第6卷‧第9期,
197809
, pp. 812-827
中醫脈診脈象圖形化之研究(二)
- 作者:
汪叔游; 黃正一; 張一華; 呂恩增; 翁誌宏
- 作者服務機構:
空軍總醫院航空暨太空醫學研究發展組
- 中文摘要:
本實驗利用自製脈搏感應器、多頻道記錄器等儀器記錄不同年齡之正常人與心律不整、肝炎、肺結核、氣喘等患者之橈骨動脈搏動波形,並收集各患者之西醫臨床資料,以探討年齡、心、肝、肺各類疾病與脈波間之間係。結果發現青年人收縮期第一峰較顯,而中、老年者收縮期第二峰漸顯著。大部份心律不整之期外收縮無相應脈波或僅有微小波出現,但偶然亦有正常相應脈出現,其關鍵在期外收縮是否有良好P波或PR間期之長短是否合度,在中醫脈象上則判斷為代、結、促、遲、數等脈,高血壓患者多出現洪大或堅長脈。肺病變者多出現滑脈,肝炎等患者似無特定之脈象。
- 英文摘要:
Under the purpose of evaluating the valueof graphical diagnoses in pulsology which hadbeen used in pulse feeler in Orthodox ChineseMedicine by finger tips, the graphic recordsfrom radial arteries were taken by non-invasivetechnique with two special domestically designedsensors connected to a polygraphy. The EKG,Phonocardiograph and blood flow velocity wererecorded simultaneously. From 850 healthy and diseased individualsof different ages, some special pulse wavepatterns were identified with criteria of symp-toms and definitions from Nei-Ching(內經)and also verified by modern science metho-dology, such as EKG, chest films for cardiaccondition, liver function tests for hepaticdisorders and roentgenological studies forpulmonary illness. The interesting findings weredemonstrated as follows: 1)The surging(洪大)and long(長)pulsewere two main graphic patterns in hypertensivecases. The alternating(代), scurry(促)andpause(結)pulses were closely related to pre-mature contractions, the loitered(散), slurring(濇) pulses to atrial fibrillation in arrhythmia. 2) The sliding(滑)pulse was frequentlyseen in pulmonary pathology including asthma,pulmonary tuberculosis, etc. 3) A second wave in late diastole afterdicrotic wave was found out. 4) The string(弦)pulse urged us in thebeginning, but finally revealed no definite rela-tion to abnormal liver funtion test in hepatitis.
- 中文關鍵字:
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- 英文關鍵字:
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