急性呼吸系感染疾病舌苔厚度中医机理研究

TCM Mechanism of the Tongue Fur Thickness in Acute Infection of Respiratory Tract

通过研究急性呼吸系感染疾病舌苔厚薄与症状、证候的关系 ,以期阐明该病舌苔增厚的中医机理。依据舌苔厚度将患者分为舌苔轻度组、中度组和重度组 ,半定量化调查问诊症状 ,进行舌苔厚薄与症状、证候关系的分析。结果表明 :在急性呼吸系感染疾病中 ,薄苔以表证为主要证候 ,多见风热表证、风热犯肺证候 ;厚苔以里证为主要证候 ,多见痰热阻肺、邪热壅肺证候。舌苔厚度与问诊症状轻重程度呈正相关。舌苔厚度与热邪亢盛、津液损伤、脾胃功能受损所表现的症状出现率呈正相关。急性呼吸系感染疾病舌苔增厚表示病邪入里、病位深、病情重 ,体现了热邪亢盛、津液损伤。

Study the relationship to the thickness of tongue fur and symptoms/syndromes in the acute infection of respiratory tract (AIRT). Methods: Patients were divided into three groups, mild thick fur, middle thick fur and severe thick fur according to the total score of the thickness of tongue fur. Quantitatively record the symptoms in interrogation and study the relationship between the thickness of the tongue fur and symptoms/syndromes. Results: In AIRT, when the fur was thin, the patient's major syndromes were invasion of the lung by wind heat and wind heat exterior syndromes which belong to exterior syndromes. When the fur was thick ,the patient's major syndromes were accumulation of phlegm heat in the lung and retention of pathogenic heat in the lung which belong to interior syndromes. The thickness of the fur increased with the seriousness of interrogated symptoms and the appearance rate of symptoms, which suggested excessive pathogenic heat , exhaustion of body fluid , reduced function of the spleen and stomach . Conclusion: In AIRT, if the thin fur becomes thicker, it suggests a severe internal invasion of the pathogenic factor, deep location of the disease and patients' severe condition. It also suggests the three TCM pathogenesis which are excessive pathogenic heat, exhaustion of body fluid and reduced function of the spleen and stomach .