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陈乃光,周珮青.中性白细胞百分率与虚实辨证的关系[J].中国中西医结合杂志,1983,(2):102-103,68,69
中性白细胞百分率与虚实辨证的关系
Correlation between the Neutrocyte Percentage and Clinical Diagnosis for Xu(虚)and Shi(实)Syndrome in TCM
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DOI:
中文关键词:  中性白细胞  虚实辨证  百分率  中医临床经验  周围血象  中医辨证  测验结果  中医医案  基本纲领  关幼波
英文关键词:
基金项目:
作者单位
陈乃光 上海中医学院中医系78级 
周珮青 上海中医学院内科教研组 
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中文摘要:
      辨别虚实,是中医临床判断正邪盛衰的两个基本纲领。笔者从实践中观察到,在人体周围血象中中性白细胞百分率变化的同时,中医临床虚实辨证亦有相应的改变。为了探明其规律、本文根据部分老中医医案和有关临床资料,试作如下分析。
英文摘要:
      A study was made to correlate,by means of statistical analysis,the relationship between the percentage of neutrocyte in the differential blood count and the clinical diagnosis for Xu and Shi syndrome in TCM.Once their relationship is established,the differential blood count can be employed as a new method for clinical diagnosis. For the sake of statistical analysis,a collection of one hundred and eleven cases were classified at first into Xu and Shi on the basis of TCM.The percentage of neutrocyte to classify Xu and Shi shows a marked significance(P<0.01). The statistical analysis shows that when the data are arranged from high percentage to low percentage,Shi gradually merges into Xu,and vice versa.With the exception of certain diseases such as influenza,typhoid,measles, serious bleeding of vicera,malaria and kala-azar,the statistical analysis shows that when the percentage of neutrocyte is below 50%,Xu is more likely to be considered for diagnosis and treatment,and that when the percentage of neutroeyte is higher than 75%,Shi is more likely to be considered instead.Between 50% and 75%, however,Xu and Shi have almost the same frequencies of occurrence and care should be taken for diagnosis.In this case other methods for clinical diagnosis should also be consulted.In addition,because of individual variation for patients,results from differential blood count should be used with caution.Besides,if differential blood count is to be applied to infant and child patients,attention should be paid to their special cases. To conclude,the new method being proposed for clinical diagnosis does not claim to be an independent one.At the present stage it can nevertheless serve as a very useful supplementary method for the"four methods of diagnosis" as practised in TCM.
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