| 张璇,严秉瓯,粟岷玮,杨慎勤,胡戊寅,马一乾,钟沛霖.胃肠道常见疾病中医辨证与唾液渗透压的关系[J].中国中西医结合杂志,1982,(4):212-213,194 |
| 胃肠道常见疾病中医辨证与唾液渗透压的关系 |
| Types of Common Gastrointestinal Diseases in TCM in Relation to Salivary Osmotic Pressure |
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| DOI： |
| 中文关键词: 渗透压 常见疾病 唾液 胃肠道疾病 中医辨证 溃疡性结肠炎 交感神经兴奋 脾胃虚寒型 肝郁脾虚型 十二指肠憩室 |
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| 中文摘要: |
| "涎"即唾液,为"脾"所主。脾胃阴阳失调,必然影响唾液的质和量。为探讨"脾"的实质,我们将唾液渗透压(渗透浓度)作为指标,对几种胃肠道常见疾病的中医辩证进行了观察,报告如下:病例选择本组50例均系住院病人,全部经钡餐透视或内窥镜检查,部分病例作过病理活检,按其典型症状和体征明确诊断。其中胃十二指肠溃疡29例:上消化道出血3例:慢性胃炎10例:溃疡性结肠炎4例;慢性肠炎1例;十二指肠郁积症2例;十二指肠憩室1 |
| 英文摘要: |
| "Slobber"is saliva and its secretion is determined by"Spleen".Naturally,the imbalance of Yin and Yang in spleen-stomach will influence the quality and quantity of saliva.In order to explore the essence of"Spleen",salivary osmotic pressure(osmotic concentration)was used as an index and 50 cases with common gastrointestinal diseases were observed.They were divided into 4 types according to TCM differentiation of symptom-complexes.In addition,51 healthy persons were taken as controls.The results showed that changes of salivary osmotic pressure varied with different types of gastrointestinal diseases which had the same outward manifestation.The salivary osmotic pressure increased in three types,namely,hypofunction of the spleen and stomach with manifestations of cold(脾胃虚寒),stagnancy in the liver and deficiency of vital energy of the spleen(肝郁脾虚),and deficiency of vital essence of the stomach(胃阴虚),in which there was no marked statistical difference if compared with the healthy persons,but a significant difference(P<0.05)and a very significant one(P<0.01)were present in the type of disharmony of the liver and the stomach(肝胃不和).The preliminary impression is that kinetic changes of salivary osmotic pressure in common gastrointestinal diseases seem to reflect the function of"spleen"which plays a role in regulating water and saline metabolism. |
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