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肝阳上亢证本质研究

Study on the Nature of "Liver Yang Exuberance Syndrome"

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【作者】 金益强黎杏群陈国林潘其民张自强李家邦李学文张翔彭潜陈泽奇李惠明王勇华陈蓓蓓

【Author】 Jin Yiqiang Research Section of TCM Basic Theory,The First Affiliated Hospital,Hunan Medical University,Changsha

【机构】 湖南医科大学中医基础理论研究室湖南医科大学中医基础理论研究室

【摘要】 本文报告对170例肝阳上亢证患者进行多项指标实验研究,结果支持此类证候的主要病理生理基础是外周交惑—肾上腺髓质功能偏亢。表现为(1)植物神经功能紊乱,交感亢进占69.8%;(2)反映外周交感—肾上腺髓质功能的尿 CA、NE、TMN 含量均增高;(3)血浆 cAMP、cGMP 升高;(4)血浆 TXB2、6-K-PGF1a 含量增高;(5)红细胞内ATP、ADP、NADP 含量增高。本文还就辨证标准代和指标特异性进行了讨论。

【Abstract】 The clinical manifestations of Liver Yang Exuberance Syndrome(LYES)are dizziness,head- ache,irritation,flushed face and taut pulse,which have been often seen in cases of hypertension, hyperthyroidism and climacteric syndrome.Our experimental results showed that the LYES has a feature of hypertonicity of sympathetico-adrenomedullary system.(1)67 out of 96 cases(69.8%)were found to have hyperfunction of sympathetic nerves in systematic analysis of vegetative nervous function.(2)The urinary levels of CA(μg/24h),NE(μg/24h),TMN(mg/24h),were significantly increased in the LYES group (45.24±10.40, 27.72±10.06,3.00±2.41)as compared with the normal control group(28.41±7.07,16.75±6.09,0.69±0.30).(3)The concentrations(pmol/ml)of plasma cAMP, cGMP in the LYES group were 23.89±6.14 and 11.77±4.91 respectively,much higher than those in the normal control group(19.59±6.05,5.31±2.25).(4)The plasma levels(pg/ml)of TXB2 and 6-keto-PGF1α in the LYES group(314.27±15.35 and 165.71±6.78)increased significantly,as compar- ed with the control group(188.17±6.28 and 142.78±5.98).(5)The values(μmol/g Hb)of ATP,ADP, NADP in erythrocytes were significantly increased in the LYES group(5.89±1.90,1.06±0.30,0.13± 0.08)as compared with the normal control group(4.50±0.66,0.75±0.13,0.07±0.03).After treatment with the TCM of Pinggan Qianyang(平肝潜阳,subdue hyperfunction of the Liver and check exuber- ant Yang),the laboratory results of the patients got markedly improved with the improvement of their symptoms.

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