Differentiation and Treatment Strategies for the Pathogenesis of Heat Toxicity in Acute Coronary Syndrome
Acute coronary syndrome(ACS)is a group of clinical syndromes caused by acute myocardial isch-emia.ACS,with the root cause of deficiency of zang-fu organs,symptoms marked by phlegm stasis and changed by heat toxicity.Phlegm heat,stagnated heat,stasis heat producing heat toxicity,and heat toxicity obstructing heart pulse is the basic pathogenesis of ACS.Heat toxicity is mostly transferred from qifen to xuefen,and differentiation of qifen and xuefen is the mechanism and treatment of ACS heat toxicity.Heat toxicity chest binding,evil stagna-tion in qifen,the treatment should be divided to eliminate phlegm,dampness,accumulation,stagnation and other visible and solid evil,enabling access to qi,clearing stagnated heat and fire stagnation,clearing heat and detoxifica-tion,and the medicines include the modified Shengjiang Powder,Zhizichi Decoction,Chaihu Mixture,Yueju Baohe Pills,Xiaoxianxiong Decoction with Zhishi,Gualou Xiebai Banxia Decoction,Huanglian Jiedu Decoction,Liangji Powder,Xuanbai Chengqi Decoction according to syndrome differentiation.Heat invading into yingfen and xuefen with heat toxicity and blood stasis,the treatment should be cooling blood and activating blood detoxification,replen-ishing qi,nourishing yin and promoting fluid production,and the medicines include Simiao Yong'an Decoction,Shengmai Powder,Yangxin Decoction in Standards for Diagnosis and Treatment,Zhigancao Decoction and other classic prescription according to syndrome differentiation.Combining ancient Chinese medicine literature records and modern research results,the theory,method and medicine in the differentiation and treatment of ACS heat tox-icity by qifen and xuefen are deeply explored to provide accurate guidance for TCM treatment of ACS.
Acute coronary syndromeHeat toxicityDifferentiation and Treatment of qifen and xuefenClearing heat and detoxificationCooling blood and activating blood detoxification