浅谈舌诊在妇科疾病诊治中的应用

On the application of tongue diagnosis to the diagnosis and treatment of gynecological diseases

舌为心之苗窍,五脏六腑通过经络、经筋与舌相连,故舌象可反映脏腑的病变。在妇科疾病中,常见舌象有8类:气虚、血虚、阴虚、阳虚、血热、血寒、湿邪、血瘀类,先辨舌脉,再施治,气虚类健脾益气,先后天共养之;血虚类补血养血,重者填精补血;阴虚类宜滋肾益阴;阳虚则健脾温肾补阳;血热以凉血为主;血寒重在温经散寒;湿热宜清热除湿;寒湿治当健脾益气与利水渗湿同治;血瘀则调气活血行瘀。临床诊疗时,要四诊合参,结合舌象、苔象判断疾病的转归。

The tongue, connected with internal organs through meridians and aponeurotic channels, is the window of heart. So the dysfunction of the internal organs can be reflected by the tongue. There are eight kinds of tongue picture in gynecological disease as Qi deficiency, blood deficiency, Yin deficiency and Yang deficiency, blood-heat, blood-cold, the pathogenic damp- ness and the blood stasis. The tongue diagnosis and pulse-taking should be given before the treatment. We should tonify spleen and Qi for Qi deficiency, nourish blood and replenish essence for blood deficiency, nourish Yin and the kidney for Yin deficiency, warm the kidney and tonify Yang for Yang deficiency, cool blood for blood-heat, warm meridians to remove cold- ness for blood-cold, clear away heat and remove dampnessfor dampness-heat, tonify spleen and Qi, clear dampness and pro- mote diuresis for cold-dampness and promote the flow of Qi and blood circulation for the blood stasis. During the process of clinical diagnosis and treatment, four diagnostic parameters should be combined with tongue picture to prejudge the clinical outcome.