[Activity of plasma dopamine-beta-hydroxylase and urine excretion of catecholamines in patients with deficiency-cold and deficiency-heat syndromes].

L Y Zhao, X Z Peng
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Abstract

Spectrophotometric assay of plasma dopamine-beta-hydroxylase (D beta H) activity and fluorospectrophotometric assay of urine catecholamines (CA) were performed in 30 patients and 21 normal persons. According to TCM, the patients were divided into two groups, 16 cases of deficiency-cold syndrome (DCD), and 14 cases of deficiency-heat syndrome (DHD). The results showed that in the patients with DCD, the activity of D beta H and the levels of CA were lower than those of the normal, whereas the activity of D beta H and the levels of CA of the patients with DHD were higher than those of the normal (P less than 0.01, P less than 0.05). Variations of the involved visceral organs determined in the traditional way made no difference to the above-mentioned changes. D beta H and CA correlated significantly to each other. The authors also took the canonical correlation analysis to the cases, the result showed that the heat syndrome correlated with D beta H and CA positively. These results showed hyperfunctioning of the sympathetic-adrenomedullary system in DHD and hypofunctioning of this system in DCD.

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[虚寒虚热证患者血浆多巴胺- β -羟化酶活性与尿儿茶酚胺排泄]。
对30例患者和21例正常人进行了血浆多巴胺- β羟化酶(D β H)活性和尿儿茶酚胺(CA)荧光分光光度测定。根据中医理论,将患者分为两组,虚寒证16例,虚热证14例。结果显示,DCD患者血D β H活性和CA水平低于正常人,而DHD患者血D β H活性和CA水平高于正常人(P < 0.01, P < 0.05)。以传统方法确定受累脏器的变化对上述变化没有影响。D β H与CA呈显著相关。并对病例进行典型相关分析,结果表明热证与D β H、CA呈正相关。这些结果表明DHD患者交感-肾上腺髓质系统功能亢进,而DCD患者交感-肾上腺髓质系统功能低下。
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