【摘要】 101例高血压病患者按舌质变化分为红绛、淡红、淡白、紫暗四组,同时测定血流动力学和生化指标。四组中红绛舌组心率和心脏指数最高而外周阻力和 PEP/LVET 最低;淡白舌组心率、心脏指数、收缩压最低;紫暗舌组收缩压、外周阻力及 PEP/LVET 最高。尿VMA、17-OH,17-KT 值均以红绛舌组最高,淡白舌组除17-KT 外,属最低值。本文结果提示不同舌质的高血压病患者具有不同的病理学模式。更多还原

【Abstract】 Inspecting the substance of the tongue is an important means for diagnosis and treatment in traditional Chinese medicine.101 cases of hypertensive patients were studied with the substance of the tongue observed and hemodynamic and biochemical indices determined at the same time for contrasting. 1.The 101 hypertensives were divided into four groups according to the color of their tongue substance as the group with red tongue,light red tongue,pale tongue,and dark red tongue,and designated as Group A,B,C and D respectively. 2.The heart rate（HR）of Group A（75.70±11.26 per minute）（mean±SD）was the highest,while that of Group C（69.54±7.59 per minute）was the lowest.Cardia index（CI）of Group A（4.22±1.20）was the highest, while that of Group C（3.40±0.92）was the lowest.And CI of Group B（4.14±1.45）was higher than that of Group C and Group D（3.56±1.40）.SBP of Group D（167.64±19.82 mmHg）was the highest while that of Group C （158.62±17.63 mmHg）was the lowest.TPR of Group D(1927.40±193.41 dyn/sec/cm^-5was the highest while that of Group A(1443.93±436.59 dyn/sec/cm^-5)was the lowest.PEP/LVET of Group D（0.3854±0.0756）was the highest while that of Group A（0.3462±0.0741）the lowest. 3.VMA,17-OH,17-KT of Group A are 10.95±6.43 mg per day,9.74±5.84 mg per day,8.61±2.82 mg per day respectively,all being the highest of the four groups while those of Group C are 5.45±2.71,5.42±2.82,and 7.01±2.77 all being the lowest except 17-KT. 4.These findings indicated that the red tongue group reflects increasing cardiac output while the pale tongue group reflects increasing total peripheral resistance,and that the sympatho-adrenergic system activity and hypothalamic-pituitary-adrenal axis activity are found greater in red tongue group than in pale tongue group. Therefore,this observation suggests that hypertensive patients with different colors of substance of the tongue reveal different pathogenetic patterns.更多还原