血瘀证分型及血液流变学规律初步探讨

THE CLASSIFICATION OF HYPOSTASIS AND ITS HEMORHEOLOGICAL LAW

现代血液流变学检测，业已成为中医学瘀证实质的重要研究手段之一。我们通过对血瘀组、对照组及血瘀组各型的血液流变指标现察，发现血瘀组的全血比粘度及血沉均高于对照组，血瘀组各型之间的血液流变学指标，也有明显差异．观察结果说明，血瘀组患者的血液具有浓粘聚性，其中热瘀、寒瘀、痰瘀型的血液粘稠性更加明显，气滞、气虚血瘀型的血液浓粘聚性较轻．结合中医血瘀证理论，气滞、气虚血瘀证为脏腑气分功能失调所致，尚无与病理产物结合，血瘀所造成的病理反应较轻，血液流变轻度异常；痰瘀、热瘀、寒瘀证为痰、热、寒等病理产物与瘀血相结，不仅使血液运行受阻，且气血津精被耗损，机体病理反应较重，血液流变明显异常。

Modern techniques of hemorheological tests have become an important means to explore the na-ture of hypostasis in the traditional Chinese medicine. A study on hypostasis group,and contrast group, and different types of hemorheological indexes of the hypostasis group was carried out. Our findings are: the whole blood viscosity and blood sedimentation of hypostasis were higher than those of the con-trast group. And there's marked difference of hemorheological indexes in different types of the hy-postasis group. Our findings indicate: the blood of the patients with hypostasis is of adhesive aggrega-tion , esp. in the heat, phelgm, and cold cases, but not so serious with cases of stagnancy in qi and deficiency in qi. The theory of TCM holds that stagnancy in qi and deficiency in qi are caused by im-balance of the visera and this kind of morbid reaction caused by hypostasis is only slightly abnormal and hemorheological indications are mild; abnormality is closely related to hypostasis. This kind of hy-postasis might cause not only obstruction in blood circulation,but also exhaustion in qi,the blood,saliva and the essence of human life. The indexes showed marked abnormal and serious reaction in pathologi-cal hemorheology.