【作者】 孙增涛； 封继宏； 刘恩顺； 孙昕； 付敏； 苏紧深；

【Author】 SUN Zengtao1, FENG Jihong1, LIU Enshun1, SUN Xin2, FU Min1, SU Jinshen1 (1. The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300150, China;2.Tianjin Haihe Hospital, Tianjin 300350, China)

【机构】 天津中医药大学第二附属医院； 天津市海河医院；

【摘要】 目的:观察甲型H1N1流感患者的舌象特征并探讨其与病情的相关性。方法:用数码相机摄取甲型H1N1流感患者不同阶段的的舌象,并统计分析舌质、舌苔的变化情况及其与病情关系。结果:轻症甲流患者舌象以舌边尖红为多(7,58.3%),其次是暗红舌(3,25.0%);舌苔薄白为主(4,33.3%),其次是白腻苔(3,25.0%);舌体胖大(2,16.7%),舌边有齿痕者(3,25.0%)。重症甲流患者以暗红舌为多(9,47.3%),其次是舌边尖红(5,26.3%);舌苔黄厚腻为主(10,52.6%),其次是白腻苔(3,15.7%)和淡黄苔(3,15.7%);舌体胖大(7,36.8%),舌边有齿痕者(8,42.1%)。危重症甲流患者以暗红舌为多(10,47.6%),其次是红舌(5,23.8%);舌苔黄厚腻为主(9,42.8%),其次是白厚腻苔(6,28.6%);舌体胖大(9,42.8%),舌边有齿痕者(7,33.3%)。病情属轻症患者中舌质淡红、舌苔薄白为多;重症、危重症患者以舌质暗红、舌苔黄厚腻为多;同时重症、危重症患者舌体胖大,舌边有齿痕者较多,与轻症比较有差异(P<0.05)。结论:舌象是对甲流患者病情判断,辨证论治的客观证据之一。更多还原

【Abstract】 Objective: To observe the characteristics of tongue proper and tongue coating in patients with influenza A(H1N1) and to explore the relationship between tongue picture and state of illness. Methods: Tongue picture was taken by digital camera and the characteristics of tongue proper and tongue coating were analyzed with the state of illness. Results: In the mild case , the color of tongue proper was mostly light red (7 patients, 58.3%), and dark red was the second (3 patients, 25.0%). The color of tongue coating was mostly thin white (4 patients, 33.3%), and white greasy was the second (3 patients, 25.0%). There was swollen tongue body in 2 patients (16.7%), teeth print on tongue margin in 3 cases(25.0%).In the grave case , the color of tongue proper was mostly dark red (9 patients, 47.3%), and light red was the second (5 patients, 26.3%).The color of tongue coating was mostly yellow thick greasy (10 patients, 52.6%), white thick greasy and light yellow were the second (3 patients, 15.7%). There was swollen tongue body in 7 patients (36.8%), teeth print on tongue margin in 8 cases (42.1%).In the severe case , the color of tongue proper was mostly dark red (10 patients, 47.6%), and red was the second (5 patients, 23.8%).The color of tongue coating was mostly yellow thick greasy (9 patients, 42.8%), white thick greasy was the second (6 patients, 28.6%). There was swollen tongue body in 9 patients (42.8%), teeth print on tongue margin in 7 cases (33.3%).In the mild case , the color of tongue proper was mostly light red , tongue coating was mostly thin white ; In the grave severe case , the color of tongue proper was mostly dark red , tongue coating was mostly yellow thick greasy; There was swollen tongue body and teeth print on tongue margin in the grave severe case, with significant difference in comparing of the mild case (P<0.05).Conclusion: Tongue picture is one of the objective evidence for judging state of illness and Syndrome Differentiation based on treatment in influenza A (H1N1) patients.更多还原