中医正骨2026，Vol.38Issue(4)：10-14,5.
颈椎病气滞血瘀证患者舌色特征分析
Analysis of tongue color characteristics in patients with cervical spondylosis of qi stagnation and blood stasis syndrome
摘要
Abstract
Objective:To analyze the tongue color characteristics in patients with cervical spondylosis(CS)of qi stagnation and blood stasis syndrome.Methods:A total of 357 CS patients were divided into a qi stagnation and blood stasis syndrome group(136 cases)and an other syndrome type group(221 cases)based on the syndrome differentiation results.The tongue images of the CS patients in both groups were captured,and the tongue body was segmented into six regions,including tongue tip,tongue center,tongue root,left tongue margin,right tongue margin,and the entire tongue coating area.The tongue color parameters,including red,green,blue,hue,saturation,and brightness value,in each tongue region were analyzed and compared between the two groups.Results:The red and brightness values in all six tongue body regions were significantly lower in the qi stagnation and blood stasis syndrome group compared to the other syndrome type group(red value:Z=-3.563,P=0.000;Z=-6.319,P=0.000;Z=-7.674,P=0.000;Z=-8.147,P=0.000;Z=-9.096,P=0.000;Z=-12.679,P=0.000.brightness value:Z=-3.573,P=0.000;Z=-6.309,P=0.000;Z=-7.716,P=0.000;Z=-8.148,P=0.000;Z=-9.046,P=0.000;Z=-12.645,P=0.000).The green and blue values in the tongue center,tongue root,left tongue mar-gin,right tongue margin,and the entire tongue coating area were also significantly lower in the qi stagnation and blood stasis syndrome group compared to the other syndrome type group(green value:Z=-5.854,P=0.000;Z=-6.301,P=0.000;Z=-6.859,P=0.000;Z=-7.350,P=0.000;Z=-9.709,P=0.000.blue value:Z=-5.165,P=0.000;Z=-5.923,P=0.000;Z=-6.383,P=0.000;Z=-6.427,P=0.000;Z=-8.491,P=0.000).The hue value in the right tongue margin region was higher in the qi stagnation and blood stasis syndrome group compared to the other syndrome type group(Z=2.695,P=0.007).Conclusion:Compared to CS patients with other syndrome types,the CS patients with qi stagnation and blood stasis syndrome generally present a dark red or dark purple tongue color,with a deeper coloration observed specifically on the right margin of the tongue.关键词
颈椎病/辨证论治/舌色/气滞血瘀证Key words
cervical spondylosis/treatment based on syndrome differentiation/tongue color/syndrome of qi stagnation and blood stasis引用本文复制引用
李静,杨光奕,郑家丞,刘函宾,冯敏山,朱立国..颈椎病气滞血瘀证患者舌色特征分析[J].中医正骨,2026,38(4):10-14,5.基金项目
北京市科技计划AI+健康协同创新培育项目(Z221100003522009) （Z221100003522009）
中国中医科学院科技创新工程创新团队项目(CI2021B010) （CI2021B010）
中国中医科学院望京医院高水平中医医院建设"名老医药专家学术经验传承"项目(WJCC-202302) （WJCC-202302）
