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。
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.
作者
宋晓慧
尹继瑶
刘子琛
刘国全
郭壮
邱士庆
许家杰
焦宏官
张卫军
王俊文
SONG Xiaohui;YIN Jiyao;LIU Zichen;LIU Guoquan;GUO Zhuang;QIU Shiqing;XU Jiajie;JIAO Hongguan;ZHANG Weijun;WANG Junwen(Institute of Basic Theory of Traditional Chinese Medicine,Chinese Academy of Chinese Medical Sciences,Beijing 100700,China;Second Medical College of Shandong University of Chinese Medicine,Ji'nan 250014,China;Yantai Affiliated Hospital of Binzhou Medical College,Binzhou 264199,China;Beijing Institute of Graphic Arts,Beijing 100700,China;East-West Medical Center,University of California at Los Angeles,Los Angeles 90024,USA;School of Information Engineering,Guizhou University of Chinese Medicine,Guizhou 550025,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2024年第5期1354-1360,共7页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
中国中医科学院重大攻关项目(CI2021A00113):中医诊疗装备集成应用联合实验平台,负责人:王俊文
国家自然科学基金委员会面上项目(82074334):基于多源信息融合和领域本体的中医装备辅助诊断模型研究--以膝关节骨性关节炎为例,负责人:王俊文
中国中医科学院传承类培养专项(ZZ13-YQ-110):仪器测量信号的中医理论匹配方法研究,负责人:王俊文
关键词
舌象
NEJM
中医
中西医结合
Tongue image
NEJM
Traditional Chinese medicine
Integrative Chinese and Western medicine
