Possibility of quantifying TCM finger-reading sensations: II. An example of health standardization

Possibility of quantifying TCM finger-reading sensations: II. An example of health standardization
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DOI:
10.1016/j.eujim.2012.03.004
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发表时间:
2012-09-01
影响因子:
2.5
通讯作者:
Liang, Chi-Hsien
Liang, Chi-Hsien
中科院分区:
医学4区
文献类型:
--
作者:
Chung, Yu-Feng;Hu, Chung-Shing;Liang, Chi-Hsien

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本研究目的:通过使用双传感脉象诊断仪(BSPDI)对中医医师的脉象读取技能和感觉进行量化,本研究旨在确定被西医定义为健康的受试者是否能通过中医气循环的三部九候健康拇指法则(TPNI - HRT)得到确认。 材料与方法:根据中医的定义,脏腑具有全身气循环所特有的升、降、出、入特性。这些特性形成了TPNI - HRT,它描述了当指尖从浮(Fu)向沉(Chen)移动时,腕动脉处远 - 中 - 近(寸 - 关 - 尺)位置脉象的依次出现情况。 结果:台湾空军学院的50名健康状况极佳的男性本科生(年龄19.3±1.1岁),根据心血管动力学显示脉象正常。使用BSPDI模拟中医医师的脉象读取技能,中医医师的脉象读取感觉与BSPDI测量结果之间的TPNI - HRT符合率为94%(34∶36的脉象出现情况)。 结论:通过使用BSPDI评估整体气循环,本研究的50名患者中只有4%既符合西医标准的健康状况极佳,又完全符合TPNI - HRT的条件。这一结果表明,应考虑是否将TPNI - HRT纳入标准健康检查,以及中医研究人员是否应采用中医定量方法,而非使用西医的定量工具。(c)2012爱思唯尔股份有限公司。保留所有权利。
Aim of this study: Through the use of a Bi-Sensing Pulse Diagnosis Instrument (BSPDI) to quantify the finger-reading skills and sensations of TCM physicians, this study was intended to determine whether a subject defined as healthy by Western medicine could be confirmed by the Three Positions and Nine Indicators Health Rule of Thumb (TPNI-HRT) regarding QI circulation.Materials and methods: According to the definitions of TCM, Zangfu possesses the spreading, escalating, descending, and reservation properties characteristic of whole-body QI circulation. These properties create the TPNI-HRT, which describes the sequential appearance of a pulse at the distal-middle-proximal (CUN-GUAN-CHI) positions in the wrist artery as the fingertip displacement moves from superficial (Fu) to deep (Chen).Results: A total of 50 male undergraduates (age 19.3 +/- 1.1 years) in the Taiwan Air Force Academy in excellent health demonstrated normal pulses according to cardiovascular kinetics. The BSPDI was used to mimic the TCM physicians' finger-reading skills, and the TPNI-HRT agreement ratio between the finger-reading sensations of TCM physicians and the BSPDI measurements was 94% (34:36 pulse appearances).Conclusions: Through the use of BSPDI to evaluate the holistic QI circulation, only 4% of the 50 patients in this study demonstrated both excellent health according to Western medicine standards and completely met the conditions of the TPNI-HRT. This result suggests that there should be consideration as to whether the TPNI-HRT should be included in standard health examinations as well as whether TCM researchers should adopt quantitative TCM methodologies rather than utilizing the quantitative tools of Western medicine. (c) 2012 Elsevier GmbH. All rights reserved.