肺心病患者寸脉脉图与中医证型相关性研究

【作者】 文秀华；

【导师】 赵莺；

【作者基本信息】 成都中医药大学 ， 中医诊断学， 2005， 硕士

【摘要】 目的:探讨肺心病常见中医证型左、右寸脉的脉象特点和脉图参数规律,提高肺心病的临床辨证水平,促进中医脉诊的客观化研究。 方法:将87例肺心病患者按《中医内科疾病诊疗常规》的标准分为寒饮停肺、痰热蕴肺、肺肾气虚、痰瘀阻肺四个常见证型组,采用ZM—Ⅲ型智能脉象仪对四组肺心病患者及20例正常人左、右寸脉进行脉图测定,分析各组的脉象特点及脉图的参数变化。 结果:肺心病患者左、右寸脉均以浮脉、数类脉（包括数脉、促脉、疾脉）和有歇止的脉象（包括结脉、促脉）为主,与正常组比较有显著差异。其中寒饮停肺型以弦类脉为主,脉图参数左寸h₃/h₁、h₄/h₁、w₁/t升高,右寸h₃/h₁、w₁/t升高;痰热蕴肺型以数类脉为主,并有滑的趋势,脉图参数左寸h₃/h₁、t降低,右寸h₁升高,h₃/h₁、h₄/h₁、t降低;肺肾气虚型以虚类脉为主,并有数的趋势,脉图参数左、右寸均为h₁、t降低;痰瘀阻肺型以实类脉为主,并有弦的趋势,脉图参数左寸h₁、h₁/h₁、h₄/h₁升高,h₅/h₁、t降低,右寸h₁、h₃/h₁、w₁/t升高。以上参数变化与正常组相比均有显著意义。 结论:左、右寸脉图及其参数可能为肺心病辨证分型提供客观化指标。更多还原

【Abstract】 Objective: Probe in character of pulse manifestation and pulse figure parameters of left and right Cun pulse in common different syndrome classification of pulmonary and heart disease; advance clinical different for syndrome classification of pulmonary and heart disease, improve the objective researching based on Tradition Chinese Medicine （for short: TCM） pulse diagnosis.Method: 87 pulmonary and heart disease patients are divided into four common groups in according to 《 medical diagnostic and therapeutic conventionality of TCM》 : 1st, cold and water stagnated in the lung, 2nd, heat and phlegm stagnated in the lung, 3rd, deficiency of both lung and kidney-Qi, 4th, phlegm and bloo’d stasis stagnated in the lung. Pulse figure of left and right Cun of these four groups and 20 normal persons are examined by the intellectual pulse instrument of Model ZM—Ⅲ, then, these character of pulse manifestation and pulse figure parameters are analyzed.Result: We find it is usually floating pulse、 rapid pulse （ including rapid pulse 、 irregularly rapid pulse and swift pulse） and intermittent pulse （ including irregularly slow pulse and irregularly rapid pulse） at both left and right Cun point of pulmonary and heart disease patients. There is obvious difference between patients and normal persons. Mainly wiry pulse in Group 1, and their pulse figure parameters show that h₃/h₁, h₄/h₁, w₁/t of the left Cun is higher ;h₃/h₁, w₁/t of the right Cun is higher. Mainly rapid pulse （including rapid pulse, irregularly rapid pulse and swift pulse）, with some tendency to become slippery pulse in Group 2, and their pulse figure parameters show that h₃/h₁, t of the left Cun is lower, h₁ of the right Cun is higher, h₃/h₁, h₄/h₁, t of the right Cun is lower. Mainly weak pulse, with some tendency to become rapid pulse in Group 3, and their pulse figure parameters show that h₁ and t of both left and right Cun is lower. Mainly forceful pulse, with some tendency to become wiry pulse in Group 4, intermittent pulse （including irregularly slow pulse and irregularly rapid pulse） can also be found in the left Cun usually, and their pulse figure parameters show that h₃/h₁, h₁ , h₄/h₁ of the left Cun is higher, h_s/h₁ , t of the left Cun is lower, h₁, h₃/h₁, w₁/t of the right Cun is higher. We find there is obvious difference between these parameters and parameters of normal persons.Conclusion: pulse figure and its parameters may be used as one of the objective indexes for differentiation syndrome classification in pulmonary and heart disease.更多还原