论文部分内容阅读
目的 :研究男性暴力型人群中医辨证的神经—内分泌发病学基础。方法 :随机抽取 4 6例暴力型男性进行中医辨证 ,同时检测血液E、NE、COR、R3 、T4、TSH等激素水平 ,观察中医证型与上述指标之间的关系。结果 :该人群中医辨证均属肝郁、肝火 (或肝阳 )、痰热等邪实与肝肾阴虚、肝郁犯脾并存的复杂病机。检体与化验显示交感神经兴奋性增强 ,NE、E、T3 、T4明显增高 ,但COR、TSH全部正常。结论 :男性暴力型人群属中医肝气郁结、肝火 (或肝阳 )亢盛 ,痰热内扰 ,肝肾阴虚、肝郁犯脾证。根据现代医学病理生理学理论认为交感神经兴奋性增高导致NE、E分泌增加 ,进而导致T3 、T4应激性增高 ,形成恶性循环。T3 或T4增高者以中医肝阳亢盛证为主 ,T3 、T4均增高者则以中医肝火旺盛证为主。以上机制对从医学上防治该人群暴力行为的可能性提供依据。
Objective: To study the neuroendocrine pathogenesis of TCM syndrome differentiation in male violent population. Methods: Forty - six violent men were randomly selected for TCM syndrome differentiation. At the same time, blood levels of E, NE, COR, R3, T4, TSH and other hormones were measured to observe the relationship between TCM syndrome type and the above indexes. Results: All the TCM syndromes of the population were complicated by the pathogenesis of liver depression, liver fire (or liver yang), phlegm-heat and so on, and liver-kidney-yin deficiency and liver depression. Samples and tests showed that the excitability of sympathetic nerves increased, NE, E, T3, T4 increased significantly, but COR, TSH were all normal. Conclusion: The male violent type of Chinese are liver qi stagnation, liver fire (or liver yang) hyperactivity, phlegm heat disturbance, liver and kidney, liver depression spleen syndrome. According to the theory of pathophysiology of modern medicine, the increase of sympathetic nerve excitability leads to the increase of NE and E secretion, which leads to the increase of T3 and T4 stress, forming a vicious cycle. The increase of T3 or T4 was mainly based on TCM syndrome of liver-yang hyperactivity, while the increase of T3 and T4 was mainly based on TCM-based antivirus. The above mechanisms provide the basis for the possibility of medical prevention and treatment of violence against this group of people.