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題名 | 腦中風之中醫證型就主流醫學觀點之研究=View Point of Main Stream Medicine in Chinese Medicine Pattern of Stroke Patients |
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編 次 | 1 |
作者 | 謝慶良; | 書刊名 | 中醫藥年報 |
卷期 | 28:1 2010.09[民99.09] |
頁次 | 頁337-360 |
專輯 | 中醫診斷基準之研究 |
分類號 | 413.34 |
關鍵詞 | 中醫證型; 主流醫學觀; 腦中風; Chinese medicine pattern; View point of main stream medicine; Stroke; |
語文 | 中文(Chinese) |
中文摘要 | 中醫證型之確立是根據望、聞、問、切等四診蒐集病情資料,綜合分析 而來,由於舌診、切脈等至今尚未一套客觀儀器做客觀的判定基準,所以中 醫證型常被質疑。主流醫學藉著精密的科技儀器可以正確的判定病情,具有 客觀性和再現性的科學精神。中醫典籍《醫宗金鑑》將腦中風分類為中絡、中經、中腑、中臟、中經絡兼中臟腑、中臟閉證、中臟脫證、中經絡閉證和 中臟腑閉證等九種,堪稱對疾病分類最詳盡的典籍。因此,本研究目的是探 討腦中風中醫證型分類之主流醫學觀點。我們蒐集200位第一次發病而且發 病後七日內之腦中風患者,他們都經過神經科專科醫師和電腦斷層或磁振造 影檢查確定為腦中風,包括出血型和梗塞型。根據腦中風病患的臨床徵狀分 類為中絡、中經、中腑、中臟、中經絡兼中臟腑、中臟閉證、中臟脫證、中 經絡閉證和中臟腑閉證等九種,並標示出電腦斷層或磁振造影之病變部位及 填寫腦中風臨床徵狀表。結果從96年8月17日至96年10月24日總共完成61位 腦中風患者的研究,梗塞型51位,出血型10位。中絡33位;中經14位;中腑 5位;中臟3位;中經絡兼中臟腑6位。中絡和中經的主要病變區為基底核; 中臟腑的主要病變區為中大腦動脈區。 結論是腦中風中醫證型之中經絡與中臟腑,以現代醫學而言與病變區域 大小有一定關連,而與梗塞或出血關係較小。 |
英文摘要 | The establishment of the Chinese Medicine pattern (CMP) is according to the data that was collected from four diagnostic methods including inspection, listening, smelling and palpitation, following these data was analyzed. Because the four diagnostic methods are no objective criteria by using a measuring apparatus until now, therefore CMP is still was suspicious. The main stream medicine may right to diagnosed disease by precision instrument, therefore, the collecting data is objective and may reappearance that is compatible with scientific. Chinese Medicine writings “I Tzung Chin Jiann” classify stroke divides into Chung-Lou, Chung-Chin, Chung-Fu, Chung-Tzang, Chung-Chin-Lou and Chung-Tzang-Fu, Chung-Tzang Bih pattern, Chung-Tzang Tou pattern, Chung-Chin-Lou Bih pattern and Chung-Tzang-Fu Bih pattern. The “I Tzung Chin Jiann” is the first detail and complete writings to the classification of stroke, therefore, the purpose of the present study was to investigate the view point of main stream medicine to CMP classification of stroke, we collected 61 stroke patients including hemorrhagic type and infarction type and according to their clinical manifestation divided into nine types of Chung-Lou, Chung-Chin, Chung-Fu, Chung-Tzang, Chung-Chin-Lou and Chung-Tzang-Fu, Chung-Tzang Bih pattern, Chung-Tzang Tou pattern, Chung- Chin-Lou Bih pattern and Chung-Tzang-Fu Bih pattern, and indicted the lesion of computer tomography or magnet resonance image and fill the form of stroke clinical sign and symptom. Results indicated that Infarction type was 51 patients, hemorrhagic type was 10 patients. Chung-Lou 33 paitent; Chung-Chin 14 patients; Chung-Fu 5 patients; Chung-Tzang 3 patients; Chung-Chin-Lou and Chung-Tzang- Fu 6 patients. The main lesion of Chung-Lou and Chung-Chin was basal ganglion, whereas the main lesion of Chung-Fu and Chung-Tzang was distribution area of middle cerebral artery. In conclusion, CMP of Chung-Lou and Chung-Chin, and Chung-Fu and Chung-Tzang was has closed the relationship to lesion in the view-point of main stream medicine, and did not closed related to the infarction or hemorrhagic type. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。