朝医四象人感觉神经传导机能的研究  

Study about sensory nerve conduction function of Sasang people with Korean medicine

作　　者：金春玉[1,2] 马场正之 

机构地区：[1]延边大学长白山生物资源与功能分子教育部重点实验室,延吉133002 [2]延边大学医学部中医学院针灸骨伤教研室,延吉133002 [3]日本青森县立中央病院神经内科

出　　处：《中华中医药杂志》2012年第5期1257-1261,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81060308);延边大学长白山生物资源与功能分子教育部重点实验室开放课题(No.长生实合字-201004)~~

摘　　要：目的:通过观察朝医四象组间及各组内的感觉神经传导差异等现象,探讨脏器大小与末梢神经传导机能之间的关联。方法:以100名健康人为对象,以填写辨象设问表以及专家研讨的方式进行朝医辨象,并进行正中神经、尺神经和腓肠神经的感觉动作电位的检测,以比较组间及组内的神经传导参数。结果:与少阳人相比,太阴人的正中神经和尺神经近端潜伏期(P Lat)较长;其中,P Lat≥X+1S的神经组较P Lat<X+1S的神经组具有波幅降低、潜伏期延长和传导速度减慢等现象。太阴人的腓肠神经波幅低于少阳人,且太阴人和少阳人的右侧D SCV快于左侧D SCV;其中,与D SCV>X-S神经组相比,D SCV≤X-S神经组出现了D Lat延长和D SCV减慢的现象。结论:太阴人的血浊气涩体质导致了其正中神经和尺神经潜伏期的延长、腓肠神经波幅的降低(以及其左右差异);而少阳人则因过阳损阴体质导致其神经传导潜伏期的变短。Objective： We observed sensory nerve conduction functions and compared their parameters between groups or them in one group to probe into the relationship between constitutions of body and peripheral nerve conduction function. Methods： As objects of study, 100 health people are divided into 4 groups by means of filling in quizzed-table and specialists＇ deliberating with Sasang Medicine （Korean constitutional medicine）. We measured sensory nerve action potential （SNAP） of median, ulnar and sural nerve to compare them between groups or in one group. Results ： Proximal latency （PLat） of median and ulnar nerve of Taiyin person is longer than that of Shaoyang person; compared with group of P Lat〈X＋IS nerve, matters of lower wave amplitude, longer latency and slower conduction velocity arise in group of P Lat≥X＋1S nerve. Wave amplitude of sural nerve of Taiyin person is lower than that of Shaoyang person, and in both of them right D SCV is faster than left D SCV; and more, compared with group of D SCV〉X-S nerve in Sasang person, matters of longer D Lat and slower D SCV arise in group of D SCV≤X-S nerve. Conclusion： In Taiyin person, states of blood-turbidity and Qi-unsmoothness get latency longer in median and ulnar nerve, and wave amplitude lower and right-left side different in sural nerve; in Shaoyang person, constitution of Yang-over and Yin-loss get latency of nerve conduction shorter.

关 键 词：朝医学 四象医学 感觉神经活动电位 左右比较 

分 类 号：R291.9[医药卫生—民族医学]