阴虚质人裂舌舌象特征研究  

Research on the Tongue Image Characteristics with Yin Deficiency Human Cleft Tongue

作　　者：李晓静 齐雪杉 周婉宁 王涵[1] 马新宇 杨珺涵 徐跃 陈岩[2] 张哲[1,2] LI Xiaojing;QI Xueshan;ZHOU Wanning;WANG Han;MA Xinyu;YANG Junhan;XU Yue;CHEN Yan;ZHANG Zhe(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《中西医结合慢性病杂志》2025年第1期56-63,共8页JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE ON CHRONIC DISEASES

基　　金：国家中医药管理局青年岐黄学者支持项目(20201A2180)。

摘　　要：目的人裂舌是一类古籍记载的特殊舌象特征,引入计算机图像处理技术结合专家评定法总结阴虚质人裂舌舌象特征。方法纳入辽宁中医药大学在读大学生舌象500例,其中含有人裂舌舌象特征60例,通过9种体质量表测量,其中阴虚质35例,采用随机抽样方法,抽取平和质非人裂舌100例作为对照组,通过Open CV算法提取舌质、舌苔HSI(H:hue,色调;S:saturation,饱和度;I:intensity,亮度)、Lab色度(L:lightness,亮度;a:greenred axis,红绿色度;b:blue-yellow axis,黄蓝色度)空间数据;通过Yolov 5算法分析裂纹宽度与舌体宽度比、裂纹高度与舌体高度比、裂纹面积与舌体面积比等舌象特征参数。通过对比两组舌象特征差异,探究阴虚质人裂舌舌象特征。并将35例阴虚质人裂舌人群按三分法分组,判断其与阴虚质严重程度的相关性。结果定性分析:与对照组相比,人裂舌组更易出现红舌、点刺舌和瘦薄舌,舌苔易出现少苔、薄苔,舌质偏燥,舌下络脉偏粗(P<0.05)。定量分析:舌质特征:与对照组相比,人裂舌组舌质1区、4区H值偏小(P<0.05);2区、4区S值较高(P<0.05);2区、3区、4区I值偏高(P<0.05);1区、3区、4区、5区L值偏高(P<0.05)。舌苔特征:1~4区H值偏小;2~5区S值偏大(P<0.05);2区、5区I值较大(P<0.05);2区L值偏大(P<0.01)。裂纹定量特征:人裂舌组裂纹面积与全舌面积比、裂纹宽度与舌体宽度比、裂纹高度与舌体高度比均明显高于对照组(P<0.01)。人裂舌裂纹定量化数值单因素分析结果:重度阴虚质组>中度阴虚质组>轻度阴虚质组,阴虚质评分下的裂纹数值大小与其阴虚体质严重程度呈正相关(P<0.05)。结论分析人裂舌舌象特征,发现其与阴虚质密切相关,并且阴虚质人裂舌裂纹数值大小与阴虚体质严重程度呈正相关,以期为人裂舌舌象特征临床应用提供客观依据。Objective This paper introduces computer image digital processing technology combined with expert evaluation method to summarize the characteristics of human cleft tongue in Yin deficiency.Methods A total of 500 cases of tongue images from college students at Liaoning university of traditional Chinese medicine were included,with 60 cases featuring a bifurcated human tongue.Measured by nine body mass scales,35 cases of Yin deficiency were found,by random sampling method,100 cases were randomly selected from the smooth tongue image as control group,the OpenCV algorithm was used to extract the chromaticity space data of tongue quality,tongue coating HSI,and Lab;The Yolov 5 algorithm was used to analyze the characteristic parameters of tongue imagery,such as the ratio of crack width to tongue width,the ratio of crack height to tongue height,and the ratio of crack area to tongue area.By comparing the differences between the two groups of tongue images,the characteristics of cleft tongue images in Yin deficiency people were explored.35 cases of Yin deficiency and cleft tongue were divided into three-point groups to determine the correlation between Yin deficiency and the severity of Yin deficiency.Results Qualitative analysis:Compared with the control group,the human cleft tongue group was more likely to have red tongue,prickly tongue and thin tongue,and the tongue coating was prone to less lichen and thin lichen,and the tongue texture was dry and the sublingual veins were thicker(P<0.05).Quantitative analysis:Tongue characteristics:Compared with the control group,the H value of tongue in areas 1 and 4 of the human cleft tongue group were smaller(P<0.05).The S value of areas 2 and 4 were higher(P<0.05).The I value in areas 2,3 and 4 were high(P<0.05).The L value of areas 1,3,4 and 5 were high(P<0.05).Characteristics of tongue coating:H value in areas 1~4 were small;The S value in areas 2~5 were large(P<0.05).The I value in area 2 and area 5 were higher(P<0.05).The L value of area 2 was large(P<0.01).Quantitative charac

关 键 词：人裂舌 舌象特征 阴虚质 图像数字处理技术 

分 类 号：R267.8[医药卫生—中医外科学] R781.57[医药卫生—中医学]