肝郁气滞证与风轮形态变化的相关性研究

Correlation study on morphological changes between liver qi depression and wind wheels of eyes

目的根据"肝开窍于目"、"五轮学说",对中医肝郁证与风轮形态改变的相关性进行研究。方法采用"症状积分量表"收集内科肝郁证82例患者,分为气滞组、阴虚组、血瘀组,另设对照组。利用虹膜检测仪拍摄受试者风轮的纹理、斑块、陷窝情况。结果各证型在不同年龄段的积分差异具有统计学意义(P<0.05),以30～50岁年龄段最高,50岁以上次之,30岁以下最低;风轮检测纹理欠清晰者31例(37.8%),风轮有色素斑块者10例(12.2%),出现陷窝者36例(43.9%)。对照组中有3例检出纹理欠清晰,1例检出斑块,4例检出陷窝;阴虚组、血瘀组、对照组中有10例检出纹理、斑块、陷窝同时存在。结论随肝郁气滞证患者症候的发展,风轮形态异常检出率有增加趋势。

（Abstract] Objective To study the correlation of morphological changes between liver qi depression and wind wheels eyes according to traditional Chinese medicine theory ＂the eyes acting as the window of the liver＂ and ＂five wheels theory＂. Methods 82 patients with stagnation of liver-QI, collected with ＂symptom integrating scale＂, were divided into four groups： Qi stagnation, Yin deficiency, blood stasis and the control groups. The pictures of texture, plaque and acune of wind wheel were shot with the Iris Detector. Results The differences between the various syndrome and different ages were obvious （P〈0.05）, that was the most obvious in the age period from 30 to 50 years old, next was over 50 years old, and that was not so obvious blow 30 years old. Wind wheel texture were unclear were 31 patients（37.8%）, pigmented plaque in wind wheels were 10 patients （12.2%）, and appeared acune in wind wheel were 36 patients （43.9%）. In the control group, the textures were detected in 3 patients, but not so clear, acune in 1 and plaques in 4. And the texture, plaque and pits in 10 patients were detected in all the Yin deficiency, blood stasis and control groups. Conclusion The detection rate of abnormal changes of wind wheel tends to increase along with the development of liver depression symptoms.