166例慢性胃炎患者舌象特征与证型关系的初步观察

Preliminary Observation of Relationship between Feature of Tongue Manifestations and Syndrome Patterns in 166 Cases of Chronic Gastritis

为研究胃炎患者的舌象特征与证型关系 ,设计应用“舌象量级识别记录表”对 166例慢性胃炎患者的舌象进行观察分析 ,并对舌象与中医辨证分型间的关系作判别分析 ,筛选出淡红舌、淡白舌、青紫舌、黄苔和剥苔 5个变量参数 ,建立了慢性胃炎不同证型的舌象分类判别函数。所得的判别函数对原始数据判别正确的总回代率为 5 1 80 % ,其中脾胃虚弱型 73 33% ,脾胃湿热型 70 .0 0 % ,胃络瘀血型和胃阴虚型分别有 5 9 0 9%和 5 5 .0 0 %。

In order to study the relationship between the feature of tongue manifestation and syndrome patterns in the patients with chronic gastritis, a “Recording Table for Discrimination of Quantitative Grades in Tongue Manifestations' was designed and used to observe and analyze the tongue manifestations in 166 cases of chronic gastritis and conduct a gradual distinguishing analysis on the relationship between the tongue manifestations and classification of TCM syndrome differentiation. 5 quantitative parameters of slight red tongue, pale tongue, blue purple tongue, yellow tongue coating and peeled tongue coating were screened and a distinguishing function for classification of tongue manifestations in different patterns of chronic gastritis was established. The total backcross rate of the obtained distinguishing function on correct discrimination of the primary data was 51.8%, including in the pattern of deficiency in the spleen and stomach, 70% in the pattern of dampness and heat in the spleen and stomach, and 59.09% and 55% respectively in the pattern of blood stasis in the stomach collaterals and pattern of stomach yin deficiency.