頁籤選單縮合
題名 | 中醫診斷標準儀器舌診儀、聞診儀及脈診儀記錄之參數與標準化問診所得體質之間的相關分析=The Relation between Constitutional Types and Indices of Tongue, Pulse, and Ausculative Diagnosis |
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作者 | 蘇珊玉; | 書刊名 | 中醫藥年報 |
卷期 | 3 2014.12[民103.12] |
頁次 | 頁(54)1-(54)38 |
分類號 | 413.2 |
關鍵詞 | 舌診; 聞診; 脈診; 體質; Tongue diagnosis; Pulse diagnosis; Constitution; |
語文 | 中文(Chinese) |
中文摘要 | 體質的判斷為中醫師給與處置及衛教的依據,在進行體質的研究上,體質量表往往是研究者用來判斷體質的工具,但是體質量表常以患者主觀的症狀為判斷依據,舌診、聞診與脈診在體質診斷的重要性與權重並未被定出。本研究的目的,即為探討舌診、聞診與脈診的診斷參數,是否與體質相關,以及這些參數對在診斷各種體質的重要性,先以收集專家意見決定各種體質應具有的舌診、聞診及脈診特色並訂定其參數,之後收集 291位自願受試,以體質問卷判定其體質,再以中國醫藥大學附設醫院之標準舌診儀;聞診儀與脈診儀,擷取舌脈診資料,後分析其參數,最後使用多變項相關分析,來判斷舌診、聞診、與脈診參數與體質的關係。此研究的結果,專家的結論與儀器診斷相符合的部分有陽虛質與脈無力、陰虛質與舌體瘦、陰虛質音調高,氣虛質具虛脈,濕熱質有苔厚膩,濕熱質有數脈;不相符的部分有陽虛質應有齒痕、舌質淡白、濕潤多津、音低、音微、脈遲等特徵,陰虛質應有舌質紅、少苔、質裂、剝苔、苔裂、音嘶、頻率高、細脈、數脈、沉脈小於中、浮脈,氣虛質應有齒痕、胖大、萎軟、淡紅偏淡、音低、音微,痰濕質應有苔厚、有津、膩、滑、齒痕、胖大、重濁、滑脈、濡脈,濕熱質應有苔黃、質紅、數、滑、濡,瘀血質應有瘀斑、瘀點、絡脈怒張、分枝、囊柱 (泡)、舌下瘀血絲、澀脈,氣鬱質應有弦脈、結代脈、及脈大小不一,與儀器診斷的參數均不相符。此研究初步為中國人的九大體質定下舌診、聞診、脈診之儀器檢查所得之參數特徵,並與傳統中醫之診斷定性條件比較,此研究結果可提供臨床中醫師及中診研究人員的參考。 |
英文摘要 | Constitution differentiation is important for the prescription of Chinese medicines. In previous studies, researchers usually used constitutional questionnaires to determine constitutions. However, the importance of tongue diagnosis, ausculative diagnosis, pulse diagnosis remained unclear. The specific aim of this study was to evaluate indices of tongue diagnosis, ausculative diagnosis, and pulse diagnosis in the determination of constitutions using the modern equipments. Expert meeting determined the characteristics for each constitution to represent the traditional diagnostic criteria. Then we recruited 291 volunteers without taking medicines within 3 months. Their constitutions were determined by constitutional questionnaires. Tongue manifestations, ausculative indices, pulse pressure waveforms were taken at the same time by standardized instruments. Relations between the indices and each constitution were determined by Pearson correlation and the predictors for each constitution were determined multiple linear regression. This study established diagnostic indices for 9 constitution for instrumental diagnosis in modern Chinese Medicine. The results of this study provided data for Chinese medical practitioner and for future research. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。