摘要
本文对104例不同中医辨证(阴虚、阳虚、气血两虚、气滞血瘀、湿热)患者及100例健康人,进行了舌尖微循环观察。结果表明:各组患者均表现了不同程度的舌尖微循环障碍,各项观察指标异常变化明显高于健康人组,尤以气滞血瘀组舌尖擞循环障碍表现最甚,其次为阳虚组、阴虚组、气血两虚组、湿热组。并对各组患者舌尖微循环与舌象变化的关系及与中医辨证分型的关系进行了探讨。
Observations of tongue tip microcirculation were made on 104 patients with different symptom complex[5 groups:Yin(阴)deficiency,Yang(阳)defiency,Qi(气)-blood deficiency,Qi stagnation. blood stasis,damp-heat]in view of TCM.and on 100 healthy persons.10 indicators including the transverse diameter of the fungiform papillae,morphology of microvascular clumps in the tongue papillae,congestion of the top of microvascular loop,loop dilation,blood color,hemodynamics in microvascular loop,exudation,hemorrhage and loop morphology were observed.The results were: patients of each group were found to have to different degree microcirculation dysfunction;every group differed with Qi stagnation-blood stasis group of being most different.The numbers of abnormal indicators:Qi stagnation-blood stasis group had all 10;Yang deficiency group 9;Yin deficiency and Qi.blood deficiency group 8,8 respectively;damp.heat group 7.This study discussed the relationship between tongue tip microcirculation of each group and the changes of tongue picture. and typing of differentiation of symptoms and signs in view of TCM.