Cardiovascular disease and body composition

  Cardiovascular diseases are the general term for cardiovascular diseases and cerebrovascular diseases, including cardiovascular diseases such as heart disease (coronary heart disease, angina pectoris, etc.), hypertension, hyperlipidemia, and cerebrovascular diseases such as ischemic stroke and hemorrhagic stroke. These diseases have the characteristics of “high incidence, high disability, high mortality, high recurrence rate, and many complications”, and are common and critical clinical diseases, occupying the first place of the total causes of death in China in recent years. Therefore, it has become a world consensus to actively study the risk factors of cardiovascular and cerebrovascular diseases and pay equal attention to prevention and treatment. Cardiovascular diseases correspond to chest paralysis, heart pain, dizziness, stroke and other diseases in Chinese medicine, which are recorded in ancient Chinese medical texts. For example, in Suwen? The general assessment of deficiency and realities”, “the disease of elimination, servant strikes, partial withering, impotence and syncope, full of gas and hair rebellion, fat nobleman, is also the disease of high beam”. It is pointed out that the fat and noble people with a plump body are mostly injured by the irregular diet of the spleen and stomach, and the spleen loses its health, and the water and grain essence is not properly transported and transformed, resulting in dampness and phlegm, or flowing through the meridians, resulting in the development of disease such as disease of elimination and partial blight.  Stroke is named because of its rapid onset and changes. Its onset is due to the reversal of qi and blood, resulting in sudden fainting and unconsciousness, accompanied by the boiling of the mouth and eyes. The F sustainability of the disease is not only the result of the disruption of the blood, but also the result of the sudden loss of consciousness. The main reason for this is the fact that it is not possible to get the most out of it. Zhu Danxi believes that “the main rate of stroke is blood deficiency with phlegm, treating phlegm first”, clearly suggesting that stroke is correlated with phlegm and dampness. The book “Jing Yue Quan Shu? Miscellaneous evidence? Non-wind” in “non-wind a evidence, instant people so-called stroke evidence also. …… this are internal injury accumulation loss decay, the original is not due to external wind and cold.” “Fat people have more evidence of non-wind, to fat people more qi deficiency also. …… However, fat people are more wet and more stagnant, so the airway is more unfavorable.” Explained that stroke is caused by the deficiency of the accumulation of loss, and proposed that the qi deficiency body, phlegm and damp body susceptible to stroke. While Ye Tianshi proposed “liver yang into wind”, that “the essence and blood are depleted, water does not contain wood …… liver yang is hyperactive, the internal wind starts.” I.C. Chang’s Medical Cases? Stroke” systematically discusses the relationship between physical constitution and stroke, and considers that the types of physical constitution prone to stroke are “people with deficiency of qi and dampness”, “people whose bodies are rich outside but weak inside”, “people who are nearing old age and have deficiency of qi and blood People with “Phlegm and Dampness”, people with “Phlegm and Dampness”, and people with “Senior Essence and Blood deficiency”, with special emphasis on Phlegm and Dampness with body abundance.  Modern Chinese internal medicine has attributed the pathogenesis of stroke to deficiency (Yin deficiency, Qi deficiency), fire (liver fire, heart fire), wind (liver wind, external wind), phlegm (wind phlegm, damp phlegm), qi (Qi rebellion), and blood (blood stasis). All of these pathogenic mechanisms are based on the bias of the physical constitution. Jia Aiming et al. studied the correlation between TCM constitution and symptoms in 620 patients recovering from ischemic stroke, and found that the constitution of patients recovering from ischemic stroke was mainly stasis blood, phlegm-damp, and qi deficiency, and the symptoms were mainly blood stasis, phlegm, qi deficiency, and yang deficiency. It was found that stasis blood quality was significantly and positively correlated with blood stasis evidence, phlegm evidence and qi deficiency evidence, phlegm-damp quality was significantly and positively correlated with phlegm evidence, blood stasis evidence and yang deficiency evidence, and qi deficiency quality was significantly and positively correlated with qi deficiency evidence, blood stasis evidence and phlegm evidence. It is believed that stasis-hematogenous, phlegm-damp, and qi-vacid qualities are the common physical types in patients recovering from ischemic stroke, and their physical types are closely related to the TCM symptoms. The body type of cardiovascular diseases in the elderly may be predominantly phlegm-damp, stasis of blood and qi deficiency.  Among cardiovascular diseases, coronary heart disease and hypertension are common, which are equivalent to chest paralysis and vertigo in Chinese medicine. For chest paralysis, the causative factors include qi stagnation, cold condensation, blood stasis, phlegm blockage, yang deficiency, etc. The formation of these pathological factors is closely related to their physical status. The “Taiping Shenghui Fang” believes that chest paralysis is caused by “weakness of the internal organs, deficiency of kidney qi, accumulation of cold qi, attacking the heart, and deficiency of heart qi, which is multiplied by evil”, and that weakness and deficiency of kidney qi can cause chest paralysis. In the Qing Dynasty, Gong Xin’s “Ancient and Modern Medical Guide” pointed out that “heart paralysis …… has stubborn phlegm and stagnant blood”, pointing out that phlegm-damp body and stagnant blood body, Qi and blood do not work, the veins and channels are stagnant, prone to chest paralysis. Modern research has shown that the blood of people with phlegm-dampness and blood stasis is in a hypercoagulable state, which is the key reason for the onset of the disease. Clinical studies also show that the most common types of coronary heart disease are blood stasis and phlegm-dampness, which can be considered as the most important physical basis of coronary heart disease.  The data of 7782 cross-sectional TCM constitution surveys in 9 provinces and cities in China were collected, and the main factors influencing primary hypertension were screened by multivariate stepwise logistic regression analysis according to 9 TCM constitution scales. The main factors affecting hypertension in men are phlegm-dampness, yin-vacancy, and qi-vacancy, and the main factors affecting hypertension in women are phlegm-dampness, yin-vacancy, and qi-vacancy. It is believed that phlegm-damp, yin-vacant and qi-vacant qualities are the main physical influences on primary hypertension. Zu Jian et al. found that phlegm-dampness, yin-deficiency and blood stasis were risk factors for prehypertension through a comparative study between prehypertensive and normal blood pressure individuals, with phlegm-dampness, yin-deficiency and pinghe nature as risk factors in order of prehypertension in men and phlegm-dampness, blood stasis and pinghe nature in order of prehypertension in women, with some gender differences.