中醫藥研究論叢

243.9 腦中風患者與脈診儀的相關性初探病例報告
TJ TCM.24(3) : 117-136, 2021
腦中風患者與脈診儀的相關性初探病例報告
A Preliminary Case Report on the
Correlation Between Stroke Patients and Pulse Diagnostic Device
吳凱麗1 何宗融1,2 王健豪1 陳中奎1,2*
花蓮慈濟醫院中醫部,花蓮,台灣
花蓮慈濟醫院中西醫合療研究發展中心,花蓮,台灣
【摘要】
腦中風為急症,依照腦組織受影響部位、影響範圍、是否及時接受適當治療等因素,其預後差異很大。腦中風患者接受中藥與針灸治療已被證實可顯著降低各種併發症的風險並且降低再次中風的機率。本病例為第三次梗塞性中風且合併出血性轉變,病情嚴重且複雜,發病後三個月進入花蓮慈濟醫院接受幹細胞治療與中西醫合療。中醫治療方面,除了科學中藥粉、水煎藥、針灸等常見的治療方式之外,針灸方面另外強調了調整全身氣機的思路,並且結合了芳香療法、耳穴按揉,盡力以最大程度幫助病人。住院治療期間(4/13 到5/11),心跳速率有較穩定,GCS 從7 分(E4VTM2)進步到9 分(E4VTM4),肌肉力量上肢從0 分進步到2 分,下肢從1 分進步到3 分。症狀表現上,嘔吐咳痰較改善,肢體動作較明顯。
腦中風是腦部血液循環出問題因而引起腦部功能損傷的疾病。脈診儀可用於觀察中風病患針灸前後血循環的差異,期待可以提供客觀的療效評估。本病例嘗試用米安科技的「微小壓力換能器」(型號TD01C)脈診儀,觀察針灸前後其諧頻指標的變化。我們觀察到本病例針刺前後,除了C0 之外,其他諧頻的振幅平均值皆有增加,且腦相關的Cn 值明顯提高,證明針刺治療有增加腦部循環的效果。
【關鍵詞】腦中風、脈診儀、幹細胞治療
 
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