Wang Yiqin, Xu Jin, Guo Rui, Xu Chaoxia, Hao Yiming, Chen Chunfeng, Hong Yijian, Xiao Xiangqun, Xu Wenjie, Hong Jing, Lei Zhao
J Tradit Chin Med. 2014 Feb;34(1):34-41. doi: 10.1016/s0254-6272(14)60051-0.
To study information gained by Traditional Chinese Medicine (TCM) four diagnostic methods and characteristics of syndrome development before and after treatment in patients with coronary heart disease, and to probe into assessment indexes of therapeutic effects with distinctive TCM features.
Information from the four diagnostic methods before and after treatment in 100 patients with coronary heart disease was collected using the TCM interrogation scale, a pulse condition instrument, a tongue-face diagnosis instrument, and a voice diagnosis information collection system. Changes in the four diagnostic method results from before and after treatment were analyzed with frequency analysis and t-test methods.
Before treatment, deficiency syndrome complicated with hyperactivity of pathogenic factors was most common. After treatment, deficiency syndrome was most common. This change from complex syndromes to single syndromes indicates disease and syndrome alleviation. Frequencies of symptoms gained by interrogation after treatment for syndrome of deficiency of heart-Qi, syndrome of deficiency of heart-Yin, and turbid phlegm syndrome were all less severe than those before treatment. Parameters of face color, color on all sub-regions of tongue, color of tongue fur, septic and greasy fur, and lip color after treatment all had significant changes. After treatment, part of the voice diagnosis parameters in the deficiency of heart-Yin and turbid phlegm syndromes had significant changes, but no significant changes were found in the deficiency of heart-Qi syndrome.
Use of the TCM four diagnostic methods can provide an effective basis for TCM syndrome diagnosis, observation of development of state of illness, and evaluation of clinical therapeutic effects.
研究冠心病患者运用中医四诊方法获取的信息及治疗前后证候演变特点,探讨具有中医特色的疗效评价指标。
采用中医问诊量表、脉象仪、舌面诊断仪、嗓音诊断信息采集系统,收集100例冠心病患者治疗前后的四诊信息。运用频数分析、t检验等方法分析治疗前后四诊结果的变化。
治疗前,虚证夹实证最为常见。治疗后,虚证最为常见。这种从复杂证候到单一证候的变化表明病情和证候有所缓解。治疗后,心气虚心阴虚心痰浊证问诊所得症状的频数均较治疗前减轻。治疗后面色、舌各子区域颜色、舌苔颜色、腐腻苔、唇色等参数均有明显变化。治疗后,心阴虚心痰浊证部分嗓音诊断参数有明显变化,心气虚心证未见明显变化。
运用中医四诊方法可为中医证候诊断、病情演变观察及临床疗效评价提供有效依据。