大学生亚健康状态中药干预前后脉图分析

Analysis of pulse index of college students with sub-health state intervened by herbal prescriptions

目的:观察亚健康状态大学生中药干预前后脉象客观量化指标变化,为中医客观诊断和亚健康的疗效评价提供客观研究依据。方法:辨证筛选大学生亚健康状态气虚型、血虚型、阴虚型、气郁型,各20例,分别予以四君子汤、四物汤、六味地黄汤、柴胡疏肝散干预2周。检测中药干预前后脉图指标变化。结果:气虚组中,中药干预后h1、S、As、Ad值显著增高(P<0.05),h5/h1值显著降低(P<0.05);血虚组中,中药干预后h1、S、As、Ad值与中药干预前相比显著增高(P<0.05);阴虚组及气郁组中,中药干预后h1、h5、S、As、Ad值与中药干预前相比,均显著增高(P<0.05)。结论:脉图指标可一定程度地反映亚健康状态的变化,适用于亚健康的辨证和疗效评价。

Objective： To observe the changes of pulse specification in college students with sub-health state intervened by herbal prescriptions, in an attempt to provide evidences for TCM diagnosis and therapeutic evaluation. Methods： A total of 80 sub-health college students were randomly divided into qi-deficiency group, blood-deficiency group, yin-deficiency group and qi-depression group （20 cases in each group）, and were respectively given Sijunzi Decoction, Siwu Decoction, Liuwei Dihuang Decoction and Chalhu Shugan Dowder for two weeks. The pulse was digitally detected before and after herbal intervention. Results： There existed significant difference in hi, S, As, Ad, hJhI before and after herbal intervention in qi-deficiency group （P〈0.05）; there existed significant difference in hi, S, As, Ad before and after herbal intervention in blood-deficiency group and qi-depression group （P〈0.05）; there existed significant difference in hl, h5, S, As, Ad before and after herbal intervention in yin-deficiency group and qi-depression group （P〈0.05）. Conclusion： Pulse index can reflect sub-health state to some degrees, and is thus feasible to pattern identification and evaluation of sub-health state.