腹部悸动研究概况

Research Progress of Abdominal Throb

为了阐明腹诊及腹部悸动的重要性及客观性,笔者通过追溯腹诊的发展渊源,细究《伤寒论》腹部悸动的不同分类及病机,综述了国内外关于腹部悸动的机理及相关性因素的研究。腹诊证治为整个中医证治体系的一部分,腹部悸动是其中的重要组成部分,分为心下悸、脐下悸及脐上悸,三者的部位及病机均有所差异。腹部悸动与腹部解剖学特征、血液流速、椎体的反作用力、声音产生的冲击力密切相关;另外,心脏横径、胸廓前后径、年龄、身高、血压、腹力与悸动均有不同程度的相关性。

We expounded the importance and objectivity of abdominal examination and abdominal throb by tracing the development origin of abdominal examination.The different classification and pathogenesis of abdominal throb in Treatise on Cold Damage were dissected and studies on the mechanism and correlation factors of abdominal throb at home and abroad were reviewed. The syndrome and treatment of abdominal examination is a part of the syndrome and treatment of the whole Chinese medicine system and abdominal throb is an important part of it, which can be divided into epigastric throb,subumbilical throb and supraumbilical throb, the location and pathogenesis of all three being different. Abdominal throb is closely related to the anatomical characteristics of the abdomen,velocity of blood flow,counterforce of vertebral body,and impact of sound. In addition, the diameter of the heart, the front and rear diameter of the chest, age, height, blood pressure,abdominal force and throb were all correlated with different degrees.