Postdoctoral Mobile Station of Chinese Academy of Traditional Chinese medicine, Beijing 100700, China.
2 Zang-xiang Teaching and Research Department, the Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
J Tradit Chin Med. 2023 Feb;43(1):168-174. doi: 10.19852/j.cnki.jtcm.2023.01.014.
To analyze the Doppler ultrasound blood flow of Renying (carotid artery) pulse, Cunkou (radial artery) pulse, and Fuyang (anterior tibial artery) pulse in the normal group and the functional constipation with gastrointestinal heat (FCGH) group, and to compare and explore the differences of Renying, Cunkou and Fuyang pulses.
Sixty normal subjects and 60 patients with gastrointestinal heat constipation were collected in the department of ultrasound, Beijing Anzhen Hospital, Capital Medical University. Doppler ultrasound was used to observe the blood flow indexes including maximum systolic velocity (Vp), maximum diastolic velocity (Vd), mean velocity (Vm), pulse index (PI), resistance index (RI), vascular diameter (D), and circulation blood flow cycle (ET) of Renying pulse, Cunkou pulse and Fuyang pulse in the normal group and patients with gastrointestinal heat constipation. The differences of these three pulses were compared between the normal group and the FCGH group.
The PI, Vp, Vm, RI, and D of the three pulses in the normal group were statistically significant different ( < 0.01). In the comparison of Doppler flow diagram of three pulses in the FCGH group, there were significant differences in PI, Vd, Vp, Vm, RI, and D ( < 0.01).
Under normal conditions, the indexes of Renying pulse Doppler flow diagram, Cunkou pulse Doppler flow diagram, and Fuyang pulse Doppler flow diagram are significantly different. In the FCGH group, most of the indexes of Renying pulse Doppler flow diagram, Cunkou pulse Doppler flow diagram, and Fuyang pulse Doppler flow diagram are different. This result verified the necessity of simultaneous examinations of all Renying, Cunkou, and Fuyang pulses in modern Chinese medicine.
分析正常组和胃肠热结型功能性便秘(FCGH)组的人迎脉、寸口脉和跗阳脉的多普勒超声血流,并比较和探讨人迎、寸口和跗阳脉的差异。
收集首都医科大学附属北京安贞医院超声科 60 例正常人和 60 例胃肠热结便秘患者,应用多普勒超声观察正常组和胃肠热结便秘患者人迎脉、寸口脉和跗阳脉的血流指标,包括最大收缩速度(Vp)、最大舒张速度(Vd)、平均速度(Vm)、搏动指数(PI)、阻力指数(RI)、血管直径(D)和循环血流周期(ET)。比较正常组与 FCGH 组这三个脉搏的差异。
正常组三个脉搏的 PI、Vp、Vm、RI 和 D 差异均有统计学意义(<0.01)。在 FCGH 组三个脉搏的多普勒血流图比较中,PI、Vd、Vp、Vm、RI 和 D 差异均有统计学意义(<0.01)。
在正常情况下,人迎脉、寸口脉和跗阳脉的多普勒血流图指标有显著差异。在 FCGH 组,人迎脉、寸口脉和跗阳脉的多普勒血流图大部分指标均有不同。该结果验证了中医三部九候同时诊察的必要性。