【作者】 邓华亮；

【导师】 刘家义；

【作者基本信息】 山东中医药大学 ， 中医诊断学， 2002， 硕士

【摘要】 舌下络脉异常反映机体末梢循环障碍的病理生理过程，所以观察舌下络脉形态和色泽变化，是研究人体气血运行状况的重要途径之一，是中医舌诊中的重要内容，是中医辨证施治的重要依据。本研究通过临床病例对照观察与动物实验研究，发现慢性肝病的舌象及舌下络脉变化具有一定特征性，表现为舌质青紫，舌下络脉扭曲、瘀点，其严重程度与门脉高压、食管胃底静脉曲张、脾脏肿大、肝损害程度呈正相关，舌下络脉诊法对此类疾病的病情诊断及预后诊断具有实际应用价值。尝试着对慢性严重肝病舌象形成原理进行了初步探讨，探求慢性严重肝病舌下络脉特点及其临床意义，使舌脉诊法在肝病辨证施治中更具客观化、科学性，并系统回顾了历代文献对舌下络脉的有关认识及现代医学对舌诊与慢性肝病的相关性研究。本课题对于舌下络脉这一中医诊断方法的客观化研究以及实现慢性严重肝病早期诊断具有十分重要的意义。更多还原

【Abstract】 Abnormal sublingual collaterals reflect te pathophysblogjcal process of peripheral circulatory disturbance fo the organism, so observing morohologic changes of sublingual collaterals is one of the important ways to study Qi and blood circulation conditions, and the significant content of TCM tongue inspection and the major fondation of treatment by syndrome differentiation in TCM as well By comparative observation of clinical cases snd study of animal esperimentjt is found that the tounge manifestations and sublingual collaterals’ conditions of chronic liver disease have certain characteristics such as the bulish-purple tounge propersublingual collateral’distortion and petechiac and their gravity is in direct proportion to portal hypeitenaonis,varices of esophagofundis,spaenomegaly and degree of liver damage.The inspection of sublingual collaterals is of actual value to the diagnosis of the illness state and prognosis of these kinds of diseases. Prelirninary approach to the formation mechanism of tongue manifestations of chronic severe liver disease and searching for the sublingual collaterals’characteristics and their clinical significance of the disease \vill enable the inspection of rongue collaterals more objective and scientific in liver disease treatment of syndrome differentiation .In addition ,the thesis systematically reviewed the relative understandings on sublingual collaterals in successive dynasties and correlative researches of the inspection of tounge and chronic liver disease in modem medicine Jn a word ,the research will be of great significance to sublingual collaterakan examination technique of TCM, as well as realization of early diagnosis of chomic severe liver disease.更多还原