hypertension group(P<0.05).The results of Logistic regression analysis showed that C6(gallbladder)was positively correlated with the occurrence of coronary heart disease and hypertension(OR=1.011,P<0.05).Conclusion The more solid the gallbladder meridian state corresponding to the radial pulse wave C6,the higher the risk of coronary heart disease combined with hypertension.It is considered that the underlying TCM pathogenesis of coronary heart disease combined with hypertension is cholestasis and excessive phase fire.
coronary heart diseasehypertensionthe meridian of gallbladderradial pulse wave
万方数据
维普
