“暴盲”中医气血辨证与甲皱微循环、血液流变学关系的研究

Research on the relationship between the differentiation of symptoms and signs in qi and blood and the changes of nail plica microcircalatian and blood rheology in the patients with sudden blindness

目的 :探讨中医“暴盲”证候分类与甲皱微循环、血液流变学的关系。方法 :将 4 9例视网膜静脉阻塞的暴盲患者进行中医证候分类 ,并对甲皱微循环和血液流变学进行检测与研究。结果 :甲皱微循环检测显示 ,形态学异常和血液流变的变化明显 ,机体微循环处于瘀血状态。血液流变学检测显示 ,血液黏度增高和红细胞聚集性增高 ,符合中医瘀血内阻的表现。结论 :从以上两方面结果可窥 ,总体病理变化与中医瘀血形成的机理十分吻合 ,且和中医学“审证求因”

cases of sudden blindness dus to refind vein obstruction were divided into groups according to the diffrentiation of symptoms and signs in qi and blood,and microcirculation of nail plica and blood rheology were tested.The result of nail plica microcirculation showed that the abnormality of vesseles and the change of blood flow were significant,and the body microcirculation was in the state of blood stasis.The result of blood rheology indicated an increased blood viscosity and an increased orythrocyte aggregation which agreed with the stagnancy of blood in Chinese traditional medicine.From these two results,it is suggested that its general pathological changes agree with the mechanism of the formation of blood stasis in Chinese traditional medicine,and is identical to traditional Chinese medical theory of “determination of pathogenic factors based on the differentiation of symptoms and signs”.