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Objective Research Characteristic Of 132 Patients With Palpitation Pulse Condition

Posted on:2013-03-09Degree:MasterType:Thesis
Country:ChinaCandidate:L N GeFull Text:PDF
GTID:2244330395979235Subject:Diagnostics of Chinese Medicine
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Purpose: Combining modern science and technology with pulse feeling theoryof TCM, making use of advanced TCM pulse diagnosis instrument, through consultpulse condition and syndrome, revealing feature of pulse condition informationabout different TCM syndrome types of Palpitation, exploring relativity amongpulse condition,pathogenesis, syndrome, coming up with objective basis fordiagnosis based on dialectical of TCM and curative effect comment.Material and method:The132cases of palpitation’s patients are dividedinto seven common syndrome types: Timidity due to insufficiency of vital energyand deficiency of heart-blood; Heart Blood Deficiency; Flaming up of fire dueto Yin Deficiency; Heart-yang Deficiency; Attack of Heart by Retained Fluid;Stagnation of the heart-blood; Mental Disturbance due to Phlegm-fire, andcompared to the35persons of normal group. According to the basic requirementof Cunkou Diagnostic method of three portions and nine pulse-taking of TCM,making use of the TL-MZ-XM-Ⅱ type TCM pulse diagnosis instrument test and recordinch, bar, and cubit,the six portions pulse condition of patients’ two-hand,and engaging in comprehensive analysis and judgement with analytic method aboutpulse condition information of TCM characteristics.Results:1Test groups are compared with normal group, the detection rate of abnormalof pulse condition have remarkable difference (P<0.05).2Through scale dialectical judgment and pulse information decision controlanalysis, Obtained pulse diagnosis instrument correct differentiationdiagnosis coincidence rate (hereinafter referred to as the coincidence rate)is74.9%. Normal group pulse condition and syndrome diagnosis coincidencerate is80%, the pulse condition characteristic to inch, bar, and cubit, six portions pulse condition not float and not deep, not slow and not rapid,medium, rhythm and tidy, complete waveform, no unique abnormal performance.Timidity due to insufficiency of vital energy and deficiency of heart-bloodgroup pulse condition and syndrome diagnosis coincidence rate is69.2%, inorder to Thready pulse and Rough pulse mainly, the pulse location in theleft-inch, and other remnants can also change; The pulse condition syndromediagnosis coincidence rate of Heart Blood Deficiency syndrome group is62.5%,in order to Thready pulse (the fluctuation range of the pulse is lessthan the normal pulse), Feeble pulse (amplitude small, the pulse locationis deep in taking the pulse) mainly, the pulse location is in the left-inch,other portions can also be changed; The pulse condition syndrome diagnosiscoincidence rate of Flaming up of fire due to Yin Deficiency syndrome groupis73.9%,in order to Thready pulse, Rapid pulse mainly; The pulse conditionsyndrome diagnosis coincidence rate of Heart-yang Deficiency syndrome groupis75%, in order to slow pulse(frequency is slow than the normal pulse, morethan60times per minute), Feeble pulse mainly. The pulse condition is inthe left-inch, other portions can also be changed; The pulse conditionsyndrome diagnosis coincidence rate of Attack of Heart by Retained Fluidsyndrome group is73.3%, in order to slippery pulse (a large wave appearedalternately with a small wave on the pulse image, and the pulse shape is almostsimilar to the isosceles triangle), Taut pulse and its variation veintype-based. The pulse location is in the left-inch and left-cubit, otherpotions can also be changed; The pulse condition syndrome diagnosiscoincidence rate of stagnation of the heart-blood syndrome group is75%, inorder to Rough pulse (the pulse shape are not fluent with many small waves),Knotted pulse (frequency of slow, uneven rhythm, irregularly), Intermittentpulse (frequency of slow, uneven rhythm, irregularly and time is longer)mainly, the pulse location is in the left-inch and left-bar, other portionscan also be changed; The pulse condition syndrome diagnosis coincidence rateof Mental Disturbance due to Phlegm-fire syndrome group is71.4%, in order to Rapid pulse Taut pulse, slippery pulse or its variation of rein-type(frequency of faster, wave form high tip, negative wave) mainly, the pulseLocation is in the left-inch and right-bar, other portions can also be changed.The changing degree of the pulse condition and abnormal changes of mostportions are closely related to the length of patients with disease durationand severity of illness.Conclusion:1Under the guidance of TCM theory, the TL-MZ-XM-Ⅱ probe pulse diagnosisinstrument and pulse condition information analysis methods of TCM can detectinch, bar, and cubit, six portions pulse conditions of palpitation’spatients, and initially revealed their pulse characteristics of the differentsyndrome.2There is relativity among pulse condition, pathogenesis, syndrome in thedifferent syndrome types of palpitation.3The TL-MZ-XM-Ⅱ pulse feeling instrument make definite diagnosis cause ofdisease, pathogenesis and pulse condition of Flaming up of fire due to YinDeficiency, Heart-yang Deficiency, Stagnation of the heart-blood, and MentalDisturbance due to Phlegm-fire, diagnosis about cause of disease,pathogenesis and pulse condition of Timidity due to insufficiency of vitalenergy and deficiency of heart-blood have the higher composite rate.
Keywords/Search Tags:pulsecondition, pulsefeelinginstrument, palpitation, pathogenesis
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