【摘要】 目的从舌象变化分析归纳云南地区HIV/AIDS患者中医证候及病机特点。方法对223例初次自愿接受中医药治疗或咨询的云南地区HIV/AIDS患者进行临床分期后观察舌象。结果通过对艾滋病期、无症状期患者舌质色分布、舌形态及舌苔质色的观察,各期的病理舌象均以腻苔为主;艾滋病期以白腻苔(47.45%)为主,其次为黄腻苔(16.06%)、薄黄苔(8.02%),而舌质色以淡舌类(淡红舌与淡白舌合计46.71%)居多,其次为红舌类(32.12%)、瘀舌类(21.17%);无症状期均以淡红舌、薄白苔为主,比例均大于艾滋病期,免疫水平相对较高时,正常舌象表现越多。无症状期A组(200≤CD4<500)红舌类(42.65%)较无症状期B组(CD4≥500)红舌类(6%)居多。结论云南地区HIV/AIDS患者证候和病机特点为:邪实以湿毒秽浊痰饮为主,正虚以脾气阳虚、肺气阴两虚、肾阴阳亏虚为主。更多还原

【Abstract】 Objective To analyze and sort the character of symptom and pathology of 223 HIV/AIDS patients in Yunnan Provine. Methods Sort the clinical periods into groups subject to 223 HIV/AIDS patients who voluntarily accept the consultations and treatments for the first try in Yunnan province, then observe their tongue-appearance accordingly. Results By separately observing the color, shape and aspect of the tongue and tongue-fur which belongs to patient during AIDS period and asymptomatic period, discovered that the pathological tongue-fur appearance of all clinical periods trends to greasy, thereinto, in period of AIDS, 47.45% were white-greasy, 16.06% were yellow-greasy, 8.02% were yellow and thin. In terms of color of tongue, 46.71% of the total samples were light pink and white, 32.12% were red, and 21.17% were purple and gore. In period of asymptomatic, most of the tongue-appearance was light pink and thin white, which obviously exceeded the AIDS period. It indicates that the higher level of immunity, the more normal appearance of tongue can be expected. Group A (200≤CD4<500) red tongue (42.65%) was more than Group B (CD4≥500) red tongue (6%). Conclusion The clinical pathology characters of local patients are:Pathogenic excess are generally due to damp, poison, turbid and phlegm;Vital qi deficiency are generally caused by deficiency of spleen qi and yang, deficiency of lung qi and yin, deficiency of kidney yin and yang.更多还原