慢性肾衰竭虚证患者临床辨证舌象客观化研究

目的:客观地描述慢性肾衰竭虚证患者的舌象特征,以揭示其舌象变化的基本规律。方法:应用TP-1型中医舌象数字化分析仪检测患者舌象参数,采用酶法、比色法等技术检测CRF患者血生化指标。结果:慢性肾衰竭虚证5种证型中舌色指数以脾肾阳虚型为最高,润燥指数以阴阳两虚型为最低;5型中,舌象参数与血生化指标具有相关性,不同证型舌象参数对应的血生化指标不同。结论:TP-1型中医舌象数字化分析仪能够客观地描述慢性肾衰虚证5种证型舌象特征,指标重复性较好,能在一定程度上反映慢性肾衰各证型与舌象参数的关系。

Objective Study on Tongue Image of Patients with Chronic Renal Failure of Deficiency Syndrome

Objective: To describe the characteristic of tongue image of patient with chronic renal failure(CRF) of deficiency syndrome,and to reveal the elemental rule on the change of the tongue image.Methods: The tongue parameters was detected by TP-1 tongue image digital analysis instrument,and the blood biochemistry indexes were measured with enzymic method and chromatometry.Results: The index of tongue color in deficient of spleen-kidney yang syndrome was regarded as the highest among five syndromes of deficient syndrome;the index of moistening and dryness in deficiency of both yin and yang syndrome was the lowest.There were correlations between tongue parameters and blood biochemical indexes,and the tongue parameters in different syndrome were related to different biochemical indexes.Conclusions: TP-1 tongue image digital analysis instrument can objectively describe the features of tongue image of every syndrome for CRF,which had reproducibility,and can reflect the relationships between various syndromes and the tongue parameters to some degrees.