脈波圖及其各同步曲線在時域上與傳統脈學之相互印證

Mutual Verification between time Dimension of Sphygmogram and Synchronous Curves and Traditional Chinese Sphygmology

汪叔游(Shu-You Wang)

《中醫藥雜誌》 4卷3期 (1993/12) Pp. 177-190

https://doi.org/10.6940/JCM.199312_4(3).02

摘要

自1976年起對脈波餘弦曲線及其同步曲線進行研究，發現唯有將縱軸（振幅）Y值之計量改用形態學之認定，配合橫軸（時域值）X值之精確計量，方能使脈波之量化通過統計學之考驗。脈型形態分析之方法包括重搏點及升階起步點之認定，心臟收縮期內之降階變化及舒張期之升階變化，rf波和a波以及舒張期顫抖，基線水平之穩定性等。
脈波圖對傳統脈學之啟發有以下數點:
l.重搏點及重搏波改革了傳統之浮／沉觀念。
2.脈圖在縱軸變化上之基本形態應是“滑、石、弱、弦、類虛里及微細”六種。
3.認定微脈即心電圖心房顫動之脈，而細脈派稍大於微，且有規律明顯之搏動。
4.將“前負荷、後負荷與風箱”三個新觀念引進脈波圖之研究。
5.脈相圖舒張期斜率發生在脈之“陽”。
6.脈圖收縮前期之a波有“微”、“甚”之別；rf波有助於判讀“裡、內、營、血”之變化。

關鍵字

脈波圖 ； 形態學 ； 傳統脈學

並列摘要

Research since 1976 into the cosine curve and synchronous curves of pulses shows that only transposition of the long axis (amplitude) Y value into morphological terms combined with accurate measurement of the transverse axis (time) X value can quantification of the pulse stand the statistical test. Methods used in the morphological analysis of the pulse include identification of the dicrotic notch and start point of the ascending limb, variations in the systolic descending limb, variations in the diastolic ascending limb, rf and a pulses, diastolic shudder, base line stability, etc.
The sphygmogram suggests the following ideas in regard to the traditional Chinese sphygmology.:
1. The dicrotic notch and wave create revolutionary changes in the traditional categories of deep (chen) and floating (fu).
2. Variations in longitudinal axis of the sphygmogram reveal six basic pulse forms: slippery (hua), stone (shi), weak (ruo), stringy (xian), apical-type (lei xu li) and faint fine (wei xi).
3. The faint pulse (wei mw) can be identified as the auricular fibrillation on the electrocardiogram, and a pulse slightly larger than the fine pulse has a definite regularlity.
4. The concepts of preload, afterload and windkessel can be introduced into sphygmogram research.
5. The diastolic slope on the sphygmogram arise from the yang of the pulse.
6. The sphygmogram reveals a disticntion in the pre-systolic a pulse between ”faint” and ”pronounced”; the rf pulse can help to distinguish between interior (li), inner (nei), construction (ying) and blood (xue).

並列關鍵字

Sphygmogram ； Morphology ； Traditional sphymology