[1]肖玮 安兴 谢春光 唐健元 黄青松 曾珠 孙增涛.36例新型冠状病毒肺炎(COVID-19)患者舌象观察[J].陕西中医药大学学报,2020,(0):001-6.
　Xiao Wei,An Xing,Xie Chunguang,et al.Observation of the Tongue Manifestation of 36 Cases of COVID-19[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(0):001-6.
点击复制

36例新型冠状病毒肺炎(COVID-19)患者舌象观察
分享到：

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2020年0
页码:
001-6
栏目:
出版日期:
2020-01-01

文章信息/Info

Title:
Observation of the Tongue Manifestation of 36 Cases of COVID-19
作者:
肖玮 安兴 谢春光 唐健元 黄青松 曾珠 孙增涛
成都中医药大学附属医院,四川成都610075
Author(s):
Xiao Wei;  An Xing;  Xie Chunguang;  Tang Jianyuan;  Huang Qingsong;  Zeng Zhu;  Sun Zengtao
Affiliated Hospital of Chengdu University of Chinese Medicine, Chengdu China, 610075
关键词:
COVID-19; 舌象; 中医; 病因病机
Keywords:
COVID -19;  tongue manifestation;  TCM;  etiology and pathogenesis
摘要:
目的探究新型冠状病毒肺炎患者的舌象特征?方法收集36例新型冠状病毒肺炎患者的临床资料,采用数码相机对舌苔摄像,比较初期?中期?重症期及恢复期,比较普通型?重型与危重型舌象特征?结果18例(50.00%)患者舌象见齿痕,28例(77.78%)患者舌苔腻?初期最常见舌象为舌淡红(33.33%)?舌红(33.33%)?舌苔白(厚)腻(83.33%)?中期舌象常见舌象为舌淡红(36.36%)?舌红(31.82%)?舌苔黄(厚)腻(72.73%)?重症期舌象为舌暗红,苔黄厚燥或舌红少苔?恢复期常见舌象为舌淡红(71.43%)?白(厚)腻(28.57%)?普通型最常见的舌象为舌淡红(48.28%)?苔黄(厚)腻(55.17%)?白(厚)腻(27.59%)?重型最常见舌象为舌红(60.00%)?苔白(厚)腻(40.00%),危重型舌象为舌暗红,苔黄厚燥或舌红少或无苔?结论本病舌象表现多为舌淡红或红,兼齿痕,苔白腻为主,随病程进展,兼见舌暗红?苔黄(厚)腻?黄燥?或少苔?
Abstract:
Objective To explore the tongue manifestation of patients with Coronavirus Disease 2019 ( COVID -19) .Methods The clinical data of 36 patients with COVID - 19 were collected, and the fur was photographed with a digital camera. The tongue manifestation of normal, severe, critical cases were compared, and that in early, middle, severe and recovery periods were also compared. Results 18 cases ( 50. 00%) showed teeth - printed tongue, and 28 cases ( 77. 78%) showed greasy fur. In the early period, the most common tongue manifestation were light red ( 33. 33%) , red ( 33. 33%) , the fur appeared white ( thick) and greasy ( 83. 33%) . In the middle period, the common tongue manifestation were light red ( 36. 36%) , red ( 31. 82%) , the fur appeared yellow ( thick) and greasy ( 72. 73%) . In the severe period, the tongue was dark red, the fur was yellow, thick and dry, or red tongue with little fur. In the recovery period, the common tongue manifestation were light red ( 71. 43%) and white ( thick) and greasy ( 28. 57%) . The most common tongue manifestation of normal cases were light red ( 48. 28%) , the fur showed yellow ( thick) and greasy ( 55. 17%) and white ( thick) and greasy ( 27. 59%) , those of severe cases were red ( 60. 00%) , white ( thick) and greasy ( 40. 00%) , while critical cases showed dark red tongue and thick yellow and dry fur, or red tongue with little fur. Conclusion The main pathogenesis of the disease is “ coldness, dampness, heat, stasis and deficiency” . Most of the susceptible people are spleen deficient with intense dampness, so syndrome differentiation and treatment should be focused on dealing with dampness

参考文献/References:

[1] World Health Organization. ( 2020) . Novel Coronavirus (2019 - nCoV) : situation report, 21. World Health Organization. Novel Coronavirus ( 2019 - nCoV) : situation report. [ EB/ OL] . https: //apps. who. int/ iris/ handle/10665/330990( 2020 -02 -11) .
[2]国家卫生健康委员会,国家中医药管理局.新型冠状病毒肺炎诊疗方案(试行第五版)【S】.[EB/OL]. http:// www. nhc. gov. cn/ yzygj/ s7653p/202002/3b09b894ac9b4204a79db5b8912d4440.shtml( 2020-02-05) .
[3]郭佑明,陈欣,牛刚.新型冠状病毒肺炎影像学诊断[M].陕西:西安交通大学出版社,2020:20-55. http: / / dxys. com/3Irs3k.
[4]夏文广,安长青,郑婵娟,等.中西医结合治疗新型冠 状病毒肺炎34例临床研究[J/OL].中医杂志, http:kns. cnki. net/ kcms/ detail/11. 2166. R. 20200217. 1502.004. html
[5]仝小林,李修洋,赵林华,等.从“寒湿疫”详解新型冠状病毒肺炎(COVID-19)的中医药防治策略[J/OL].中医杂志.http: kns. cnki. net/ kcms/ detail/11. 2166. R.20200217. 2034. 006. html
[6]孙增涛,安兴,肖玮,等.基于分期辨证论治探讨新型冠状病毒感染肺炎[J/OL].陕西中医药大学学报.http:// kns. cnki. net/ kcms/ detail/61. 1501. R. 2020 0211.1318. 002. html
[7]渠景连,郑子安,黄琴,等.基于网络药理学探讨益气与活血配伍治疗肺纤维化的协同机制[J].辽宁中医杂志,2019,(5):920-922.

相似文献/References:

[1]肖玮 安兴 谢春光 唐健元 黄青松 曾珠 孙增涛.36例新型冠状病毒肺炎(COVID-19)患者舌象观察[J].陕西中医药大学学报,2020,(02):016.[doi:10.13424/j.cnki.jsctcm.2020.02.005]
　Xiao Wei,An Xing,Xie Chunguang,et al.Observation of the Tongue Manifestation of 36 Cases of COVID -19[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(0):016.[doi:10.13424/j.cnki.jsctcm.2020.02.005]
[2]杲春阳 宋昌梅 付燕来 张晋.中西医结合治疗新型冠状病毒肺炎疗效的系统评价[J].陕西中医药大学学报,2021,(01):001.[doi:10.13424/j.cnki.jsctcm.2021.01.001]
　GAO Chun-yang,SONG Chang-mei,FU Yan-lai,et al.Curative Effect on Treating COVID-19 by Integrated Medicine: A Systematic Review[J].Journal of Shaanxi University of Traditional Chinese Medicine,2021,(0):001.[doi:10.13424/j.cnki.jsctcm.2021.01.001]
[3]杨璞叶杨明博薛永明秦灵芝.基于病理学基础的CT影像联合中医舌诊在新冠肺炎诊疗中的价值[J].陕西中医药大学学报,2021,(05):001.[doi:10.13424/j.cnki.jsctcm.2021.05.001]
　YANG PuyeYANG Mingbo XUE Yongming QIN Lingzhi.Value of CT Imaging Based on Pathology Combined with Tongue Diagnosis in The Treatment of COVID-19[J].Journal of Shaanxi University of Traditional Chinese Medicine,2021,(0):001.[doi:10.13424/j.cnki.jsctcm.2021.05.001]
[4]王婷 刘维海 张盼 王钰莹 邹俊波 马战平 刘继平 王斌 王川.基于网络药理学和分子对接探讨中研益肺解毒汤防治新型冠状病毒肺炎（COVID-19）的活性成分及靶点[J].陕西中医药大学学报,2023,(02):001.[doi:10.13424/j.cnki.jsctcm.2023.02.001]
　WANG Ting LIU Weihai ZHANG Pan WANG Yuying ZOU Junbo MA Zhanping LIU Jiping WANG Bin WANG Chuan.Discussion of Active Components and Targets of Zhongyan Yifei Jiedu Decoction in Prevention and Treatment of COVID-19 Based on Network Pharmacology and Molecular Docking[J].Journal of Shaanxi University of Traditional Chinese Medicine,2023,(0):001.[doi:10.13424/j.cnki.jsctcm.2023.02.001]

备注/Memo

备注/Memo:
基金项目:四川省科技厅课题(2020YFS0013;2020YFS0012) 作者简介:孙增涛,主治医师?E-mail:szt0513@163.com
更新日期/Last Update: 1900-01-01