摘要
目的:探讨中医虚寒证脉象的特点及脉图参数的变化规律,为提高虚寒证的临床辨证水平、促进中医脉诊客观化的研究提供依据。方法:采用ZM-IIIc型智能化中医脉象仪采集病例684例,筛选出虚寒证病例124例,其中心阳虚组29例、脾阳虚组31例、肾阳虚组33例、肿瘤病组31例;另采集相应年龄的正常人脉象44例作为正常对照组。通过对各组脉象的检测、记录,进行比较分析。结果:虚寒证组脉图特征参数与正常人组比较,t1增大,脉波幅值h1、h5降低,脉图面积As、Ad减小,h3/h1、h4/h1值增加,h5/h1降低为负值,w1、w1/t值增大;与正常对照组比较,有4个不同病种的虚寒证脉图参数的变化趋势均符合虚寒证总体的脉图参数变化曲线;虚寒证不同病种组间的脉图参数比较分析也存在差异。结论:通过对正常人和中医虚寒证者脉象的比较分析,发现两者的脉图特征参数有显著差异,从而提示脉图特征参数可以作为虚寒证辨证的客观诊断指标之一。
Objective： To explore the pulse features and pulse parameters rule of yang-deficiency syndrome. Methods： ZM-Ⅲ intelligent pulse apparatus was used to measure the parameters of the pulse conditions of 124 cases,which were separated into 4 groups （heart yang--deficiency, spleen yang--deficiency, kidney yang-deficiency, and cancer）,with 44 healthy ones as control group. Results： Compared with normal control group,significant differences existed in the pulse parameters of t1,h3/h1,h4/h1,w1,w1/t, h1,hS,h.5/h1,As and Ad in four yang-deficiency groups. The variety tendencies of the pulse graph parameters in four yang-deficiency groups accorded with those d typical yang--deficiency syndrome,and pulse graph parameter differences were observed among the four yang-deficiency groups. Conclusion： The pulse graph parameters can be used as one of the objective indexes for diagnosis and syndrome differentiation.
出处
《上海中医药大学学报》
CAS
2007年第1期37-39,共3页
Academic Journal of Shanghai University of Traditional Chinese Medicine
基金
上海市科委基金资助项目(03ZR14086)
关键词
虚寒证
脉象
脉图
Yang-deficiency syndrome
pulse
pulse graph
