舌边与脏腑关系的研究

Study on the relationship between lingual margins and internal organs

目的:探讨舌边与脏腑的关系,确定舌面脏腑分部理论的实际临床意义,促进中医诊断规范化的发展。方法:对7 680例当代名医医案、1 018例临床病例中舌边出现异常并涉及到脏腑病位证素的病例进行频数、频率统计并对各脏腑病位证素各自出现舌边异常的比率采用χ2检验方法进行比较。结果:肝、胆的病例中出现舌边异常的比率较高,此外在舌边出现异常的病例中,肝都是出现频率最高的脏腑病位证素。结论:舌边与肝胆的关系较为密切,舌边主肝胆的理论有一定的实际临床意义。

To explore into the relationship between lingual margins and internal organs and to determine the clinical significance of the theory that pathologies of different internal organs can be manifested on different parts of lingual surface so as to promote the standardization of TCM diagnoses.Methods： Seven thousand six hundred and eighty cases recorded by contemporary famous doctors and 1018 other clinical cases were collected.In all of these cases,anomalies of lingual margins were related to syndrome elements of internal organs.The frequency of every kind of anomaly was calculated and x2 test was used to compare the rates of anomaly among the syndrome elements of internal organs.Results： The rate of lingual margin anomaly for syndrome elements of the liver and gallbladder was relatively high;among all cases of lingual margin anomalies,liver pathology was most frequently involved.Conclusion： There is a close relationship between lingual margins and the liver and gallbladder,and the theory that the lingual margin is the indicator of the liver and gallbladder is to some extent clinically significant.