肝、胆与舌象相关性的研究  

Study on the correlation between liver, gallbladder and tongue manifestation

作　　者：黄娜[1] 唐亚平[2] 戴芳[3] 李晓红[1] 周艳[4] 杨宏宝[1] 朱文锋[5] HUANG Na;TANG Ya-ping;DAI Fang;LI Xiao-hong;ZHOU Yan;YANG Hong-bao;ZHU Wen-feng(Guangxi University of Chinese Medicine,Nanning 530001,China;Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530011,China;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China;Hunan University of Chinese Medicine,Changsha 410007,China)

机构地区：[1]广西中医药大学,南宁530001 [2]广西中医药大学中医诊断教研室,南宁530001 [3]广西中医药大学附属瑞康医院,南宁530011 [4]广西中医药大学第一附属医院,南宁530023 [5]湖南中医药大学,长沙410007

出　　处：《中华中医药杂志》2020年第7期3388-3391,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)(No.2003CB517101);广西高校科学技术研究项目(No.KY2015YB512);广西教育厅科研课题(No.201204LX197)。

摘　　要：目的:探讨肝、胆与舌象的相关性。方法:收集当代中医名家的7691个医案及1036例临床病例,统计涉及肝、胆的病例出现的频数、频率以及肝、胆的病例涉及各种舌象的频数、频率,并对肝、胆病例中较为常见的数个舌象分别涉及肝、胆病位比率的差异进行统计学分析。结果:7691个医案中涉及到病位证素肝的有1895例,较为常见的舌象是红舌、白苔、薄苔及黄苔,其中红舌病例中涉及肝的比率高于薄苔、白苔(P<0.05,P<0.01);1036例临床病例中涉及到病位证素肝的有176例,较为常见的舌象为黄苔、薄苔、红舌、白苔,其中黄苔、薄苔、红舌病例中涉及肝的比率显著高于白苔(P<0.01);医案与临床研究的胆病病例分别为238、41例,较为常见的舌象均为黄苔、红舌、腻苔,而医案的黄苔病例中涉及病位证素胆的比率显著高于红舌、腻苔(P<0.01)。结论:在肝病中较为常见、与肝相关性较高的舌象有红舌、薄苔、黄苔等;在胆病中较为常见、与胆相关性较高的舌象有黄苔、红舌、腻苔。Objective: To investigate the correlation between liver, gallbladder and tongue manifestation. Methods: A total of 7 691 medical cases and 1 036 clinical cases among contemporary TCM masters were collected. The frequency and composition ratio of cases involving liver and gallbladder, as well as the frequency and composition ratio of cases involving various tongue manifestation of liver and gallbladder were analyzed. Statistical analysis was performed on the differences in the ratio of liver and gallbladder to several common tongue manifestations among liver and gallbladder cases. Results: In the 7 691 cases, the 1 895 cases of liver was higher, and the more common tongue manifestations were red tongue, white moss, thin moss and yellow moss. Among them, in the case of red tongue, the ratio of liver involvement was higher than that of thin moss and white moss(P<0.05, P<0.01). In the clinical research, the common tongues in 1 036 clinical cases of liver disease were yellow moss, thin moss, red tongue and white moss. Among them, the ratio of liver to yellow moss, thin moss and red tongue was higher than that of white moss(P<0.01). In the cases of biliary diseases cases are 238 and 41 in clinical cases, the tongue manifestations with significantly higher and more common were yellow moss, red tongue and greasy moss. In the case of yellow moss in the medical case, the ratio of the syndrome-related biliary was significantly higher than the red tongue and the tired moss(P<0.01). Conclusion: In liver diseases, the tongue manifestations that are more common and have higher liver-related characteristics include red tongue, thin moss, yellow moss, and so on. In biliary diseases, the tongue manifestations that are more common and have higher correlation with gallbladder are yellow moss, red tongue and tired moss.

关 键 词：肝 胆 病位 舌象 相关性 

分 类 号：R241.25[医药卫生—中医诊断学]