中医虚证理论的初步探讨——阴虚、阳虚时细胞免疫功能变化

作者	单位
陈松涛	上海第二医学院基础医学部同位素实验室
姚凤秀	上海第二医学院基础医学部同位素实验室
夏宗勤	上海第二医学院基础医学部同位素实验室

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中文摘要:

中医理论对阴虚、阳虚有明确的概念。如《医学心悟》说:"真阴不足,脉数无力,虚火时炎,口燥舌焦,内热便绪,气逆上冲。真阳不足,脉大无力,四肢倦怠,唇淡口和,肌冷便溏,饮食不化"。所以阴虚和阳虚有对立的一面,它们在很多方面表现出相反的症状。我们过去曾报道,在慢性支气管炎、甲状腺及肾上腺疾病、肾脏病、急性心肌梗塞等疾病中,阴

英文摘要:

The rate of PHA-induced incorporation of ~H-TdR into DNA of peripheral lymphocytes was used as a criterion of cellular immunity in 99 Yang Xu(deficiency of Yang)patients(37 with chronic bronchitis or asthma,43 with oral tumor,10 with endocrine diseases,and 9 with chronic nephritis),102 Yin Xu(deficiency of Yin)patients(6 with chronic bronchitis,10 with endocrine diseases,10 with chronic nephritis,53 with oral tumor,8 with lung tuberculosis,and 15 with lung carcinoma) and 65 normal adults.It was found that the cellular immunity of both the Yang Xu group and the Yin Xu group was markedly lower than the control group.The difference between the Yang Xu group and the Yin Xu group was not statistically significant,although in both groups the extent of impairment of cellular immunity in various diseases was not exactly equal. In addition,21 Yang Xu patients suffering from scleroderma were examined before and after the moxibustion treatment. The cellular immunity of this group was also lower than normal before the treatment and was elevated as the clinical condition was improved. Therefore,it is concluded that cellular immunity may be looked upon as a component of"genuine energy"in TCM,and a suppresion of cellular immunity is a characteristic common to both Yang Xu and Yin Xu.By relating to the results of this paper and the findings reported in our previous papers,it is suggested that there might be two types of characteristics in the "deficiency syndromes"in TCM.The general one(lowering of cellular immunity,lowering of serum Zn/Cu ratio,etc)is probably the basis for the transformation between different syndromes,whereas the specific one is probably the basis for their different manifestations(e.g.the changes of plasma cAMP and cGMP).

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