基于有无胸痛分型的胸痹舌象中医客观化研究
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摘要
目的:胸痹临床辨证分型种类复杂,今拟以有无胸痛作为胸痹分型的依据,对其临床的舌象客观化指标进行研究分析,从其舌象指标的差异性为切入点进行中医角度进行分析,并试讨论以有无胸痛为基准对胸痹进行分型的可能性,为临床胸痹辨证分型诊断提供新思路,为胸痹舌象客观化研究提供基础。方法:临床采集胸痹患者舌象客观化指标,分有痛胸痹组及无痛胸痹组二组进行统计分析。结果:胸痛组与无胸痛组的舌象指标相比较检验,除舌象裂纹数量和裂纹长度外,其他舌象指标舌苔面积、齿痕数量、齿痕面积、、瘀斑数量、瘀斑面积、点刺数量、点刺面积、舌质R、舌质G、舌质B、舌苔R、舌苔G、舌苔B均有显著差异性。结论:胸痹以有无胸痛为诊断指标的分型方法能够有效体现胸痹疾病过程中的气血阴阳虚实的变化,在舌象客观化指标上有着显著差异,具有临床意义。
Objective: Syndrome differentiation of thoracic obstruction( Xiong Bi) is complicated,this study is trying to analyze the objective clinical indicators of tongue with or without chest pain as the basis of thoracic obstruction classification. It provided a new idea for the syndrome classification of this disease and provided research foundation of objective tongue diagnosis. Methods: Patients with chest pain and without were divided into two groups,at the same time,the objective tongue manifestations were collected. Results: There were significant differences between the two groups in the amount and length of tongue crack,coating area,amount and area of teeth mark,amount and area of ecchymosis,number and area of tongue crib,tongue body R,tongue body G,tongue body B,tongue coating R,tongue coating G,and tongue coating B. Conclusion: Chest pain as the diagnostic index can effectively reflect the changes of Qi and blood,changes of yin and yang during the course of thoracic obstruction,which is also significant in the objectification of tongue manifestation.
Objective: Syndrome differentiation of thoracic obstruction( Xiong Bi) is complicated,this study is trying to analyze the objective clinical indicators of tongue with or without chest pain as the basis of thoracic obstruction classification. It provided a new idea for the syndrome classification of this disease and provided research foundation of objective tongue diagnosis. Methods: Patients with chest pain and without were divided into two groups,at the same time,the objective tongue manifestations were collected. Results: There were significant differences between the two groups in the amount and length of tongue crack,coating area,amount and area of teeth mark,amount and area of ecchymosis,number and area of tongue crib,tongue body R,tongue body G,tongue body B,tongue coating R,tongue coating G,and tongue coating B. Conclusion: Chest pain as the diagnostic index can effectively reflect the changes of Qi and blood,changes of yin and yang during the course of thoracic obstruction,which is also significant in the objectification of tongue manifestation.
引文
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[2]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1995:29.
[3]张远炎,陈红珍,郁书亮,等.气虚证舌象的临床观察附:108例临床资料分析[J].成都中医药大学学报,1999,20(1):22-23,26.
[4]王其萍,祝肇刚.青紫舌与血流变学关系的探讨[J].中国微循环,1997,1(1):47.