PANG Mengmeng,ZHAO Lu,SHI Shuqing,et al.Differentiation and treatment of coronary microvascular diseases based on the theory of "Yingwei tilting"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1245-1249.
PANG Mengmeng,ZHAO Lu,SHI Shuqing,et al.Differentiation and treatment of coronary microvascular diseases based on the theory of "Yingwei tilting"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1245-1249. DOI: 10.16025/j.1674-1307.2025.10.004.
Differentiation and treatment of coronary microvascular diseases based on the theory of "Yingwei tilting"
tilting" lies in the imbalance of nutrient and defense, representing a dynamic pathological change in their circulation and distribution across time and space. "
Yingwei
tilting" encompasses
Yingwei
disharmony,
Yingwei
obstruction, and
Yingwei
insufficiency, which are the core mechanisms in the pathogenesis of coronary microvascular diseases. This paper focuses on these three aspects to guide intervention and regulation, and constructs a basic diagnostic and treatment approach for coronary microvascular disease based on harmonizing nutrient and defense, resolving blood stasis, promoting
qi
and diuresis, and dredging and tonifying collaterals and vessels.
JESPERSEN L , HVELPLUND A , ABILDSTRØM SZ , et al . Stable angina pectoris with no obstructive coronary artery disease is associated with increased risks of major adverse cardiovascular events [J ] . Eur Heart J , 2012 , 33 ( 6 ): 734 - 744 .
MURTHY VL , NAYA M , TAQUETI VR , et al . Effects of sex on coronary microvascular dysfunction and cardiac outcomes [J ] . Circulation , 2014 , 129 ( 24 ): 2518 - 2527 .
MASI S , RIZZONI D , TADDEI S , et al . Assessment and pathophysiology of microvascular disease: recent progress and clinical implications [J ] . Eur Heart J , 2021 , 42 ( 26 ): 2590 - 2604 .
TSAI SH , LU G , XU X , et al . Enhanced endothelin-1/Rho-kinase signalling and coronary microvascular dysfunction in hypertensive myocardial hypertrophy [J ] . Cardiovasc Res , 2017 , 113 ( 11 ): 1329 - 1337 .
ONG P , CAMICI PG , BELTRAME JF , et al . International standardization of diagnostic criteria for microvascular angina [J ] . Int J Cardiol , 2018 ( 250 ): 16 - 20 .
D'AMARIO D , BOROVAC JA , CREA F . Coronary microvascular dysfunction in heart failure with preserved ejection fraction: not the end but the end of the beginning [J ] . Eur J Heart Fail , 2021 , 23 ( 5 ): 773 - 775 .
AGEWALL S , BELTRAME JF , REYNOLDS HR , et al . ESC working group position paper on myocardial infarction with non-obstructive coronary arteries [J ] . Eur Heart J , 2017 , 38 ( 3 ): 143 - 153 .
Syndrome differentiation and staged treatment of IgA nephropathy from perspective of regulating Sanjiao and restoring pleurodiaphragmatic interspace permeability based on the theory of latent pathogens
TCM master LYU Renhe's experience on clinical application of Gypsum Fibrosum from six diagnosis and treatment principles
JIN Zhe's experience in treating thin endometrial infertility based on the Dili theory
TCM and Western medicine clinical characteristics of rapidly progressing idiopathic inflammatory myopathy with interstitial lung disease
Pathogenesis evolution and treatment of gastric cancer with spleen deficiency and toxin accumulation based on the principle of "earth responsible for thorough transformation"
Related Author
WANG Yuefen
ZHAO Wenjing
LIU Mengchao
XIN Chuang
SUN Xinru
WANG Xinyi
HUANG Zifan
DAI Jinlin
Related Institution
Department of Nephrology, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University
Department of Nephrology and Endocrinology, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine
Second Clinical Medical College of Beijing University of Chinese Medicine
Department of Gynecology and Reproductive Medicine, Dongfang Hospital, Beijing University of Chinese Medicine
Beijing Daxing District Maternal and Child Health Hospital