胸部検査所見と漢方医学的腹候の関連性に関する検討

  • 長坂 和彦
    諏訪中央病院分院リバーサイドホスピタル
  • 土佐 寛順
    諏訪中央病院分院リバーサイドホスピタル
  • 巽 武司
    諏訪中央病院分院リバーサイドホスピタル
  • 嶋田 豊
    富山医科薬科大学医学部和漢診療学講座
  • 寺澤 捷年
    富山医科薬科大学医学部和漢診療学講座

書誌事項

タイトル別名
  • The Correlation Between Abdominal Palpation Signs of Kampo Medicine and Anatomical and Physiological Findings of the Cardio-respiratory System.
  • キョウブ ケンサ ショケン ト カンポウ イガクテキ フクコウ ノ カンレンセ

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抄録

There have been few studies of the relationship between respiratory function, chest x-rays, electrocardiograms, and the abdominal palpation signs of Kampo medicine. This investigation was designed to elucidate the above points with 489 subjects who had undergone a full physical examination. As a result of this study, we make clear the following features:<br>1. Abdominal tension (traditionally referred to as “fukuryoku”) was related to vital capacity, lateral distance of the thorax, CTR, counter-clockwised axis deviation of QRS, and negatively related to the intra-vertical thoracic distance.<br>2. Sound of gurgling fluid in the abdomen (“Shinsuion”) was related to intravertical distance of the thorax, clockwise axis deviation of QRS, negatively related to the lateral distance of the thorax, width of the heart and CTR.<br>3. Tonus of the rectus abdominis muscles was related to vital capacity and intravertical distance of the thorax and negatively related to the lateral distance of the thorax.<br>4. Palpitation of the abdominal aorta (traditionally called “Shinkaki”, “seijouki”, and “saikaki”) revealed nega tive correlation to the lateral distance of the thorax and width of the heart.<br>5. Resistance or tenderness upon pressure in the epigastric resion (“shinkahiko”) was negatively related to the intrathoracic distance.<br>6. Resistance resembling a string of pearls in the midline of the lower abdomen (“seichushin”) was related to intravertical distance of the thorax, clockwise axis deviation of QRS, and negatively related to SV 1 electro cardiogram voltage.

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