本文分析了经中西医结合治疗5～17年(平均10.5年)的冠心病中医证型的前后改变,按基本证型(阳虚、阴虚、血瘀、痰湿)分为四组:Ⅰ组前后证型不变,Ⅱ组证型减轻,Ⅲ组证型加重,Ⅳ组证型向相反方向转化.全面的对比了各组的年龄、病程、症状、心率、血压、纤维蛋白元、纤维蛋白裂解产物、血小板聚集、血脂、静息心电图心肌损害、临床及心电图疗效、并发病数、阳虚程度、血瘀、痰湿比例后,发现Ⅰ、Ⅱ两组与ⅢⅣ两组有差异, This article analyzes the Chinese and Western medicine treatment of 5 to 17 years (average 10.5 years) coronary heart disease before and after the change of TCM syndromes, according to the basic syndromes (yang, yin deficiency, blood stasis, phlegm) divided into four groups: Ⅰ The syndrome type in group Ⅱ was unchanged, the syndrome type in group Ⅱ was alleviated, the syndrome type in group Ⅲ was aggravated, and the syndrome type in group Ⅳ was transformed in the opposite direction.The age, course of disease, symptom, heart rate, blood pressure, fibrinogen, fiber Protein breakdown products, platelet aggregation, blood lipids, myocardial electrocardiogram damage at rest, clinical and electrocardiogram efficacy, the incidence of disease, the degree of yang deficiency, blood stasis, phlegm ratio, and found that Ⅰ, Ⅱ two groups and Ⅲ Ⅳ two groups were different,