基于新英格兰杂志舌图的中西医诊断研究
A Diagnostic Study of Traditional Chinese and Western Medicine Based on the New England Journal Tongue Diagram
宋晓慧 1尹继瑶 1刘子琛 2刘国全 3郭壮 1邱士庆 4许家杰 5焦宏官 6张卫军 5王俊文1
作者信息
- 1. 中国中医科学院中医基础理论研究所 北京 100700
- 2. 山东中医药大学第二临床医学院 济南 250014
- 3. 滨州医学院烟台附属医院 滨州 264199
- 4. 北京印刷学院 北京 100700
- 5. 加州大学洛杉矶分校东西医学中心 洛杉矶 90024
- 6. 贵州中医药大学信息工程学院 贵州 550025
- 折叠
摘要
目的 从西医临床典型病例的舌图入手,探索中西医对于舌象认识的联系.方法 搜集新英格兰杂志(The New England Journal of Medicine,NEJM)发表在临床影像专栏中附有舌图的文献,提取文献中所记载的舌的症状、体征以及西医疾病信息后,以中医舌诊方法,从舌质、舌苔、舌下络脉3个方面对舌图进行诊断,并判断舌的症状、体征是否与某一诊断结果相对应,并对所得结果进行分析.结果 共纳入病例48例,其中舌动态异常6例,均可与中医异常舌态相对应;舌形状异常34例,12例可以做出相应的中医舌象诊断,包括7例舌形异常、5例苔质异常,其余22例为继发性舌体结构改变;舌颜色异常8例,其中舌色异常1例、舌下络脉异常1例、苔色异常6例.结论 基于舌的形态和功能探求中医、西医对舌象认识联系,为后期采用比色卡、舌面仪等中医诊断装备提取舌象参数提供参考,以此推动中医舌诊客观化与规范化.
Abstract
Objective Taking typical cases of Western medicine as an example,this paper explores the connection between Chinese and Western medicine on the understanding of tongue elephants.Methods After collecting the literature with tongue diagram attached to the clinical imaging column published in NEJM magazine,extracting the symptoms,signs and Western medicine disease information recorded in the literature,the tongue diagram was diagnosed from three aspects:tongue quality,tongue moss and sublingual meridians,and whether the symptoms and signs of tongue correspond to a certain diagnosis result,and the results were analyzed.Results A total of 48 articles were included,including 6 literature on abnormal tongue dynamics,which could correspond to abnormal tongue morphology in traditional Chinese medicine.Thirty-four cases of abnormal tongue shape were found.Among them,12 cases could be diagnosed with corresponding TCM tongue diagnosis,including 7 cases of abnormal tongue shape and 5 cases of abnormal coating.The remaining 22 cases were secondary changes in tongue structure.There were 8 articles on abnormal tongue color,including 1 abnormal tongue color,1 abnormal sublingual chord,and 6 abnormal lichen color.Conclusion Starting from the form and function,explore the connection between Chinese medicine and Western medicine in their understanding of tongue diagnosis,and promote the objectification and standardization of Chinese medicine tongue diagnosis.
关键词
舌象/NEJM/中医/中西医结合Key words
Tongue image/NEJM/Traditional Chinese medicine/Integrative Chinese and Western medicine引用本文复制引用
基金项目
中国中医科学院重大攻关项目(CI2021A00113)
国家自然科学基金委员会面上项目(82074334)
中国中医科学院传承类培养专项(ZZ13-YQ-110)
出版年
2024
NETL
NSTL
万方数据