【摘要】 用望诊与局部活检相结合的方法,对照观察了肿瘤瘀证、慢性鼻咽炎阴虚喉痹共21例的舌脉诊变化,发现瘀证的主要特点是舌质紫暗,多见粘膜混浊、瘀丝、瘀点、瘀斑、瘀血颗粒及舌脉粗张延长;镜检多见粘膜细胞表层角化,棘细胞浓染及核固缩,毛细管伸向粘膜表层形成鱼子酱;固有层微血管扩张瘀血,红细胞聚集,甚至形成微血栓,血管内皮细胞肥大增生、线粒体肿胀、基底膜断裂,血管外有的可见出血、慢性炎细胞浸润,呈微循环障碍观;瘀血丝为瘀血扩张的微小静脉;舌脉粗度为舌深静脉及属支的充盈扩张,囊泡为带有静脉瓣的脉管。更多还原

【Abstract】 With the combination methods of inspection and local biopsy, the authors comparative observed the changes of tongue veins totally 21 cases belong to tumor with blood stasis syndrome and chronic nasopharyngitis with yin deficiency syndrome. The results showed : the main characteristics of blood stasis syndrome were dark purplish tongue, mostly turbid mucosa of tongue, and tongue veins being thick and long. Through microscopy the authors mainly found superficial cells of mucosa of tongue to be cornification, prickle cells hyperchromatic, nucleus concentrated, capillaries extended to superficial mucosa same as caviar, capillaries of lamina propria enlarged and became stasis, sympexis even microthrombi, vascular endotheliocytes hypertrophy and hyperplasia, mitochondrial swelling, basement membrane broken, and some bleeding as well as chronic inflammatory cells infiltration can be also found in extravascular in which microcirculation appeared disturbance.更多还原