摘要
本文采用齐同对比的原则和方法,测定了脾气虚、心气虚、肺气虚患者的唾液淀粉酶活性,并和正常组对照。实验结果表明:三个气虚组的患者的唾液淀粉酶活性出值均下降(和正常组比较P<0.01);脾气虚组的唾液淀粉酶活性比值又低于肺气虚组和心气虚组(P<0.01);同时,在脾气虚组和心气虚组内,按西医病种的系统不同,比较其唾液淀粉酶活性,差异无统计学意义(P>0.05)。由此说明,唾液淀粉酶活性比值下降是气虚证的共性,但当下降到一定值域时,则为脾气虚证的特有现象。因而认为,唾液淀粉酶的活性测定,对气虚证的诊断可能有定性定量意义,并可对脾气虚证提供定性、定量、定位的辨证参考,但它对疾病的西医诊断则不具有特异性价值。
The salivin activity was assayed in 78 patients and in 36 healthy persons as control. The 78 cases studied were classified into 3 groups: herat-qi deficiency (23 cases), lung-qi deficiency (25 cases), and spleen-qi deficiency (30 cases). The results showed that salivin activity ratio difference between these cases and healthy persons was significant (P<0.01). The salivin activity ratio of these cases decreased, which would be used as the qualitative and quantitative criterion in the diagnosis of qi-deficiency group. The results also showed that the salivin activity ratio of the spleen-qi deficiency group was lower than those of the heart-qi and of the lung-qi groups (P<0.01), which indicates that the index bears the qualitative, quantitative and location significance in the diagnosis of deficiency of spleen-qi syndrome. Variation in the diseases diagnosed according to western medicine made no difference to the tendency of the abovementioned changes. Thus these changes can be considered as the characteristics of qi-deficiency syndrome and spleen-qi deficiency syndrome.
关键词
脾气虚
心阳虚
肺气虚
淀粉酶
测定
AMYLASES/analysis SPLEEN QI DEFICIENCY/enzymology HEART YANG DEFICIENCY/enzymology LUNE QI DEFICIENCY/enzymology