The testing of classical pulse concepts in Chinese medicine: Left- and right-hand pulse strength discrepancy between males and females and its clinical implications
The testing of classical pulse concepts in Chinese medicine: Left- and right-hand pulse strength discrepancy between males and females and its clinical implications
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DOI：
10.1089/acm.2006.12.445
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发表时间：
2006-06-01
影响因子：
2.6
通讯作者：
Cobbin, Deirdre
中科院分区：
文献类型：
--
作者：
King, Emma;Walsh, Sean;Cobbin, Deirdre
目的与设计：桡动脉脉搏作为一种诊断工具，是中医临床评估的重要组成部分。本研究报告了一项关于受试者双臂脉搏强度差异以及与传统脉象中性别相关论断关系的调查结果。
方法：采用标准化的诊脉程序和具体的操作定义，两名经证实具有高度评分者间一致性的脉象评估人员，各自评估左右两侧脉搏的总体强度，并在标准化的脉象表格上记录评估结果。
结果：手动评估优势手时，评分者间一致性的总体百分比为86%（基于65名受试者组成的队列）。关于优势侧的三种可能选择（右侧、无优势侧、左侧），无论性别如何，右手侧最常被选为两侧中相对最强的一侧（60%的男性和71%的女性）。使用卡方（II）对数据进行分析发现，评估人员对男性优势手评级的观察频率与根据中医理论预期的频率显著不同。
结论：本研究不支持中医关于左右手脉搏强度存在性别相关差异的假设。
Objectives and design: The use of the radial pulse as a diagnostic tool is an important part of the Chinese medicine (CM) clinical evaluation. This study reports the findings of an investigation into inter-arm pulse strength differences in subjects and the relationship to traditional pulse claims relating to gender.Method: Using a standardized pulse taking procedure and concrete operational definitions, two pulse assessors with a demonstrated high level of inter-rater agreement each assessed the overall left and right pulse strength and rated their findings on a standardized pulse form.Results: The overall percentage of inter-rater agreement for manual assessment of dominant hand was 86% (based on a cohort of 65 subjects). In relation to the three possible choices regarding dominant side (right, neither, left) the right-hand side was most commonly selected as relatively strongest of the two regardless of gender (60% of males and 71% of females). Analysis of the data using Chi-square (II) found the observed frequencies for an assessor's rating of dominant hand in males were significantly different to those expected according to CM theory.Conclusions: The CM assumption of gender-related pulse-strength differences in left and right hand pulses was not supported within this study.