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Research on the Clinical Effect of Effective Prescription in Treating Unstable Angina.

Phase 4
Conditions
Unstable Angina
Interventions
Drug: Anti-Platelet Drugs
Drug: Lipid Regulating Drugs
Drug: Coronary Vasodilator
Drug: Gualou Xiebai Banxia Decoction & Danshen Decoction
Registration Number
NCT03171597
Lead Sponsor
Jun Li
Brief Summary

This study evaluates the clinical efficacy of the famous prescription in the treatment of unstable angina pectoris. All of the patients will be divided into 4 arms according to their syndrome type. One of the arms will be treated by conventional western medicine, the other three will be treated by different Chinese herbal medicine prescription at the base of conventional western medicine.

Detailed Description

Xuefu Zhuyu Decoction has the function of activating qi and promoting blood circulation, which will be used to treat patients with qi stagnation and blood stasis syndrome.

GualouXiebaiBanxia Decoction compounded with Danshen Decoction has the effect of promoting blood circulation and resolving phlegm, so it will be used for patients taht belong to phlegm and blood stasis type.

Shuanghe Decoction has the function of supplementing Qi and activating blood circulation, which will be used to treat patients with Qi deficiency and blood stasis syndrome.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
240
Inclusion Criteria
  • Participants diagnosed with coronary heart disease through coronary angiography or coronary CTA;

Patients have at least one of these symptoms:

  1. The stability of the nature of angina pectoris changes, that is, frequent attacks of angina pectoris, serious degree and prolonged duration;
  2. Angina pectoris during rest;
  3. The recent occurrence of angina pectoris caused by mild physical activity in the last month.
Exclusion Criteria
  • Patients dignosed with stable angina; Patients with acute myocardial infarction; Chest pain caused by congenital heart disease, valvular heart disease, severe neurosis or arrhythmia; The heart function grade is III or IV; Patients with acute cerebral infarction; Patients complicated with other serious primary diseases; Patients with acute infection in recent 2 weeks; Uncontrolled hypertension (the resting blood pressure >160/95mmHg within one week); Diabetics emerged with serious diabetic complications; Patients can't finish the questionnaire due to abnormal mental and nervous or mental disorders; Pregnant or lactating women.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
conventional western medicineAnti-Platelet DrugsPatients in this group will be treated by conventional western medicine, including anti-platelet drugss,lipid regulating drugs, coronary vasodilator, etc.
Qi deficiency and blood stasisLipid Regulating DrugsPatients in this group will be treated by Shuanghe Decoction at the base of conventional western medicine.
Qi stagnation and blood stasisCoronary VasodilatorPatients in this group will be treated by Xuefu Zhuyu Decoction at the base of conventional western medicine.
Qi deficiency and blood stasisAnti-Platelet DrugsPatients in this group will be treated by Shuanghe Decoction at the base of conventional western medicine.
Qi deficiency and blood stasisShuanghe DecoctionPatients in this group will be treated by Shuanghe Decoction at the base of conventional western medicine.
Qi stagnation and blood stasisLipid Regulating DrugsPatients in this group will be treated by Xuefu Zhuyu Decoction at the base of conventional western medicine.
conventional western medicineLipid Regulating DrugsPatients in this group will be treated by conventional western medicine, including anti-platelet drugss,lipid regulating drugs, coronary vasodilator, etc.
Qi deficiency and blood stasisCoronary VasodilatorPatients in this group will be treated by Shuanghe Decoction at the base of conventional western medicine.
Phlegm and blood stasisCoronary VasodilatorPatients in this group will be treated by Gualou Xiebai Banxia Decoction \& Danshen Decoction at the base of conventional western medicine.
Phlegm and blood stasisGualou Xiebai Banxia Decoction & Danshen DecoctionPatients in this group will be treated by Gualou Xiebai Banxia Decoction \& Danshen Decoction at the base of conventional western medicine.
conventional western medicineCoronary VasodilatorPatients in this group will be treated by conventional western medicine, including anti-platelet drugss,lipid regulating drugs, coronary vasodilator, etc.
Qi stagnation and blood stasisAnti-Platelet DrugsPatients in this group will be treated by Xuefu Zhuyu Decoction at the base of conventional western medicine.
Phlegm and blood stasisLipid Regulating DrugsPatients in this group will be treated by Gualou Xiebai Banxia Decoction \& Danshen Decoction at the base of conventional western medicine.
Phlegm and blood stasisAnti-Platelet DrugsPatients in this group will be treated by Gualou Xiebai Banxia Decoction \& Danshen Decoction at the base of conventional western medicine.
Qi stagnation and blood stasisXuefu Zhuyu DecoctionPatients in this group will be treated by Xuefu Zhuyu Decoction at the base of conventional western medicine.
Primary Outcome Measures
NameTimeMethod
MortalitySix months after drug intervention

Death caused by cardiovascular disease

Secondary Outcome Measures
NameTimeMethod
Treadmill exercise testAt baseline and 4 weeks after drug intervention

The result will be positive or negative

Blood lipidAt baseline and 4 weeks after drug intervention

The unit is mmol/L.

The incidence of myocardial infarction or heart failureSix months after drug intervention
Myocardial enzymesAt baseline and 4 weeks after drug intervention

The unit is mmol/L

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