基于“治未病”思想肝病不同血瘀证舌色与舌下络脉的研究

目的:探讨肝病不同血瘀证舌色及舌下络脉的瘀血程度。方法:用RGB值定量分析及舌下络脉的观察方法。结果:血瘀证各组的舌质红色分量R值较淡红舌显著降低(P0.05或P0.01),绿色分量的G值接近(P0.05),蓝色分量B值显著增高(P0.05或P0.01);青紫舌与各血瘀证的舌质RGB值的观察表明:青紫舌比血瘀证各组的舌质红色分量R值显著降低(P0.05或P0.01),绿色分量的G值接近(P0.05),蓝色分量B值显著增高(P0.05或P0.01);肝病各血瘀证组与正常组的舌下络脉主干充盈度相比较,湿热瘀滞证多见饱满隆起弯曲,占91.4%;各组主干充盈度分布有统计学差异(P0.01);肝病各血瘀证组舌下络脉多见双支干、多支干,湿热瘀滞证多见多支干,占60%,气虚血瘀证多见双支干,占64.7%;各组主干形态分布有统计学差异(P0.01)。结论:血瘀程度越重,蓝色分量B值越高,青紫舌比血瘀证各组的舌质蓝色分量B值显著增高,说明青紫舌的瘀血程度大于其他瘀血舌;湿热瘀滞证多见多支干、饱满隆起弯曲,说明湿热瘀滞证的瘀滞程度大于其他血瘀证的瘀血舌,说明肝病瘀血舌象舌下络脉主干形态和主干充盈度的临床观察可作为肝病不同血瘀证微观证型分类的诊断指标之一。

Study of Tongue Color and Sublingual Collateral of the Hepatopathy Tongue of Blood Stasis of Different Syndrome Based on Traditional Chinese Medicine Theory of Treatment Before Being Sick

Objective：To explore the stasis degree of hepatopathy tongue of blood stasis. Methods：Quantitative examination is researched by means of the theory color space and sublingual collateral. Results：R of tongue color of Blood stasis syndrome（ BSS） was significantly lower than that of light red tongue（ P 0. 05 or P 0. 01） ,B of tongue color of BSS was significantly higher than that of light red tongue（ P 0. 05 or P 0. 01） ; R of tongue color of bluish-purple was significantly lower than the others（ P 0. 05 or P 0. 01） ,B of tongue color of bluish-purple was significantly higher than the others（ P 0. 05 or P 0. 01） ; We observed the sublingual veins of patients different hepatopathy BSS finding that,sublingual veins of patients was differentiated from normal control group,dampness and heat and blood stasis syndrome（ DHBSS） amounted for 91. 4% in the sublingual veins of satiation and crook,distributing of full trunk was all increased significantly compared with normal group（ P 0. 01） ; Sublingual veins of patients differentiated as normal control group was increased than normal group in both double branch and many ones,DHBSS accounted for 60% of many branches,qi and blood stasis syndrome made up 64. 7% ,distributing of trunk shape was all increased significantly compared with normal group（ P 0. 01）. Conclusion：Experiments showed that the stronger blood stasis the more B of tongue color,R of tongue color of bluish-purple was significantly lower than the others,B of tongue color of bluish-purple was significantly higher than the others. The stasis degree of tongue color of bluish-purple was significantly higher than the others by means of quantitative examination of RGB of different tongue color in tongue of blood stasis of hepatopathy; DHBSS was characterized by the sublingual veins of satiation and crook and many branches. Experiments showed that sublingual veins of tongue of blood stasis of hepatopathy may be an applicable clinic index in judgment various BSS syndrome type.