中医辨证不同证型湿疹患者的脉象变化及其临床意义  

Changes of pulse graph and clinical significance of TCM syndrome differentiation in eczema patients of different types

作　　者：马臻[1] 刘雁云[2] 

机构地区：[1]湖北中医药大学黄家湖医院,湖北武汉430065 [2]湖北中医药大学,湖北武汉430065

出　　处：《中医临床研究》2017年第18期57-60,共4页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察中医辨证不同证型湿疹患者的脉象特点和脉图参数的变化,探讨其临床意义。方法:湿疹患者205例,其中脾虚湿盛型62例,湿热内蕴型73例,血虚风燥型70例,以60例健康体检者作为对照。采用脉象采集系统和临床结合的方法进行脉象的识别分析。结果:湿疹组各型h1、h3、h4、h5、w/t、t、h3/h1、h4/h1、h5/h1与对照组比较,均有显著差异(P<0.05);湿疹组脾虚湿盛型、湿热内蕴型与血虚风燥型的各项脉图参数,均有显著差异(P<0.05)。结论:湿疹组脉象多项指标较正常人有显著差异性,且不同证型间脉象也有显著差异,脉图参数h1、h3、h4、h5、h3/h1、h4/h1、h5/h1、w/t、t可作为湿疹中医辨证分型的参考指标,为湿疹的诊断和中医辨证提供了客观依据。Objective:To observe the pulse characteristics and the changes of pulse graph,and to investigate the clinical significanceof TCM syndrome differentiation in eczema patients of different types.Methods:205cases of eczema were divided into excessivedampness due to deficiency in spleen type(62cases),damp-heat brewing internally type(73cases),blood deficiency and wind drynesstype(70cases).60healthy people were selected as the normal control.The pulse detection system combined with clinic was used for pulserecognition analysis.Results:There was a significant difference of h1,h3,h4,h5,w/t,t,h3/h1,h4/h1,h5/h1between each type of eczemagroup and the normal group(P<0.05).There was a significant difference of all pulse diagram parameter between excessive dampness due todeficiency in spleen group,blood deficiency and wind dryness group and damp-heat brewing internally group(P<0.05).Conclusion:Therewas a significant difference of pulse indicators in the eczema group,and also in different types of eczema.Pulse diagram parameter h1,h3,h4,h5,w/t,t,h3/h1,h4/h1,h5/h1could be used as reference indexes of eczema in TCM syndrome differentiation.And it could also provideobjective basis for eczema diagnosis and TCM syndrome differentiation.

关 键 词：湿疹 中医辨证 脉图 

分 类 号：R241[医药卫生—中医诊断学]