原发性肝癌患者的脉象特征观察

目的：观察原发性肝癌患的脉象特征及脉象在肝癌患辨证分型中的参考价值。方法：应用ZM-ⅢB型脉象仪，对原发性肝癌患进行脉象检测，总结原发性肝癌患的一般脉象特点，并分析4种不同中医证型之间的脉象变化规律。结果：所测的147例肝癌患中，弦脉、滑脉、弦滑脉占90％以上；肝郁脾虚型患主波高度（H1）显高于肝胆湿热型和肝肾阴虚型患，肝郁脾虚型患弹性系数（H3／H1）明显低于肝胆湿热型患，肝胆湿热型患阻力系数（H4／H1）明显低于其他3型患。结论：中晚期原发性肝癌患脉象以弦脉、滑脉、弦滑脉兼见为主；脉象参数与脉图的变化可为中医辨证分型提供参考。

Examining the pulses manifestation of patients with primary hepatocarcinoma

Objective: To examine the characteristics of the pulse manifestation in the hepatocarcinoma patients, and to study the value of pulse manifestation in typing according to diagnosis of Traditional Chinese Medicine. Methods: The patients' pulse manifestation was examined by the pulse instrument, and was typed according to the symptom, sign, and tongue appearance. The pulse indices and photography were analyzed among syndromes of Traditional Chinese Medicine. Results: Ninety percent of patients had string like pulse, slippery pulse, and string like and slippery pulse in 147 hepatocarcinoma cases. H 1 was significantly higher in stagnation of liver qi and deficiency of spleen patients type than that in dampness and heat in liver and gallbladder patients type and in Yin deficiency of liver and the kidney patients type. H 3/H 1 significantly decreased in of stagnation of liver qi and deficiency of spleen patients type than that in dampness and heat in liver and gallbladder patients type. H 4/H 1 was significantly lower in dampness and heat in liver and gallbladder patients type than that in other 3 types of patients. Conclusion: Pulse indices and photography detected by the pulse instrument are associated with types according to diagnosis of Traditional Chinese Medicine. It is valuable to pulse detection by the pulse instrument.