中医舌诊在脂肪肝患者健康管理中的应用  

The using of tongue diagnosis in fatty liver patients＇ health management

作　　者：王盛花[1] 梁嵘[2] 王召平[1] 李方玲[2] 任继平[1] 亢汝梅[1] 

机构地区：[1]首都医科大学附属北京同仁医院体检中心,100730 [2]北京中医药大学基础医学院中医诊断系

出　　处：《中华健康管理学杂志》2008年第1期39-41,共3页Chinese Journal of Health Management

基　　金：国家自然科学基金重点资助项目（60431020）

摘　　要：目的探讨脂肪肝患者的证候倾向，为中医介入脂肪肝患者的健康管理提供依据。方法采用1：1配对的方式，对368例体检者（其中184例脂肪肝患者）的舌象进行观察，同时进行中医体质状态调查，对记录结果进行统计学分析。结果两组资料比较提示，脂肪肝组人群中胖大舌、瘦小舌、齿痕舌、厚苔、腻苔与非脂肪肝组比较，差异有统计学意义（χ^2=7．580、11．740、23．700、8．666、10．793，P〈0．05）。脂肪肝组人群中喜冷饮、怕热、食冷腹泻、汗多、嗜睡、四肢困重、矢气多的出现率高于非脂肪肝组（P〈0．05）。结论脂肪肝患者多表现为中医的“热证”和（或）“湿证”。了解脂肪肝患者的共性病变特征，可有针对性地采取中医的预防和保健措施。Objective To find the syndrome tendency of fatty liver people and then providing basis for TCM integrated into fatty liver patients＇ Health Management by analyzing the characteristics of fatty liver people＇s tongue and combining them with the investigating results of symptoms. Methods Using 1：1 control study methods, examined 368 cases （184 cases were patients with fatty liver）, observed their tongues as well as their symptoms, and recorded results. Results χ^2 test showed fat tongue, thin and small tongue,teeth-marked tongue, thick fur, greasy fur, fond of cool drink, hate feat, diarrhea after eating cold food, more sweat, lethargy, heavy four limbs, more flatus were significantly increase in fatty liver people （ χ^2 7. 580,11.740,23.700,8.666,10.793,P 〉0.05）. Conclusions The symptoms of patients with fatty liver disease were the reflection of heat and （or） damp-heat. Found the generally pathology rules of patients with fatty liver disease, we could be more reasonable and effective prevention and treatment.

关 键 词：脂肪肝 舌诊 健康促进 

分 类 号：R259[医药卫生—中西医结合]