恶性肿瘤伴抑郁焦虑患者中医面色、舌象观察及客观化分析
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摘要
目的:分析恶性肿瘤伴抑郁焦虑患者的面色、舌象(舌色、苔色)特点,以指导临床辨证治疗。方法:应用四诊仪采集97例恶性肿瘤伴抑郁焦虑患者的中医面色、舌象(舌色、苔色)特征性参数进行分析。结果:(1)恶性肿瘤伴抑郁焦虑观察组面色图中眼眶、鼻子、额头、口唇和整体图的灰度低于对照组,差异有统计学意义(P<0.01);同时各部位的HSV_V值(明度)低于对照组,HSV_H(Hue)值在颜色空间上色度接近黄色,对照组更接近红色;各部位的Lab_L值(亮度)低于对照组,组间比较提示观察组比对照组面色黑、颜色深、暗淡,提示气血两虚兼血瘀。(2)观察组舌象图中舌色图的灰度低于对照组,差异有统计学意义(P<0.01);同时HSV_V值(明度)低于对照组,Lab_L值(亮度)低于对照组。苔色图的灰度低于对照组,差异有统计学意义(P<0.01);同时HSV_V值(明度)低于对照组,Lab_L值(亮度)低于对照组。组间比较提示观察组比对照组舌色黯,苔色黄。提示血瘀、湿热。结论:中医面色、舌象的客观化参数提示恶性肿瘤伴抑郁焦虑病机为本虚(气血虚损)、标实(湿热、血瘀)。
Objective :Through the clinical research of patients with malignant tumors from Ruijing hospital,we analyzed the relevant factors of malignant tumors with depression and anxiety,TCM syndromes and face,tongue,pulse characteristic parameters,Methods :The analysis of the characteristic parameters of complexion,tongue color and pulse :we use Four Diagnostic Instrument to collect and analyze 97 malignant tumors associated with depression and anxiety patients' characteristic parameters of complexion,tongue color and pulse. Results :Surface of tongue and pulse parameters analysis :(1)Malignant tumor with depression anxiety group(observation group)of the surface figure of the eyes,nose,forehead,lips and around the overall figure of gray level were lower than the control group,the difference was statistically significant(P<0.01);At the same time,each place HSV_V value(lightness)of the observation group was lower than the control group,HSV_H(Hue)value was close to yellow,closer to the control group red;Each part of the Lab_L value(brightness)was lower than the control group,the comparison between group showed that in the observation group were darker,deeper and more dim than the normal group,suggesting both deficiency of Qi and blood stasis.(2)The observation group tongue color the whole tongue map of gray level was lower than the control group,the difference was statistically significant(P<0.01);At the same time,each place HSV_V value(lightness)was lower than the control group,Lab_L value(brightness)was lower than the control group. Moss of color image gray level was lower than the control group,the difference was statistically significant(P<0.01);At the same time by HSV_V value(lightness)was lower than the control group,the Lab_L value(brightness)was lower than the control group. Comparison between groups in the observation group tongue color darker than the control group,moss yellow color,suggesting blood stasis and damp-heat. Conclusion :Through the analysis of objective parameters about TCM symptoms,face,tongue characteristic,it shows the pathogenesis of malignancies associated with depression and anxiety is primary deficiency(Qi and blood deficiency)and incidental excess(dampheat,blood stasis).
Objective :Through the clinical research of patients with malignant tumors from Ruijing hospital,we analyzed the relevant factors of malignant tumors with depression and anxiety,TCM syndromes and face,tongue,pulse characteristic parameters,Methods :The analysis of the characteristic parameters of complexion,tongue color and pulse :we use Four Diagnostic Instrument to collect and analyze 97 malignant tumors associated with depression and anxiety patients' characteristic parameters of complexion,tongue color and pulse. Results :Surface of tongue and pulse parameters analysis :(1)Malignant tumor with depression anxiety group(observation group)of the surface figure of the eyes,nose,forehead,lips and around the overall figure of gray level were lower than the control group,the difference was statistically significant(P<0.01);At the same time,each place HSV_V value(lightness)of the observation group was lower than the control group,HSV_H(Hue)value was close to yellow,closer to the control group red;Each part of the Lab_L value(brightness)was lower than the control group,the comparison between group showed that in the observation group were darker,deeper and more dim than the normal group,suggesting both deficiency of Qi and blood stasis.(2)The observation group tongue color the whole tongue map of gray level was lower than the control group,the difference was statistically significant(P<0.01);At the same time,each place HSV_V value(lightness)was lower than the control group,Lab_L value(brightness)was lower than the control group. Moss of color image gray level was lower than the control group,the difference was statistically significant(P<0.01);At the same time by HSV_V value(lightness)was lower than the control group,the Lab_L value(brightness)was lower than the control group. Comparison between groups in the observation group tongue color darker than the control group,moss yellow color,suggesting blood stasis and damp-heat. Conclusion :Through the analysis of objective parameters about TCM symptoms,face,tongue characteristic,it shows the pathogenesis of malignancies associated with depression and anxiety is primary deficiency(Qi and blood deficiency)and incidental excess(dampheat,blood stasis).
引文
[1] Schleifer S J,Keller S E,Camerino M,et al. Suppression of lymphocyte stimulation following bereavement[J]. Jama the Journal of the American Medical Association,1983,250(3):374-377.
[2] Valente S M,Saunders J M. Diagnosis and treatment of major depression among people with cancer[J]. Cancer Nursing,1997,20(20):168-177.
[3] Greer S,Morris T. The study of psychological factors in breast cancer:problems of method[J]. Social Science&Medicine,1978,12(3A):129-134.
[4]蒋国梁,叶定伟,李进.常见恶性肿瘤的多学科综合诊断和治疗[M].上海:复旦大学出版社,2011:40.
[5] FL格林尼,DL佩基,I D弗莱明,等.AJCC癌症分期手册[M].6版.毛伟征,苏东明,李雪萍,等,主译.沈阳:辽宁科学技术出版社,2005:115.
[6]中华精神病学分会.中国精神障碍分类与诊断标准[J].中国精神科杂志,2001,34(3):184-188.
[7]田飞,常俊,赵静,等.中医四诊客观化研究面临的主要问题与挑战[J].天津中医药,2015,32(7):445-448.
[8]王炳和,郭红霞,杨颙.人体脉搏系统传递函数模型的参数估计与脉搏波仿真[J].计算机工程与应用,2004,40(8):193-195.
[2] Valente S M,Saunders J M. Diagnosis and treatment of major depression among people with cancer[J]. Cancer Nursing,1997,20(20):168-177.
[3] Greer S,Morris T. The study of psychological factors in breast cancer:problems of method[J]. Social Science&Medicine,1978,12(3A):129-134.
[4]蒋国梁,叶定伟,李进.常见恶性肿瘤的多学科综合诊断和治疗[M].上海:复旦大学出版社,2011:40.
[5] FL格林尼,DL佩基,I D弗莱明,等.AJCC癌症分期手册[M].6版.毛伟征,苏东明,李雪萍,等,主译.沈阳:辽宁科学技术出版社,2005:115.
[6]中华精神病学分会.中国精神障碍分类与诊断标准[J].中国精神科杂志,2001,34(3):184-188.
[7]田飞,常俊,赵静,等.中医四诊客观化研究面临的主要问题与挑战[J].天津中医药,2015,32(7):445-448.
[8]王炳和,郭红霞,杨颙.人体脉搏系统传递函数模型的参数估计与脉搏波仿真[J].计算机工程与应用,2004,40(8):193-195.