北京中医药大学学报2025，Vol.48Issue(11)：1540-1546,7.DOI:10.3969/j.issn.1006-2157.2025.11.008
基于客观化特征的冠心病面诊研究
Study on facial diagnosis of coronary heart disease based on objective features
摘要
Abstract
Objective To explore the objective facial appearance characteristics of patients with coronary heart disease(CHD).Methods From April 7,2019 to December 1,2022,313 patients with CHD were recruited from Dongzhimen Hospital,Beijing University of Chinese Medicine,Dongfang Hospital,Beijing University of Chinese Medicine,and the First Affiliated Hospital of Hunan University of Chinese Medicine,together with 293 healthy controls.Standardized facial images were obtained using the tongue-face diagnostic instrument.The face was divided into six regions:the forehead,left cheek,right cheek,nose,lips,and chin.Nine color parameters were extracted from each region,including red(R),green(G),blue(B),hue(H),saturation(S),value(V),lightness(L),red-green axis(a),and yellow-blue axis(b).Comparisons between groups were performed.Results Compared with the healthy group,in the forehead region,values of R,S,V,a,and b were higher in the coronary heart disease group,whereas B was lower(P<0.05);in the left cheek,nose,and chin regions,R,G,B,V,and L decreased,whereas S,a,and b increased(P<0.05);in the right cheek region,R,G,B,H,V,and L decreased,while S,a,and b increased(P<0.05);in the lips region,R,G,B,H,V,L,and a decreased,whereas S and b increased(P<0.05).Conclusion Compared with healthy individuals,patients with CHD present with a darker,more saturated facial complexion with reduced brightness,overall manifesting as"dark red complexion"and"dense but not bright color,"suggesting the pathogenesis of qi and blood circulation stagnation and internal blood stasis retention.The objective expression of facial features may have greater application value in syndrome differentiation and auxiliary diagnosis in traditional Chinese medicine.关键词
望诊/面诊/冠心病/客观化特征/中医诊断学Key words
inspection/facial diagnosis/coronary heart disease/objective features/traditional Chinese medicine diagnostics分类
医药卫生引用本文复制引用
段梦遥,关静,胡志希,朱海燕,郝畅,李子健,肖卓阳,李峰..基于客观化特征的冠心病面诊研究[J].北京中医药大学学报,2025,48(11):1540-1546,7.基金项目
北京市教育科学规划课题(No.CDAA21037) （No.CDAA21037）
国家重点研发计划项目(No.2017YFC1703302) （No.2017YFC1703302）
中国中医科学院科技创新工程项目(No.CI2023C006LH) （No.CI2023C006LH）
国家资助博士后研究人员计划项目(No.GZC20230323) （No.GZC20230323）
中国博士后科学基金面上项目(No.2024M750261) （No.2024M750261）
安徽省科技重大专项(No.202303a07020006) Beijing Education Science Planning Project(No.CDAA21037) （No.202303a07020006）
