摘要
外伤血瘀证病因病机明确,起病早期无寒热阴阳偏性,更利于血瘀证舌象的客观化研究。其舌象特征的分析主要集中在瘀斑(点)、(青)紫舌和舌下络脉3个方面,诊断权值最高,能够提示血瘀证的严重程度,有助于判断疾病的发生及发展。同时,外伤血瘀证舌象特征客观化分析已经取得一定成果,但在舌象瘀斑(点)的图像定义、(青)紫舌的色度值范围、舌下络脉的分割提取等方面存在标准不统一、精确度和稳定性尚不理想等问题。此外,外伤血瘀证舌象特征与血液类指标、免疫类指标密切相关,能反映血液的瘀滞和高凝状态,在临床对疾病的诊疗中有较为广阔的应用前景。
The etiology and pathogenesis of traumatic blood stasis syndrome is clear,and there is no cold and heat and yin and yang bias in the early onset,which is more conducive to the objective study of tongue symptoms of blood stasis syndrome.The analysis of the characteristics of the tongue image mainly focuses on three aspects:ecchymosis(petechia),(blue)purple tongue,and sublingual collaterals,with the highest diagnostic weight,which can indicate the severity of blood stasis syndrome and help to judge the occurrence and development of the disease.At the same time,some results have been achieved in the objective analysis of tongue characteristics of traumatic blood stasis syndrome,but the image definition of ecchymosis(petechia)on the tongue,the chromaticity value range of(blue)purple tongue,and the sublingual collaterals in terms of segmentation and extraction,there are problems such as inconsistent standards,unsatisfactory accuracy,and stability.In addition,the tongue characteristics of traumatic blood stasis syndrome are closely related to blood indicators and immune indicators,which can reflect blood stasis and hypercoagulability,and have broad application prospects in clinical diagnosis and treatment of diseases.
作者
孔佳星
邓蓉蓉
徐希东
赵旭
康然
KONG Jiaxing;DENG Rongrong;XU Xidong;ZHAO Xu;KANG Ran(Department of Orthopedics,Affiliated Hospital of Nanjing University of Chinese MedicineJiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Jiangsu Province,Nanjing210028,China)
出处
《中国医药导报》
CAS
2023年第13期41-45,共5页
China Medical Herald
基金
国家自然科学基金面上项目(81772356)
国家中医药管理局全国老中医药专家学术继承项目(国中医药人教发〔2017〕29号)
国家中医药管理局全国中医药创新骨干人才培训项目(国中医药人教函〔2019〕128号)。
关键词
外伤血瘀证
舌象
客观化
综述
Traumatic blood stasis syndrome
Tongue image
Objectification
Review
