肛漏患者不同证型的舌象特征研究  

Study on the tongue characteristics of patients with anal fistula among different syndromes

作　　者：羊琪琪 杨巍[1] 王忆勤[2] 裴艳妮 彭云花[1] YANG Qiqi;YANG Wei;WANG Yiqin;PEI Yanni;PENG Yunhua(Department of Proctology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai200021,China;School of Basic Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai201203,China)

机构地区：[1]上海中医药大学附属曙光医院肛肠科,上海200021 [2]上海中医药大学基础医学院,上海201203

出　　处：《中国医药导报》2020年第33期133-136,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81673768);上海市科学技术委员会科研计划项目(18401904600);上海市卫计委杨巍上海市名老中医学术经验研究工作室资助项目(SHGZS-2017028);上海市临床重点专科项目(shslczdzk04302)。

摘　　要：目的比较肛漏不同证型的舌象参数差异。方法选取2019年6月—2020年3月于上海中医药大学附属曙光医院住院的肛漏患者206例,按主症分为湿热下注型(110例)、正虚邪恋型(49例)、阴液亏损型(47例)。记录舌象特征,并采集舌象数据,包括舌色、苔色色度、舌质、苔质指数。结果湿热下注型舌质色度R值大于其余两证型,V值小于其余两证型(P<0.05或P<0.01)。阴液亏损型舌质色度G值、B值小于湿热下注型(P<0.05或P<0.01)。就舌质色度S值而言,阴液亏损型>湿热下注型>正虚邪恋型(P<0.01)。湿热下注型舌苔色度R值、G值、S值均大于其余两证型,而V值小于其余两证型(P<0.01)。阴液亏损型舌苔色度G值大于正虚邪恋型(P<0.05)。湿热下注型舌苔色度H值大于阴液亏损型(P<0.05)。湿热下注型的裂纹指数低于阴液亏损型(P<0.05)。正虚邪恋型的胖瘦指数低于湿热下注型(P<0.05)。湿热下注型的腐腻指数高于正虚邪恋型(P<0.05)。湿热下注型的厚薄指数高于其余两证型(P<0.01)。结论湿热下注型肛漏患者舌质更接近红色,舌质、舌苔颜色更深,苔更厚腻;正虚邪恋型苔更薄白,舌体更瘦;阴液亏损型舌色较深而苔色较浅,裂纹更多。Objective To compare the tongue characteristic of anal fistula among different syndromes.Methods Two hundred and six patients with anal leakage hospitalized in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from June 2019 to March 2020 were selected.According to the main symptoms,they were divided into damp-heat diffusing downward(110 cases),healthy qi deficiency and lingering pathogen(49 cases)and yin fluid depletion(47 cases).The tongue body and coating color features were recorded,and the tongue characteristics were collected,including tongue body and coating color index,tongue body and coating quality index.Results The R value of tongue chroma of damp-heat diffusing downward was higher than that of other two types,the V value of tongue chroma of damp-heat diffusing downward was lower than that of other two types(P<0.05 or P<0.01).G value and B value of tongue chroma of yin fluid depletion were lower than those of damp-heat diffusing downward(P<0.05 or P<0.01).In terms of color S value of tongue,yin fluid depletion was higher than damp-heat diffusing downward,healthy qi deficiency and lingering pathogen(P<0.01).R value,G value and S value of tongue coating color of damp-heat diffusing downward were higher than the other two syndrome types,but V value of damp-heat diffusing downward was lower than the other two syndrome types(P<0.01).The color G value of tongue coating in yin fluid depletion was higher than that in healthy qi deficiency and lingering pathogen(P<0.05).The chroma H value of tongue coating of damp-heat diffusing downward was higher than that of yin fluid depletion(P<0.05).The crack index of damp-heat diffusing downward was lower than that of yin fluid depletion(P<0.05).The obesity index of healthy qi deficiency and lingering pathogen was lower than that of damp-heat diffusing downward(P<0.05).The rotting and greasy index of damp-heat diffusing downward was higher than that of healthy qi deficiency and lingering pathogen(P<0.05).The thickness index of damp-heat

关 键 词：肛漏 舌象特征 辨证分型 相关性 

分 类 号：R246.2[医药卫生—针灸推拿学]