气滞血瘀与气虚血瘀辨证微观指标的观察分析

Analysis on Micro-parameters for Differentiation of Zheng in Qi-stagnation Blood-stasis and Qi-deficiency Blood stasis Syndromes,

临床观察表明气滞血瘀和气虚血瘀两证在面、舌、甲、脉诊上各有一定的证候特征。面部血流图、舌甲微循环、脉图及心血管功能检测结果,两组病人除具有C/HS、h_4/h_1、RT增高,微循环红细胞聚集、瘀阻,流速减慢等“血瘀”共性之外,气滞血瘀病人出现HD、α/[α+β]、h_3/h_1、w/t等明显升高,AC降低,微血管襻痉挛,絮状血流等血液周围血管异常的现象,提示正常心输出量、高外周阻力是气滞血瘀证的病生特征;而气虚血瘀患者多有HS、HS/α[t_4—t_1]/t、t_1/t及反映心脏功能的4项指标(SV、CO、SI、CI)都明显低下,微血管襻短小、模糊、充盈度差等心功能减退,血液灌注不良的现象,提示低心泵、低心输出量是气虚血瘀证的病生特征。

Clinical observation demonstrated that the syndromes in Qi- stagnation Blood - stasis and Qi- deficiency Blood- stasis were characterized by manifestations in the face, tongue, nail and pulse. In addition to the changes of increase in C/HS, h4/hl, RT, stagnation aggregation of RBC in microcirculation, sluggish flowing which were common to both disorders, exams of facial hemotachogram microcirculation of the tongue and, nails, sphygmobologram and cardiac vascular functions revealed that, in the patient of Qi -stagnation Blood - stasis. HD, /[ + ], h3/n, w/twere all markedly increased with spasm of capillary loops, lowered AC flocculent blood flowing and other abnormalities of peripheral vessels, suggesting that normal cardiac output and high peripheral resistance were the pathophysiological features of Qi- stagnation Blood -stasis, while most of the patients with Qi - deficiency Blood--stasis revealed HS, HS/. [t4-t1]/t, t1/t and marked lowering of 4 parameters (Sr, Co, SI, CD of hypofunction of the heart, short capillary loops with blurring, poor filling, poor perfusion of blood, suggesting that low cardiac pumping and low cardiac output were the pathophysiological characteristics of Qi - deficiency Blood - stasis syndrome.