CAJ | 학술논문

目的探讨慢性肾功能不全患者5种证型（脾肾气虚、脾肾阳虚、肝肾阴虚、气阴两虚、阴阳两虚型）脉图参数的变化，建立各证型判别模式，辅助临床诊断。方法采用上海道生公司生产的DS01-C型脉象仪分别对健康对照组与慢性肾功能不全患者组进行检测分析。结果健康对照组脉象以平脉为主，慢性肾功能不全患者以弦脉及其兼脉为主。随着病情发展，脉象也相应发生变化，脾肾气虚，脾肾阳虚以弦脉为主，肝肾阴虚与气阴两虚患者比较，两组以弦脉兼数脉多见外，肝肾阴虚还兼沉脉。阴阳两虚患者脉象以脉缓弦或弦兼数。结论慢性肾功能不全患者脉象改变以弦脉及相兼脉为主，各证型脉象变化复杂。
목적탐토만성신공능불전환자5충증형（비신기허、비신양허、간신음허、기음량허、음양량허형）맥도삼수적변화，건립각증형판별모식，보조림상진단。방법채용상해도생공사생산적DS01-C형맥상의분별대건강대조조여만성신공능불전환자조진행검측분석。결과건강대조조맥상이평맥위주，만성신공능불전환자이현맥급기겸맥위주。수착병정발전，맥상야상응발생변화，비신기허，비신양허이현맥위주，간신음허여기음량허환자비교，량조이현맥겸수맥다견외，간신음허환겸침맥。음양량허환자맥상이맥완현혹현겸수。결론만성신공능불전환자맥상개변이현맥급상겸맥위주，각증형맥상변화복잡。
Objective To explore the pulse diagram parameter changes of chronic renal insufficiency patients with five symptoms types(spleen kidney qi deficiency ,spleen kidney Yang deficiency ,kidney liver Yin deficiency and the deficiency of Yin and Yang ) , and to establish the differentiation mode of each symptoms type for assisting the clinical diagnosis .Methods The DS01-C pulse manifestation instrument made by the Shanghai Daosh company was adopted to detect and analyze the pulse manifestations in the healthy control group and the chronic renal insufficiency group .Results The healthy control group was dominated by the normal pulse manifestation .The chronic renal insufficiency group was dominated by the taut pulse and its concurrent pulse .Along with the progress of the disease ,the pulse manifestations also appeared the corresponding changes .The patients with spleen kidney qi defi-ciency and spleen kidney Yang deficiency were dominated by the taut pulse .Comparing the patients with liver kidney Yin deficiency and Qi Yin deficiency ,the taut pulse and concurrent rapid pulse were common ,in addition ,the former also had the deep pulse .The patients with Yin and Yang deficiency showed the slow pulse and the taut pulse or the taut pulse and rapid pulse .Conclusion The pulse manifestation change in the patients with chronic renal insufficiency is dominated by the taut pulse and the concurrent pulse , the pulse manifestation change of various symptoms types are complex .