普通型新型冠状病毒肺炎舌象与中医证型的相关性研究  

Study on the Relationship between Tongue Image and Traditional Chinese Medicine Syndromes in Patients with Ordinary Corona Virus Disease 2019

作　　者：陈波 周星 肖斌[1] 许钦[1] 林恩珍 刘俐芳 陈腾飞[1] CHEN Bo;ZHOU Xing;XIAO Bin;XU Qin;LIN Enzhen;LIU Lifang;CHEN Tengfei(The Second Affiliated Hospital of Fujian Traditional Chinese Medicine University,Fuzhou 350003,Fujian,China;Jin Yintan Hospital WUhan 430000,Hubei,China;The People's Affiliated Hospital of Fujian Traditional Chinese Medicine University,Fuzhou 350004,Fujian,China)

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350003 [2]武汉市金银潭医院,湖北武汉430000 [3]福建中医药大学附属人民医院,福建福州350004

出　　处：《实用中医内科杂志》2021年第7期64-67,I0009,I0010,共6页Journal of Practical Traditional Chinese Internal Medicine

基　　金：福建省教育厅中青年教师教育科研项目(JAT190275)。

摘　　要：目的分析普通型新型冠状病毒肺炎(corona virus disease 2019,COVID-19)患者舌象分布规律及与中医证型的相关性,以期在特殊防护下从舌象特征探讨其病机特点,并为临床辨证论治提供理论依据。方法纳入武汉市金银潭医院综合病区收治确诊为普通型COVID-19患者120例,收集患者舌象并进行临床辨证分型,分析普通型COVID-19患者舌象分布规律,采用对应分析法研究舌象与中医证型的相关性。结果普通型COVID-19患者苔质以腐腻苔(53.33%)、厚苔(18.33%)为主,苔色多见黄苔(71.67%),舌色多见淡红舌(50%)、暗红舌(16.67%),舌形多见正常舌(51.67%)、胖大舌(26.67%)、齿痕舌(16.67%)。对应分析发现寒湿阻肺证与湿毒郁肺证在苔质方面相近。肺脾气虚证、湿毒郁肺证与寒湿阻肺证在舌形方面相近。依据各证型与舌象的划分区域分析,湿毒郁肺证多见黄苔、腐腻苔、厚苔、红舌、胖大舌。寒湿阻肺证多见白苔、腐腻苔、厚苔、淡白舌、胖大舌。肺脾气虚证多见薄苔、淡红舌、胖大舌、齿痕舌。气阴两虚多见少苔。结论普通型COVID-19患者舌象分布存在特征规律,反映其主要病机为"湿、热、毒、虚",舌象特征与证型所体现的病机特点一致,与中医证型关系密切,可良好的指导临床辨证论治。Objective To analyze the distribution law of tongue image and its correlation with TCM syndrome types in patients with ordinary Corona Virus Disease 2019(COVID-19), in order to explore the pathogenesis characteristics of tongue image under special protection, and to provide theoretical basis for clinical syndrome differentiation and treatment.Methods 120 patients with ordinary COVID-19 were enrolled in the comprehensive ward of Jin Yin-tan Hospital in Wuhan.The tongue images of the patients were collected and classified according to clinical syndrome differentiation.The distribution of tongue images of common COVID-19 patients was analyzed, and the correlation between tongue images and TCM syndrome types was studied by correspondence analysis.Results The most ordinary COVID-19 patients were putty tongue coating(53.33%), thick tongue coating(18.33%), yellow tongue coating(71.67%), light red tongue(50%), dark red tongue(16.67%), normal tongue(51.67%), fat tongue(26.67%) and toothed tongue(16.67%). Correspondence analysis found that the syndrome of cold-dampness blocking the lung was similar to that of damp-toxin stagnating the lung in terms of tongue coating quality.The tongue shape of lung-spleen-qi deficiency syndrome, dampness-toxin stagnation lung syndrome and cold-dampness lung syndrome are similar. According to the regional analysis of each syndrome type and tongue image, yellow tongue coating, putty and thick tongue coating, red tongue and fat tongue were common in the syndrome of damp-toxin stagnation of the lung. The syndrome of cold-dampness blocking the lung was mostly white, putty and thick tongue coating, pale tongue and fat tongue.The syndrome of deficiency of lung and spleen qi is characterized by thin tongue coating, reddish tongue, fat tongue and toothed tongue.The syndrome of deficiency of both qi and yin is more less moss.Conclusion There is a characteristic rule in the distribution of tongue image in patients with ordinary COVID-19, which reflects that the main pathogenesis is "dampness, heat, p

关 键 词：新型冠状病毒肺炎 普通型 舌象 证型 相关性 

分 类 号：R254[医药卫生—中医内科学]