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    題名: 慢性肝炎病患者之中醫證型及舌診科學化之研究
    The Research of Disease Patterns of Traditional Chinese and Contemporary Study of Tongue Images in the Patients of Chronic Hepatitis
    作者: 陳建仲;林宏任;蔣依吾;馬建中;李粲銘;鄭庚申;曾旭平
    貢獻者: 中國醫藥學院
    關鍵詞: 慢性肝炎;肝硬化;中醫;舌診;數位影像處理;Chronic hepatitis;Cirrhosis;Chinese medicine;Tongue diagnosis;Digital image process
    日期: 1999-06
    上傳時間: 2010-09-06 23:25:03 (UTC+8)
    摘要: 本研究共蒐集124位肝炎患者,依 GPT數值,在正常值以下者共50名,高於正常值者共74名。肝功能不正常者以男性居多,在男性患者年齡層有較低的趨勢(41.5±13.0歲),而女性患者年齡層則有較高的趨勢(46.9±14.0歲)。若將中醫的診斷分成問卷的診斷和舌診的診斷,則發現兩者結果有所不同。在問卷的診斷上,以氣滯證型最高,其次為氣陰兩虛證,第三為濕熱證,而以血瘀證最少。在舌診的診斷方面,則以濕熱證最高,其次為陰虛證,第三為濕證,而以氣虛證型最少。Child評分分級中以Grade B的GPT平均數最高(799.39),而以Grade C的數值最低(18.58)。Child評分嚴重程度和舌診上的紅舌與紫舌之間,以及白苔與黃苔之間並沒有一定的相關性。Grade A和Grade C以熱證型居多,而在血瘀證型上沒有顯著差異。在舌色和苔色的關係方面,紅舌系列出現黃苔者居多﹔在舌苔厚薄與苔色方面,舌苔偏薄者以白苔為主,舌苔偏厚者以黃苔為主。在證型與舌診間關係方面,非熱證型中則明顯以非紅舌系列和白苔為主,在熱證型中明顯以黃苔居多。在血瘀證型中以紫舌者居多,而在非血瘀證型中則以紅舌系列居多。

    In this study, 124 patients of hepatitis were divided to normal group (50 cases) and abnormal group (74 cases) according to GPT values. The average age of abnormal group (41.5±13.0 y-o) was lower than that of normal group in man, and was higher in women (46.9±14.0 y-o). Diagnosis made by questionnaire and that by tongue-diagnosis were revealed of difference. As to the diagnosis by questionnaire, the most three patterns were chi-stasis, chi-yin deficiency, and damp-heat. As to the diagnosis by inspect of tongue, the most three patterns were damp-heat, yin deficiency, and damp-only. The average value of GPT Grade B of Child scale (799.39) was the highest, and Grade C of that was the lowest (18.58). It made no difference between the grade of Child scale and the tongue-diagnosis of tongue and covering color. The cases of heat pattern were more in grade A and grade C, but it made no difference between blood-stasis and Child scale. As to the relationship of tongue and the coverings, the red-tongue series were predominant in yellow-coverings. As to the thickness of tongue-coverings, the thin tongue-coverings were predominant in white, and thick tongue-coverings were predominant in yellow. As to the patterns and tongue, the non-heat pattern was predominant in non-red-tongue series and white-coverings, the heat pattern tongue-coverings were predominant in yellow-coverings, and the blood-stasis pattern was predominant in purple-tongue series.
    顯示於類別:[中國醫藥大學] 研究計畫

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