Abstract

Objective. To explore new diagnostic patterns for syndromes to overcome the insufficiency of obtainable macrocharacteristics and specific biomarkers. Methods. Chinese miniswines were subjected to Ameroid constrictor, placed around the proximal left anterior descending branch. On the 4th week, macrocharacteristics, coronary angiography, echocardiography, and hemorheology indices were detected for diagnosis. IL-1, IL-6, IL-8, IL-10, TNF-α, and hsCRP in serum were detected, and Decision Tree was built. Results. According to current official-issued standard, model animals matched the diagnosis of blood stasis syndrome with myocardial ischemia based on findings, including >90% occlusion, attenuated left ventricular segmental motion, dark red or purple tongues, and higher blood viscosity. Significant decrease of IL-10 and increase of TNF-α were found in model animals. However, in the Decision Tree, besides IL-10 and TNF-α, IL-8 helped to increase the accuracy of classification to 86%. Conclusions. The Decision Tree building with TNF-α, IL-10, and IL-8 is helpful for the diagnosis of blood stasis syndrome in myocardial ischemia animals. What is more is that our data set up a new path to the differentiation of syndrome by feature patterns consisting of multiple biomarkers not only for animals but also for patients. We believe that it will contribute to the standardization and international application of syndromes.

Highlights

  • Treatments based on syndrome differentiation are essential to Traditional Chinese Medicine (TCM)

  • Chronic myocardial ischemia was produced by placing an Ameroid constrictor (Research Instruments, SW) around the proximal left anterior descending branch (LAD) after left thoracotomy

  • These 10 sham-operated animals were used in the diagnosis of blood stasis syndrome, including analysis of angiography, echocardiography, macrocharacteristics, and hemorheology indices

Read more

Summary

Introduction

Treatments based on syndrome differentiation are essential to Traditional Chinese Medicine (TCM). It is widely accepted that disease and syndrome were the different aspects to the same pathological changes of a patient. When we focused on a particular disease, syndromes of TCM worked more like the criteria to further divide patients into different subtypes. These subtypes were the aims of Chinese herbal recipe and acupuncture for a long history. These subtypes were differentiated according to the major pathogenesis, and the latter was concluded from a group of symptoms and signs which are called macrocharacteristics. For the collecting of macrocharacteristics, looking, listening, question, and feeling the pulse were considered as the main methods

Methods
Results
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call