| 摘要: | 中醫證型之確立是根據望、聞、問、切等四診蒐集病情資料，綜合分析而來，由於舌診、切脈等至今尚未一套客觀儀器做客觀的判定基準，所以中醫證型常被質疑。主流醫學藉著精密的科技儀器可以正確的判定病情，具有客觀性和再現性的科學精神。中醫典籍《醫宗金鑑》將腦中風分類為中絡、中經、中腑、中臟、中經絡兼中臟腑、中臟閉證、中臟脫證、中經絡閉證和中臟腑閉證等九種，堪稱對疾病分類最詳盡的典籍。因此，本研究目的是探討腦中風中醫證型分類之主流醫學觀點。我們蒐集200位第一次發病而且發病後七日內之腦中風患者，他們都經過神經科專科醫師和電腦斷層或磁振造影檢查確定為腦中風，包括出血型和梗塞型。根據腦中風病患的臨床徵狀分類為中絡、中經、中腑、中臟、中經絡兼中臟腑、中臟閉證、中臟脫證、中經絡閉證和中臟腑閉證等九種，並標示出電腦斷層或磁振造影之病變部位及填寫腦中風臨床徵狀表，之後將資料統計分析。預期本研究的成果可以達成中醫證型分類之主流醫學觀，對中醫科學化將有很大的貢獻，同時對中醫證型的何去何從提出有力證據，並可作為中醫藥之教材。
The establishment of the Chinese Medicine pattern (CMP) is according to the data that was collected from four diagnostic methods including inspection, listening, smelling and palpitation, following these data was analyzed. Because the four diagnostic methods are no objective criteria by using a measuring apparatus until now, therefore CMP is still was suspicious. The main stream medicine may right to diagnosed disease by precision instrument, therefore, the collecting data is objective and may reappearance that is compatible with scientific. Chinese Medicine writings “I Tzung Chin Jiann” classify stroke divides into Chung-Lou, Chung-Chin, Chung-Fu, Chung-Tzang, Chung-Chin-Lou and Chung-Tzang-Fu, Chung-Tzang Bih pattern, Chung-Tzang Tou pattern, Chung-Chin-Lou Bih pattern and Chung-Tzang-Fu Bih pattern. The “I Tzung Chin Jiann” is the first detail and complete writings to the classification of stroke, therefore, the purpose of the present study was to investigate the view point of main stream medicine to CMP classification of stroke, we collected 200 stroke patients including hemorrhagic type and infarction type and according to their clinical manifestation divided into nine types of Chung-Lou, Chung-Chin, Chung-Fu, Chung-Tzang, Chung-Chin-Lou and Chung-Tzang-Fu, Chung-Tzang Bih pattern, Chung-Tzang Tou pattern, Chung-Chin-Lou Bih pattern and Chung-Tzang-Fu Bih pattern, and indicted the lesion of computer tomography or magnet resonance image and fill the form of stroke clinical sign and symptom, followed by these data was analyzed. We predict the results of the present study may finish the view point of main stream medicine of CMP classification, thus, the present study will contribute the scientific of Chinese Medicine and may provide a direction for development of Chinese Medicine. Besides, the results of the present study may become to a part of Chinese medicine teaching materials. |
