774例慢性阻塞性肺疾病患者常见的中医证候类型及其舌象分布特点  

Distribution Characteristic of TCM Syndrome and Tongue Picturein 774 Patients with Chronic Obstructive Pulmonary Diseases

作　　者：吕佳苍[1] 王智瑜[1] 王天芳[1] 徐雯洁[2] 于丽丽[1] 焦杨[3] 苏惠萍[4] 刘泉[5] 苗建英[6] 徐艳玲[7] 王明航[8] 陈宪海[9] 

机构地区：[1]北京中医药大学基础医学院,北京100029 [2]北京市中医研究所,北京100010 [3]北京中医药大学东方医院,北京100078 [4]北京中医药大学附属东直门医院,北京100700 [5]湖北省中医院,湖北武汉430061 [6]山西中医学院第二附属医院,山西太原030012 [7]辽宁中医药大学附属医院,辽宁沈阳110032 [8]河南中医学院第一附属医院,河南郑洲450000 [9]山东中医药大学附属医院,山东济南250011

出　　处：《云南中医学院学报》2009年第1期19-25,共7页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)项目(NO.2003CB517101;NO.2003CB517106)

摘　　要：目的:探索慢性阻塞性肺疾病急性期和稳定期的中医证候类型及其舌象分布特点。方法:通过多中心临床流行病学调查,收集774例COPD患者急性期和稳定期的中医证候类型及其舌象的相关数据,对数据进行描述性统计分析。结果:本研究显示,慢性阻塞性肺疾病急性期患者舌象的总体分布以舌红(33.5%)、苔黄(67.1%)出现频率最高。证候则以痰热壅肺证(18.9%)为最多,在中医证候与舌色、苔色的关系方面,痰热壅肺证中以舌红苔黄所占比重最大。慢性阻塞性肺疾病稳定期患者舌象的总体分布以舌淡红(43.5%)、苔白(55.9%)出现频率最高。证候则以肺肾气虚证(12.7%)为最多,在中医证候与舌色、苔色的关系方面,肺肾气虚证中以舌淡红苔白所占比重最大。结论:本研究显示,急性期患者舌象的总体分布以舌红、苔黄出现频率最高。反映了急性期主要表现为以痰热为基本特点的证候特点。稳定期患者舌象的总体分布以舌淡红、苔白出现频率最高,提示慢性阻塞性肺疾病稳定期患者随着病情好转,舌象逐渐趋于正常或体现出本虚的本质。Objective ： To study the Chinese medicine syndrome types of acute and stable period of chronic pulmonary lung disease as well as its tongue variation traits. Method ： Through multi - center clinical Epidemiology, we collected 744 cases of acute and stable COPD patients＇ data. Giving descriptive statistical analysis to the data. Result： This study shows, 33.5% of COPD patients＇tongue were red, 67. 1% were yellow. As for the relation between syndrome and color coating of the tongue, 18.9% phlegm heat Lung syndrome majority of red tongue and yellow coating. COPD stable stage patients had an overall of pale red tongue （43.5%）, white coating （55.9%） ranking the highest appearing frequency. As for syndromes, Lung Kidney Qi deficiency had a highest 12. 7% ranking top. And pale tongue with white coating was the most seen in this syndrome. Discussion： This study shows acute stage patients mostly has red tongue with yellow coating. Which reflect the phlegm heat of the acute stage. Stable stage patients mostly have pale tongue with white coating. Which reflect as COPD patients recover, tongue appearance turns normal or back to its deficiency bases.

关 键 词：舌象 证候 慢性阻塞性肺疾病 急性期 稳定期 

分 类 号：R256.1[医药卫生—中医内科学]