慢性病毒性乙型重型肝炎中医辨证与舌诊客观化指标的关系探讨  

Relationship between TCM Differentiation of Symptoms and Signs and Objective index of Inspection of tongue in Chronic Severe Viral Hepatitis B

作　　者：张秋云[1] 李秀惠[2] 刘绍能[3] 胡建华[2] 李筠[4] 王融冰[5] 钱英[1] 姚乃礼[3] 

机构地区：[1]首都医科大学中医药学院,北京100013 [2]北京佑安医院,北京100052 [3]中国中医研究院广安门医院,北京100053 [4]中国人民解放军302医院,北京100039 [5]北京地坛医院,北京100011

出　　处：《天津中医药》2006年第5期365-368,共4页Tianjin Journal of Traditional Chinese Medicine

摘　　要：[目的]揭示慢性病毒性乙型重型肝炎(简称乙型慢重肝)舌质、舌苔R、G、B值的客观特征。[方法]采用前瞻性横断面分析及多中心临床调研方法,研究舌质、舌苔R、G、B值在不同证候组之间的差异。[结果]乙型慢重肝舌质、舌苔R、G、B各组证候的值均低于慢乙肝组;舌质R值肝胆热毒炽盛组最大,且两者均与湿毒壅盛组差异有统计学意义;舌质G、B值的变化趋势为:肝胆热毒炽盛组<热毒阳虚夹杂组<湿毒壅盛组;舌苔R、G、B值变化趋势为:肝胆热毒炽盛组<热毒阳虚夹杂组<湿毒壅盛组。[结论]舌质、舌苔R、G、B值的变化可以作为区分乙型慢重肝与慢乙肝的参考指标。[Objective] To reveal the objective characteristic of body of the tongue , tongue fur and the R, G, B value in chronic severe viral hepatitis B （CSHB）. [Methods] The difference of them between the groups with different symptoms and signs was studied prospectively and with the method of cross section analysis and muhi-centre clinical investigation. [Results] All of the parameters in CSHB group was obviously lower than that in chronic Hepatitis B group. The R value of the body of tongue was the maximum in the group with domination of pathogenic poison and heat in the liver and gall and there was a significant difference when compared with that in the group with noxious dampness domination. The change tendency of G, B value of body of tongue was ： group with domination of pathogenic poison and heat 〈 group with compound heat and pathogenic poison and Yang deficiency 〈 group with noxious dampness domination. [Conclusions] The differentiation of R, G, B value of the body of tongue and tongue fur may be the reference indexes for distinguishing CSHB and chronic Hepatitis B.

关 键 词：乙型慢罩肝 中医辨证 舌诊专家系统 舌诊客观化 

分 类 号：R512.62[医药卫生—内科学]