中医药研究论丛

243.9 脑中风患者与脉诊仪的相关性初探病例报告
TJ TCM.24(3) : 117-136, 2021
脑中风患者与脉诊仪的相关性初探病例报告
A Preliminary Case Report on the
Correlation Between Stroke Patients and Pulse Diagnostic Device
吴凯丽1 何宗融1,2 王健豪1 陈中奎1,2*
花莲慈济医院中医部,花莲,台湾
花莲慈济医院中西医合疗研究发展中心,花莲,台湾
【摘要】
脑中风为急症,依照脑组织受影响部位、影响范围、是否及时接受适当治疗等因素,其预後差异很大。脑中风患者接受中药与针灸治疗已被证实可显着降低各种并发症的风险并且降低再次中风的机率。本病例为第三次梗塞性中风且合并出血性转变,病情严重且复杂,发病後三个月进入花莲慈济医院接受干细胞治疗与中西医合疗。中医治疗方面,除了科学中药粉、水煎药、针灸等常见的治疗方式之外,针灸方面另外强调了调整全身气机的思路,并且结合了芳香疗法、耳穴按揉,尽力以最大程度帮助病人。住院治疗期间(4/13 到5/11),心跳速率有较稳定,GCS 从7 分(E4VTM2)进步到9 分(E4VTM4),肌肉力量上肢从0 分进步到2 分,下肢从1 分进步到3 分。症状表现上,呕吐咳痰较改善,肢体动作较明显。
脑中风是脑部血液循环出问题因而引起脑部功能损伤的疾病。脉诊仪可用於观察中风病患针灸前後血循环的差异,期待可以提供客观的疗效评估。本病例尝试用米安科技的「微小压力换能器」(型号TD01C)脉诊仪,观察针灸前後其谐频指标的变化。我们观察到本病例针刺前後,除了C0 之外,其他谐频的振幅平均值皆有增加,且脑相关的Cn 值明显提高,证明针刺治疗有增加脑部循环的效果。
【关键词】脑中风、脉诊仪、干细胞治疗
 
Wu Kari1 Tsung-Jung Ho1,2 Chien-Hao Wang1 Jhong-Kuei Chen1,2*
1Department of Chinese Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
2Research and Development Center for Combination of Chinese and Western Medicine,
Buddhist Tzu Chi General Hospital, Hualien, Taiwan
【Summary】
Stroke is an emergency, and its prognosis varies greatly according to factors such as the affected part of the brain tissue and whether or not to receive appropriate treatment in time. The treatment of stroke patients with traditional Chinese medicine and acupuncture has been proven to significantly reduce the risk of various complications and reduce the chance of a second stroke. This case is the third infarct stroke with hemorrhagic transformation. Three months after the onset, he was admitted to Hualien Tzu Chi Hospital for stem cell therapy and a combination therapy of Chinese and Western medicine. In terms of traditional Chinese medicine treatment, in addition to common treatment methods in Taiwan such as scientific Chinese medicine powder, water decoction, and acupuncture, acupuncture also emphasizes the idea of adjusting the body’s qi, and combines aromatherapy and ear acupoint massage to help patients to the greatest extent. During hospitalization (4/13 to 5/11), the heart rate was relatively stable, GCS improved from 7 points (E4VTM2) to 9 points (E4VTM4), muscle strength improved from 0 points to 2 points for upper limbs, and 1 point to 3 points for lower limbs. In terms of symptoms, vomiting was improved, and physical movements were more obvious.
Stroke is a disease in which there are blood circulation problems in the brain. The pulse diagnostic device can be used to observe the difference of blood circulation before and after acupuncture in stroke patients, and it is expected to provide objective evaluation of therapeutic effect. In this case, we tried to observe the changes in the harmonic frequency index before and after acupuncture. We observed that except for C0, the average amplitude of other harmonic frequencies increased, and the brain-related Cn value increased significantly, proving that acupuncture has the effect of increasing cerebral circulation.
【Keywords】Stroke; Pulse Diagnostic Device; Stem Cell Therapy