Zhu D J, Wang W M, Gu W L
Affiliated Hospital of Shandong Traditional Chinese Medical University, Jinan.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 1997 Sep;17(9):537-9.
To evaluate the relationship between modern medical detective method of imaging and Syndrome Differentiation of TCM.
Two hundred and sixteen biliary tract diseases patients were observed with color scale B-ultrasonography and fat meal tests.
Eighty-four cases (38.89%) of damp-heat type in the Liver-gallbladder among the 216 patients had widened gallbladder, higher tension and weak bile echo-penetration through, 39 cases (18.06%) of type of Liver-Qi stagnation and Spleen deficiency had small transection, hypotension, slender type and low contraction rate, 13 cases (6.02%) of Blood-stasis type had small gallbladder volume and the contraction rate decrease significantly. There were 71 cases (32.87%) of Liver-Qi stagnation type and 9 cases (4.17%) of Liver Yin-Deficiency type, whose characters of the gallbladder were not prominent, so the identification of these cases depended largely on clinical differentiation.
This study will facilitate the further extending the principle of inspection in the specific organs which may provide us with the objective basis for the differentiation of biliary tract diseases.
评估现代医学影像学检查方法与中医辨证之间的关系。
采用彩色B超及脂餐试验对216例胆道疾病患者进行观察。
216例患者中，肝胆湿热型84例（38.89%），胆囊呈增大、张力增高、胆汁透声减弱；肝郁脾虚型39例（18.06%），胆囊横径小、张力低、呈细长型、收缩率低；血瘀型13例（6.02%），胆囊体积小，收缩率明显降低。肝郁气滞型71例（32.87%）、肝阴虚型9例（4.17%），胆囊特征不明显，主要依靠临床辨证。
本研究有助于进一步拓展中医在特定脏腑的望诊原则，为胆道疾病的辨证提供客观依据。
