中华中医药学刊2025，Vol.43Issue(3)：56-62,后插10,8.DOI:10.13193/j.issn.1673-7717.2025.03.009
增龄相关的冠心病痰瘀互结证患者舌象特征客观化研究
Objective Study on Characteristics of Tongue Image in Patients with Age-Related Coronary Heart Disease and Phlegm-Blood Stasis Syndrome
摘要
Abstract
Objective To explore the characteristics of tongue in patients with coronary heart disease(CHD)and phlegm-blood stasis syndrome,and to analyze the changes in the tongue image.Methods A total of 210 patients with stable angina pecto-ris(also known as effort angina)in the Cardiology Department of Liaoning Provincial Hospital of Traditional Chinese Medicine from November 2020 to November 2021 were included in this study.The patients were divided into phlegm-blood stasis syn-drome group and non-phlegm-blood stasis syndrome group.According to the WHO(World Health Organization)age classifica-tion standard,the phlegm-blood stasis syndrome group was divided into middle age group(27 cases),young elderly group(40 cases)and old elderly group(17 cases).The tongue features such as HSV(Hue,Saturation,Value)and RGB(Red,Green,Blue)parameters were analyzed in patients with phlegm-blood stasis syndrome in different age groups to explore the age-related changes in the tongue image.Results There were significant differences in the distribution of tongue color,texture and shape be-tween the phlegm-blood stasis syndrome group and non-phlegm-blood stasis syndrome group.In terms of tongue color,the middle age group had more red tongues,while the young elderly group had more light purple tongues,and the old elderly group had more dark red and purple tongues(P＜0.05).In terms of texture features,the middle age group had a smaller H value in the tip of the tongue compared to the young elderly group and old elderly group(P＜0.05),while the middle age group had a higher V value in the tip of the tongue compared to the other two groups(P＜0.05).The old elderly group had a higher S value in the left,right and middle parts of the tongue compared to the middle age group and young elderly group(P＜0.05),while the old eld-erly group had a lower V value in the left,right and middle parts of the tongue compared to the middle age group and young elder-ly group(P＜0.05).The old elderly group had a higher R+B/R+G+B value in the left,right and middle parts of the tongue compared to the other two groups.In terms of shape features,the middle age group had more plump and tooth imprint tongues,while the old elderly group had more thin tongues with cracks,old tongues and tender tongues(P＜0.05).In terms of fur fea-tures,the middle age group had more white furry fur like tofu covered on their tongues,while the old elderly group had more light yellow sticky fur like egg yolk covered on their tongues,with a gradually decreasing proportion of greasy fur,with the lowest pro-portion of greasy fur in the old elderly group(P＜0.05).The middle age group had a higher V value in the left,right and middle parts of their tongues compared to the young elderly group and old elderly group(P＜0.05),while the old elderly group had a higher S value in the left,right and middle parts of their tongues compared to the middle age group and young elderly group(P＜0.05),with lower V values at the root of their tongues compared to the other two groups(P＜0.05).The old elderly group had a higher R+G/R+G+B value in the middle and root parts of their tongues compared to the other two groups.Conclusion 1.The middle age group is prone to phlegm-heat transformation.2.With aging,blood stasis gradually increases.3.The old elderly group is prone to phlegm-blood stasis syndrome causing damage to Yin fluids.4.The old elderly group is prone to deficiency-excess coexistence.关键词
冠心病/痰瘀互结证/年龄/舌象/客观化Key words
coronary heart disease/phlegm-blood stasis syndrome/age/tongue image/objectification分类
医药卫生引用本文复制引用
杨珺涵,杨关林,张哲,咸楠星,张世祺,高诗岳,王基实,马新宇,李相泽,李腾,刘悦..增龄相关的冠心病痰瘀互结证患者舌象特征客观化研究[J].中华中医药学刊,2025,43(3):56-62,后插10,8.基金项目
国家自然科学基金青年科学基金项目(81703970) （81703970）
国家中医药管理局首批青年岐黄学者支持项目(国中医药人教函[2020]218号) （国中医药人教函[2020]218号）
