左右关脉与肝脾病证相关性探讨

Discussion on the Correlation Between both the Left and Right Guan Pulses and Syndromes of Liver and Spleen Disease

通过126例慢性浅表性胃炎(64例属肝郁证,62例属脾虚证)患者和65例正常人左右关脉图形的对比分析,发现肝郁证左关脉图重搏前波、降中峡显著抬高,主波变宽,重搏波平坦及降支速度明显变小;脾虚证有关脉图主波变小,主波及降中峡提早出现,重搏前波降低,重搏波明显抬高,降支速率增快。表明肝郁证左关脉偏弦,脾虚证右关偏滑。提示肝脾不同病证在寸口分候的相应脉位上有不同反应,左右关脉与肝脾病证有相关性,为“左关候肝,右关候脾”的论述提出新的佐证。

By meams of contrast analysis on figures of both the left and right Guan pulses of 126 cases of chronic superficial gastritis (64 cases pertaining to syndrome of stagnation of liver-qi, 62 cases pertaining to spleen deficiency syndrome) and 65 cases of healthy persons, it was found that in figures of left Guan pulse of syndrome of stagnation of liver-qi the dicrotic anterior wave and di erotic notch notably ascended, the main wave became wide, the dicrotic wave was flat and the pace of descending branch obviously became slow; while in figures of right Guan pulse of spleen deficiency syndrome the main wave became small, the main wave and dicrotic notch appeared earlier, the dicrotic anterior wave descended, the dicrotic wave obviously ascended and the ce of descending branch became rapid. The results showed that the left Guan pulse of syndrome of stagna tion of liver-qi was mainly taut and the right Guan pulse of spleen deficiency syndrome was mainly slippery, which suggested that different syndromes of liver and spleen represented different reaction on the coresponding pulse sites, the left and right Guan pulses had a better correlation with syndromes of liver and spleen respectively. It confirmed the theory of 'the left Guan pulse reflects the liver condition and the right Guan pulse reflects the spleen condition'.