平和质与三种偏颇体质的舌象特征研究.docVIP

 平和质与三种偏颇体质的舌象特征研究# 梁嵘1，张莹1，王召平2，任玉杰1，杨新宇1，王盛花2，姚叙莹1** （1. 北京中医药大学中医诊断系，北京 100029； 5 2. 首都医科大学附属北京同仁医院体检中心，北京 100730） 摘要：目的 探讨中医体质辨识中的平和质与三种偏颇体质（痰湿质、湿热质、阴虚质）的 舌象特征。方法 以体检人群为对象，采用标准化的中医体质量表测评各体质类型的得分； 由中医师进行舌象观察并拍摄数字舌图，对平和质、痰湿质、湿热质和阴虚质四组的舌象进 10 行对比分析。结果 平和质组中，属于正常范围的舌质（淡红舌、正常舌形）与舌苔（薄白 苔）的出现率均不到 50%。与平和质组比较，痰湿质组的暗红舌、厚腻苔、黄苔的发生率 增高，差异有统计学意义（P 0.05）；湿热质组的红绛舌、厚腻苔的发生率增高，差异有 统计学意义（P 0.05）；阴虚质组的红绛舌、瘦薄舌、少苔的发生率增高，差异有统计学 意义（P 0.05）。结论 舌诊是体质辨识的一个重要组成部分，数字舌图分析是体质辨识 15 20 25 30 35 40 的舌象特征研究中不可缺少的技术手段。 关键词：中医诊断学；中医体质；舌诊；数字舌图 中图分类号：R241 Research of Tongue characteristics based on Gentleness type and three biased constitution LIANG Rong1, ZHANG Ying1, WANG Zhaoping2, REN Yujie1, YANG Xinyu1, WANG Shenghua2, YAO Xuying1 (1. Department of Chinese Medicine diagnosis, Beijing University of Chinese Medicine ，Beijing 100029; 2. Medical Examination Center of Beijing TongRen Hospital, Capital Medical University, Beijing 100730) Abstract: Objective This article aimed to discuss the Tongue characteristics between gentleness in the identification of TCM constitution with three biased constitution(Phlegm-wetness type， Wet-heat type，Yin-deficiency type). Methods Selected medical population as the object，and selected the standardized Constitution in Chinese Medicine Questionnaire to evaluation the scores of all kinds of constitutional types；taking digital tongue map and comparative analysis of gentleness，phlegm-wetness type，wet-heat type ，yin-deficiency type，four groups of the Tongue by Chinese medicine practitioners. Results In the gentleness group，the normal range of the tongue (pink tongue，normal tongue-shaped) and tongue (thin white coating) is a rate less than 50%. Compared with the gentleness group，incidence of phlegm-wetness group of dark red tongue，thick and greasy fur，yellow moss increased，the difference was statistically significant (P 0.05)；incidence of wet-heat group of red tongue，thick and greasy fur increased，the difference was statistically significant (P0.05)；