唾液分泌、汗出、尿排泄相关信息与津液代谢状况关系探讨
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摘要
目的:通过对津液输布异常人群及健康受试者进行唾液、汗液、尿液及其他人体数据的采集与分析,探讨人体津液客观指标对于气血津液辨证的作用。方法:根据中医医师与四诊合参辅助诊疗仪经主客观联合辨证,分为正常组与津液输布异常组。采集人体基础信息、测量唾液及人体各部位汗液分泌量、使用全自动生化仪检测尿液、唾液、汗液的相关小分子浓度,并进行统计学分析。结果:津液输布异常组的心率降低、血压和BMI均显著升高;津液输布异常组的唾液分泌速率、运动时的汗出总量、前胸汗出量、后背汗出量相比正常组均明显增高;津液输布异常组受试者唾液、汗液中的镁离子浓度比起正常组有所下降。结论:人体唾液分泌、汗出、尿排泄相关生物学信息为中医津液辨证提供了一种客观评价的依据。
Objective: To explore the dialectical effect of objective indicators of human body fluids on qi-blood body fluids by collecting and analyzing saliva, sweat, urine and other human data from people with abnormal fluid delivery and healthy subjects. Methods: According to the subjective and objective dialectical combination of traditional Chinese medicine(TCM) physicians and four diagnostic criteria, patients were divided into the normal group and the abnormal fluid delivery group. The basic human body information was collected to measure the amount of saliva sweat secretion in various parts of human body. Relevant small molecule concentrations of urine, saliva and sweat were detected by automatic biochemical analyzer and statistically analyzed. Results: The results showed that the heart rate was decreased;the blood pressure and BMI were significantly increased in the abnormal fluid delivery group. The rate of saliva secretion,the total amount of sweat during exercise, the amount of sweat in the chest and the back of the abnormal fluid delivery group were significantly increased compared to the normal group. The magnesium ion concentration of saliva and sweat of subjects in the abnormal fluid delivery group was decreased compared with the normal group. Conclusion: It was concluded that the biological information related to saliva secretion, sweating and urinary excretion in human body provided an objective basis for dialectical evaluation of TCM body fluids.
Objective: To explore the dialectical effect of objective indicators of human body fluids on qi-blood body fluids by collecting and analyzing saliva, sweat, urine and other human data from people with abnormal fluid delivery and healthy subjects. Methods: According to the subjective and objective dialectical combination of traditional Chinese medicine(TCM) physicians and four diagnostic criteria, patients were divided into the normal group and the abnormal fluid delivery group. The basic human body information was collected to measure the amount of saliva sweat secretion in various parts of human body. Relevant small molecule concentrations of urine, saliva and sweat were detected by automatic biochemical analyzer and statistically analyzed. Results: The results showed that the heart rate was decreased;the blood pressure and BMI were significantly increased in the abnormal fluid delivery group. The rate of saliva secretion,the total amount of sweat during exercise, the amount of sweat in the chest and the back of the abnormal fluid delivery group were significantly increased compared to the normal group. The magnesium ion concentration of saliva and sweat of subjects in the abnormal fluid delivery group was decreased compared with the normal group. Conclusion: It was concluded that the biological information related to saliva secretion, sweating and urinary excretion in human body provided an objective basis for dialectical evaluation of TCM body fluids.
引文
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9方芳,聂军.广州市成人体质指数、腰围与血压关系的研究.第一军医大学学报,2003(8):837-840.
10张雪芳,陆源源,韩强,等.有氧运动干预对痰湿体质者血糖、血脂、血尿酸及体质量的影响.河北中医,2012,34(12):1774-1776.
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12李毓秋,张健雄,姜侠,等.汗出异常在中风病诊断中的意义.吉林中医药,2016,36(4):332-334.
13杨巧,苏文革.“汗为心之液”理论指导慢性心衰汗出证治心得.山东中医杂志,2016,35(4):354-355.
14王英博,刘仲栋.中医治疗消渴病汗证研究概况.实用中医内科杂志,2013(22):68-70.
15顾星,谭秦湘.自汗患者汗液中的钠、氯、钙、钾无机离子测定.中国中医基础医学杂志,2005(5):371-372.
16朱文锋,顾星,谭秦湘,等.心肺气虚证自汗成分的实验研究.湖南中医学院学报,2003(4):29-31.
17牛婷立.气血津液的动态检测方法及其识别装置研究.中国中西医结合学会.第九次全国中西医结合诊断学术研讨会论文集.中国中西医结合学会,2015:3.
2杨晓丽,曹姗,冯闲,等.中医气理论与健康状态关系.天津中医药大学学报,2014,33(2):65-68.
3韩露,李泽鹏,黄琳.津液辨证临床应用中的诊治思维.四川中医,2012(12):25-26.
4呼睿,李翠娟.津液学说的现代研究进展与展望.辽宁中医杂志,2016(2):428-430.
5 Phillips M,Vandervoort R E,Becker C E.Long-term sweat collection using salt-impregnated pads.J Invest Dermatol,1977,68(4):221-224.
6张辰,王慧平.津液输布障碍致皮肤干燥症的辨治举要.新疆中医药,2016,34(3):83-84.
7傅祖植.内科学.北京:人民卫生出版社,2004:832-836.
8姜雪红,徐峰,刘轩,等.痰湿与高血压病的相关性研究.世界中西医结合杂志,2017,12(3):433-436.
9方芳,聂军.广州市成人体质指数、腰围与血压关系的研究.第一军医大学学报,2003(8):837-840.
10张雪芳,陆源源,韩强,等.有氧运动干预对痰湿体质者血糖、血脂、血尿酸及体质量的影响.河北中医,2012,34(12):1774-1776.
11李艳华,徐丹,孙玲,等.排汗量对左心收缩功能不全的临床评估.中国煤炭工业医学杂志,2003,6(6):528-528.
12李毓秋,张健雄,姜侠,等.汗出异常在中风病诊断中的意义.吉林中医药,2016,36(4):332-334.
13杨巧,苏文革.“汗为心之液”理论指导慢性心衰汗出证治心得.山东中医杂志,2016,35(4):354-355.
14王英博,刘仲栋.中医治疗消渴病汗证研究概况.实用中医内科杂志,2013(22):68-70.
15顾星,谭秦湘.自汗患者汗液中的钠、氯、钙、钾无机离子测定.中国中医基础医学杂志,2005(5):371-372.
16朱文锋,顾星,谭秦湘,等.心肺气虚证自汗成分的实验研究.湖南中医学院学报,2003(4):29-31.
17牛婷立.气血津液的动态检测方法及其识别装置研究.中国中西医结合学会.第九次全国中西医结合诊断学术研讨会论文集.中国中西医结合学会,2015:3.