阳虚质人群舌象和面象客观化分析  

Objective Data Analysis of Tongue Manifestations and Complexions in the Population with Yang Deficiency Constitution

作　　者：滕瑄 彭添凤 周宇轩 易鑫颖 杨静伊 曾梅艳 彭清华 宋厚盼 TENG Xuan;PENG Tianfeng;ZHOU Yuxuan;YI Xinying;YANG Jingyi;ZENG Meiyan;PENG Qinghua;SONG Houpan(College of Traditional Chinese Medicine,Hunan University of Chinese Medicine,Changsha 410208 Hunan,China)

机构地区：[1]湖南中医药大学中医学院,湖南长沙410208

出　　处：《广州中医药大学学报》2025年第4期797-802,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:82374429);湖南省自然科学基金项目(编号:2023JJ30460);湖湘青年科技创新人才项目(编号:2021RC3101);湖南省卫生健康高层次人才项目(编号:20240304116);中华中医药学会青年人才托举工程项目(编号:2024-QNRC2-B25);刘良院士工作站指导项目(编号:22YS003)。

摘　　要：【目的】对在校大学生阳虚质人群和平和质人群开展舌、面象客观化数据分析,探讨在校大学生阳虚质人群与舌象、面象特征数据之间的关联性。【方法】于2023年8月至2024年1月期间,在湖南省内的湖南中医药大学、中南大学、湖南师范大学、湖南大学、长沙理工大学5所高校的在校大学生中采集阳虚质人群325例和平和质人群175例。运用YM-MA-I型中医舌、面诊数字化检测系统进行数据采集和图像分析,比较两种体质人群的舌色、舌形、苔色、面色、唇色的Lab参数差异(其中,L代表亮度,表示从纯黑到纯白,取值为0~100;a和b代表两个颜色通道,a表示从深绿色到灰色再到亮粉红色,取值范围是-128~127;b表示从亮蓝色到灰色再到黄色,取值范围是-128~127)。【结果】(1)舌质和舌苔特征方面,与平和质人群相比较,阳虚质人群以舌体胖大(72.62%)、齿痕舌(83.69%)、苔腻(59.38%)多见,差异均有统计学意义(P<0.05或P<0.01)。(2)面部光泽与唇色特征方面,与平和质人群比较,阳虚质人群面部多表现为少光泽(79.08%),唇色以淡白为主(42.15%),差异均有统计学意义(P<0.01)。(3)Lab参数方面,阳虚质人群的舌色L值和苔色L值均较平和质人群显著升高,面色L值和唇色L值、b值均较平和质人群显著升高,差异均有统计学意义(P<0.05),表明阳虚质人群的舌色、面色、唇色均偏淡白。【结论】舌、面诊客观化数据与图像分析可准确辨别在校大学生阳虚质人群,可为人群其他类型体质判别提供思路和参考。Objective To conduct an analysis on objective data of tongue manifestations and complexions among college students with yang deficiency constitution and balanced constitution,thus to explore the correlation between yang deficiency constitution and the objective data of tongue manifestations and complexions among college students.Methods From August 2023 to January 2024,data collection was carried out in 325 cases of yang deficiency constitution(yang deficiency group)and 175 cases of balanced constitution(balanced group)from college students of Hunan University of Chinese Medicine,Central South University,Hunan Normal University,Hunan University and Changsha University of Science and Technology in Hunan Province.YM-MA-I digital detection system for tongue manifestations and complexions of traditional Chinese medicine(TCM)was utilized for data collection and image analysis,and the differences in the Lab parameters of tongue color,tongue shape,tongue coating color,complexions,and lip color were compared between yang deficiency group and balanced group.Of the Lab parameters,letter“L”stands for luminance,which expresses the luminance from absolute black to absolute white,and takes the value of 0-100;letter“a”and letter“b”stand for two color channels,letter“a”represents the color from dark green to grey then to bright pink,and takes a value from-128 to 127,and letter“b”represents the color from bright blue to grey then to yellow,and also takes a value from-128 to 127.Results(1)The analysis of tongue manifestations showed that in comparison with the balanced group,enlarged tongue(72.62%),tooth-marked tongue(83.69%),and greasy coating(59.38%)were frequently seen in the yang deficiency group,and the differences were all statistically significant(P<0.05 orP<0.01).(2)The analysis of complexions showed that in comparison with the balanced group,lusterless complexion(79.08%)and pale lip(42.15%)were frequently seen in the yang deficiency group,with statistically significant differences(P<0.01).(3)The yang d

关 键 词：阳虚质 面诊 舌诊 客观化研究 中医体质 在校大学生 

分 类 号：R259[医药卫生—中西医结合]