主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2020, Vol. 27 ›› Issue (4): 31-35.doi: 10.3969/j.issn.2095-6606.2020.04.007

• 临床研究 • 上一篇    下一篇

南北方高血压病患者舌象分布差异研究*

李诗佳1, 叶懿祥1, 吴凤芝2, 关静1#   

  1. 1 北京中医药大学中医学院 北京 102488;
    2 北京中医药大学期刊中心
  • 发布日期:2020-07-30
  • 通讯作者: #关静,女,博士,副教授,硕士生导师,E-mail:guanjingishere@126.com
  • 作者简介:李诗佳,女,在读本科生
  • 基金资助:
    *国家重点研发计划项目资助(No.2017YFC1703302),中央高校基本科研业务费专项资金资助(No.2018-JYBZZ-JS007)

Difference in tongue image distribution in patients with hypertension*

Li Shijia1, Ye Yixiang1, Wu Fengzhi2, Guan Jing1#   

  1. 1 School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 102488;
    2 Journal Center of Beijing University of Chinese Medicine
  • Published:2020-07-30

摘要: 目的 分析南北方高血压病患者舌象分布差异,为不同地域高血压病的中医辨治提供依据。方法 检索2000—2019年中国学术期刊全文数据库(CNKI)、万方数据库和中文科技期刊数据库(维普)收录的有关高血压病舌象的临床研究文献,经筛选后将纳入的24篇文献分为北方组、南方组,系统整理后采用统计软件对数据进行统计分析,分别对2组舌色、常见舌形、苔色、常见苔质、腻苔分布进行比较。结果 24篇文献共收集高血压病患者12 296例,其中北方组8 208例,南方组4 088例。南方组淡红舌、胖大舌、齿痕舌、裂纹舌、白苔、少/无苔、腻苔分布多于北方组(P<0.05),淡舌、红绛舌、瘦小舌、黄苔、厚苔分布少于北方组(P<0.05)。结论 南北方高血压病患者舌象分布存在明显差异,提示北方地区的高血压病患者中肝火亢盛证、阴阳两虚证比例高于南方,而南方地区高血压病患者中阴虚阳亢证、痰湿壅盛证比例高于北方,与气候、先天禀赋、饮食习惯等有一定关系,中医治疗时应当考虑相关因素。

关键词: 高血压病, 舌象, 南北差异, 文献研究, 数据分析

Abstract: Objective To provide basis for differentiation and treatment of hypertension in traditional Chinese medicine in different regions, we analyzed the differences in the distribution of tongue images of patients with hypertension in the North and South China. Methods We searched the clinical research literatures related to tongue images of hypertension from 2000 to 2019 in China National Academic Magazine Data-Base (CNKI), Wanfang Database and Chinese Science and Technology Journal Database(VIP). After screening, the 24 literatures were divided into the Northern group and Southern group and sorted out systematically. After that, the statistical software was used to analyze the data. Tongue color, common tongue body shape, coating color, common tongue coating proper and greasy coating were compared between the two groups. Results A total of 12, 296 patients with hypertension were collected from 24 literatures, including 8, 208 patients in the Northern group and 4, 088 patients in the Southern group. The distribution of light red tongue, puffy tongue, tooth-marked tongue, fissured tongue, white coating, little/no coating and greasy coating in the Southern group was higher than that in the Northern group(P<0.05), while the distribution of pale tongue, red and deep red tongue, thin tongue, yellow coating and thick coating was lower than that in the Northern group(P<0.05). Conclusions There are significant differences in the distribution of tongue images in patients with hypertension in the South and North China, which indicates that the hypertensive liver-fire syndrome and syndrome of deficiency of both yin and yang in patients with hypertension in the North is higher than that in the South. However, syndrome of yin deficiency and yang hyperactivity and syndrome of excessive accumulation of phlegm-dampness in patients with hypertension in the South is higher than that in the North, which is related to the climate, innate endowment and dietary habits. Therefore, the relevant factors should be considered in TCM treatment.

Key words: hypertension, tongue picture, north-south difference, literature research, data analysis

中图分类号: 

  • R241.25