脾阴虚证植物神经机能状态初探

本文报告运用生理、生化、放射免疫等方法对30例脾阴虚证患者进行了多指标观察。发现其唾液淀粉酶活力差正值的阳性率(42%)和血浆 cAMP/cGMP 比值(1.57±0.71)低于健康人组(P<0.01),AchE 活力(212±43u)高于健康人组(P<0.01);颧髎、劳宫穴皮温分别为32.89±1.71℃和34.16±1.33℃,均高于健康人组(P<0.01和 P<0.05)。用慎柔养真汤治疗后,上述指标有不同程度的改善。同时还探讨了脾阴虚证与植物神经功能间的关系。

英文摘要:

By means of physiology,biochemistry and radioimmunoassay,30 patients with Spleen Yin(阴) deficiency syndrome(SYDS,脾阴虚证)were studied.The results suggested that there were following changes in the SYDS patients:(1)In 10 out of 24 patients(42%),the activity of salivary diastase increased when stimulated by citric acid,the positive rate in this group was lower than that in the normal control(P<0.01),but higher than that in patients with Spleen Qi(气)deficiency syndrome (SQDS,脾气虚证),(P<0.05).(2)The activity of Ache of erythrocyte in 30 SYDS patients was 212± 43u,it was higher than that in the control(P<0.01)but lower than that in SQDS patients(P<0.01). (3)cAMP/cGMP ratio of plasma in 15 SYDS patients was 1.57±0.71,which was significantly lower than that in the control and SQDS patients(P<0.01).(4)The skin temperature of Quanliao(SI18)and Laogong(P8)in 25 patients were 32.89±1.71℃ and 34.16+1.33℃ respectively,which were significant- ly higher than that in the control.In 17 SYDS patients,Shenrou Yangzhen decoction(情柔养真汤)was used.After a treatment course all the above-mentioned laboratory findings improved in various degrees.The results suggested that there were hyperfunction of parasympathetic nerve and a lowering of sympathetic nerve excitability in the SYDS patients.There is a close internal relation between this change and SYDS.

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