Objective To explore the distribution of patten elements and disease location in patients with coronary heart disease and dyslipidemia. Methods The clinical data on symptoms

signs

tongue and pulse manifestation of 680 patients with coronary heart disease and dyslipidemia were collected and dealt with as dichotomous variables. Thereafter

a database matrix was constructed through Excel 2019 software. Factor analysis was performed to investigate the distribution of patten elements and disease location of the patients. Results Eighty-four variables in close relationship with coronary heart disease and dyslipidemia were included

including 60 symptoms and signs

and 24 tongue and pulse manifestation variables. Chest tightness（461 times

67.79%）

insomnia（302 times

44.41%）

and dizziness（229 times

43.97%） were the most frequent symptoms and signs; purple dusky tongue was most commonly seen for the tongue body（408 times

60.00%）; white（326 times

47.94%） and greasy（298 times

43.82%） were the most frequent color and texture of the tongue coating. Wiry pulse（345 times

50.74%） had the highest frequency of all pulse manifestations. The common factors with eigenvalue greater than 1.0 rule were retained

and varimax rotation method was used. Totally

36 common factors were extracted

accounting for 63.39% of the variance contribution rate; 13 patten elements and seven disease locations were inducted. According to the patients score of each common factor

the main patten elements were phlegm-turbidity（460 cases

67.65%）

essence deficiency（117 cases

17.21%）

internal heat（82 cases

12.06%）

and yang deficiency（65 cases

9.56%）; the main disease locations were spleen（504 cases

74.12%）

lung（309 cases

45.44%）

and kidney（174 cases

25.29%）. Conclusion The pathogenesis of coronary heart disease with dyslipidemia is root deficiency and branch excess

with deficiency-excess complex. The excess patten elements is phlegm

while the deficiency patten elements include yang deficiency

essence deficiency

and yin deficiency. The main disease locations are spleen

lung and kidney.