127例急性脑卒中患者舌象的观察

Observations on tongue picture and its clinical significance in patients with stroke

目的：观察脑卒中患者舌象变化并指导临床治疗。方法：记录１２７ 例脑卒中患者全病程舌象，根据舌象变化选用“开窍熄风汤”、“通腑汤”、“羚蝎胶囊”、“化瘀汤”、“益阴汤”和“益气活血糖浆”进行辨证治疗。结果：黄、白垢腻苔，厚腻苔，黄腻苔，黄糙苔，舌下脉络迂曲，舌质红绛或暗红，舌体卷缩，多为危重之症。通过结合证、舌、脉的辨证施治１２７ 例中基本恢复３９ 例，显著进步３１ 例，进步３１ 例，稍进步１１ 例，恶化４ 例，死亡１１ 例，总有效率为８８２％ 。结论：风火痰热是脑卒中的主要病机。

Objective:To observe the variations in tongue picture and guide the clinical therapy.Methods:In 127 patients with stroke the tongue pictures were recorded for whole terms.Based on the changes in tongue pictures the Kaiqiao Xifeng Decoction(开窍熄风汤),Tongfu Decoction(通腑汤),Lingxie Capsule(羚蝎胶囊),Huayu Decoction(化瘀汤),Yiyin Decoction(益阴汤),and Yiqi Huoxue Syrup(益气活血糖浆) were selectively used to carry out syndromes differ treatment.Results:The whiteyellow fur,white greasy dirty fur,thick greasy fur,yellow greasy fur,yellow rough fur,pulse collateral tortuosity is subtongue,deep red tongue or dark red tongue and crimp of the tongue body were all the prediction of severe diseases.Through the syndromes differ treatment of syndrome,tongue and pulse among the 127 cases 39 cases were basically recoved,31 cases markedly improved,31 cases improved,11 cases slightly improved,4 cases deteriorated,11 cases died,and the total effective rate was 88 2%.Conclusions:Windfire and phlegmheat is the mainly pathologic mechanisms of stroke.The observations on tongue picture in patients with stroke possess some significance for guiding clinical therapy in certain extent.