Dai Pulse Method In The Diagnosis Of Gynecological Diseases

Pulse diagnosis of Tiwan stemed from the mainland, while it has formed its own characteristics. Tiwan civil pulse method developes the ancient and traditional sphygmology in particular. The thesis studied the physiological and pathological pulse of D.D.P.D (David Dai's Pulse Diagnotics) which used for gynecologic cancer research in order to verify its scientific validity and applicability.The study of Physiological pulse of D.D.P.D.Objective:To verify the objectivity of Physiological pulse of D.D.P.D through the detection by pulse apparatus.Method: Observe the parameters' change of P-wave amplitude(h1,mm), D-wave amplitude(h5,mm), dicrotic notchand/P-wave amplitude(h4/h1), one third width of P-wave/pulse cycle time(W3/T) and area of pulse graph (AT) in guan and chi' departments' pulses to 48 healthy women menstrual cycle by Wang's sphygmometer.Result:The value of h1, AT of after-menstruation period was significantly higher than the foot department (P<0.01). The value of h1, AT of ovulatory phase and menstrual period was than the foot department (P＜0.05). The value of h1,AT,h5 show up the rend of menstrual period>ovulatory phase> after-menstruation period. The value of W3/T,H4/h1 show up the rend of after-menstruation period>ovulatory phase> menstrual period. The value difference of h1,AT show up the rend of after-menstruation period>ovulatory phase> menstrual period through the comparison of three periods(P<0.01, P<0.05).Conclusion:Pulse parameters is a change process in menstrual cycle. The value of h1. AT,h5 show up the rend of menstrual period>ovulatory phase> after-menstruation period. The value difference of h1,AT show up the rend of after-menstruation period>ovulatory phase> menstrual period through the comparison of three periods. The pulse show up the rend of wiry pulse to pulse string slide to slide in three periods of menstrual cycle.The study of pathological pulse of D.D.P.D.Objective:TO verify the feasibility pathological pulse of D.D.P.D through the using to gynecological tumors detection by pulse apparatus.Method:Observe the parameters' change of P-wave amplitude(h1,mm), D-wave amplitude(h5,mm), dicrotic notchand/P-wave amplitude(h4/h1), one third width of P-wave/pulse cycle time(W3/T) and area of pulse graph (AT) in guan and chi'departments'pulses to 47 cases for normal menstrual cycle in 65 cases of ovarian cysts by Wang's sphygmometer. The 47 patients were divided into Qi stagnation group according to TCM, phlegm block group, Yang cold coagulation group, Yin deficiency and blood stasis group. We observed the difference of value pulse parameters of the after-menstruation period in theGroups.Result:h1 and AT'vaule of Guan were higher than the Chi In three process of menstrual cycle particularly the after-menstruation period and ovulatory phase(P<0.05, P<0.01). The value of h1,AT,h5 show up the rend of menstrual period>ovulatory phase> after-menstruation period. The value of W3/T,H4/h1 show up the rend of after-menstruation period>ovulatory phase> menstrual period. The value difference of h1,AT show up the rend of after-menstruation period>ovulatory phase> menstrual period through the comparison of three periods (P<0.05, P<0.01). The value difference of different groups in after-menstruation period show that h1, AT of Qi stagnation and phlegm type block group was significantly smaller than the contralateral (P＜0.01,while Yang deficiency blood stasis type and cold coagulation in patients with the affected side of the h1, AT difference was smaller than, but not significant (P>0.05). Compared with the healthy group, The value difference of h1, AT to Qi stagnation type and phlegm block type ipsilateral is less than the healthy group with significant difference (P<0.01),and that Yin Yang cold coagulation group and blood stasis group ipsilateral, contralateral were larger than normal group (P<0.01).Conclusion: The fullness degree of trouble sidel Chi show up the rend of menstrual period>ovulatory phase> after-menstruation during the menstrual cycle. However, there has no significant difference compared with the contralateral side (P> 0.05). It is said that there's some possibility to cyst the contrast of fullness degree depends on judgments by ipsilateral and contralateral Chi while there is no statistically meaningless. The fullness difference of Guan and Chi was notable to Qi stagnation and Phlegm-type block-type. There wad a certain degree of flexibility to D.D.P.D applied to the department of gynecological tumors and it's better to be combined with tcm differential treatment.