慢性萎缩性胃炎脾虚气滞证的舌、面诊信息特征研究  

Study on characteristics of tongue and facial diagnosis information of spleen deficiency and qi stagnation syndrome in chronic atrophic gastritis

作　　者：杨帅[1] 王步轶 胡鸿毅[2] 李福凤[1] YANG Shuai;WANG Bu-yi;HU Hong-yi;LI Fu-feng(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学,上海201203 [2]上海中医药大学附属龙华医院,上海200032

出　　处：《中华中医药杂志》2020年第11期5521-5524,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81774205);国家重点研发计划中医药现代化研究重点专项(No.2018YFC1707602)。

摘　　要：目的:探索慢性萎缩性胃炎(CAG)脾虚气滞证的舌、面诊信息特征,为其临床辨证提供客观诊断依据。方法:使用中医舌、面诊仪采集脾虚气滞证CAG患者(122例)和正常人(53名)的舌、面诊信息数据,对比分析两者的舌、面诊参数的差异。结果:脾虚气滞证组与正常组面诊参数比较,面部R、B、C值及嘴唇S值显著降低(P<0.05),面部W值、面色综合指数、嘴唇H及I值、无光泽指数显著升高(P<0.05);脾虚气滞证组与正常组舌诊参数比较,苔色R、G、B值,舌色R、G、B值及厚薄、腐腻、剥苔、老嫩、齿痕、裂纹特征值显著升高(P<0.05),胖瘦、点刺与瘀斑特征值显著降低(P<0.05)。结论:舌、面诊信息特征可以作为CAG的中医辨证诊断客观依据之一,为临床疾病的客观化诊断提供了一种便捷有效且无创的方法。Objective:Studying the characteristics of tongue and facial diagnosis of CAG with spleen deficiency and qi stagnation syndrome,to provide objective diagnostic basis for clinical syndrome differentiation of TCM.Methods:Tongue and facial diagnosis information data of CAG patients with spleen deficiency and qi stagnation syndrome(122 cases)and normal people(53 cases)were collected by using tongue and facial diagnosis detector,and the differences of tongue and facial diagnosis parameters between two groups were compared and analyzed.Results:Facial diagnosis parameters comparison:The facial R value,B value,C value,and lip S value of the former were significantly lower than the latter(P<0.05),and the facial W value,facial complex index,lip H value,lip I value,and matte index were significantly higher than the latter(P<0.05).Tongue diagnosis parameters comparison:The tongue coating color R value,G value,B value,tongue color R value,G value,B value,thickness,rot,peeling,old tenderness,tooth mark and crack characteristic value of the former were significantly higher than the latter(P<0.05),the characteristics of fat,thin,prick and ecchymosis were significantly lower than the latter(P<0.05).Conclusion:The characteristics of tongue and facial examination information can be used as one of the objective bases for the diagnosis of TCM syndrome differentiation of CAG,which provides a convenient and non-invasive method for the objective diagnosis of clinical diseases.

关 键 词：慢性萎缩性胃炎 脾虚气滞证 舌诊 面诊 

分 类 号：R259[医药卫生—中西医结合] R241.2[医药卫生—中医内科学]