过敏性紫癜证候及舌象研究

发布时间：2018-08-03 09:52

【摘要】：目的：观察分析过敏性紫癜患儿的舌象,探讨舌象特点及与辨证分型之间的关系,为临床诊断治疗提供依据。方法：将过敏性紫癜患儿分为皮肤型、关节型、腹型、肾型四型,通过对110例过敏性紫癜患儿进行症候统计及舌象观察,总结规律。结果：1、过敏性紫癜辨证分型中除肾型外,其他三型均以血热妄行证多见,气不摄血型在肾型紫癜的患儿中较多,占28.6%,与其他三组比较具有统计学意义(P0.05)。湿热痹阻型在腹型中发生率较多,为8例,占19.0%,与其他三组比较无统计学意义；2、过敏性紫癜患儿舌色除肾型外,其他几型都是以鲜红舌为主,四组病例之间有显著差异(P0.05)；肾型以淡红舌、淡白舌为主,淡白舌与其他三组有显著差异(P0.05)；其他如暗红舌、斑点舌在几组均可见,四组之间比较无显著差异。(P0.05)；3、过敏性紫癜患儿舌形以娇嫩舌最多,其次为齿痕舌、瘦薄舌及裂纹舌；胖大舌、齿痕舌、瘦薄舌在四组中有显著差异,P值均小于0.05,其中腹型以胖大舌、齿痕舌较其他几型多,而肾型瘦薄舌、齿痕舌较多；4、过敏性紫癜患儿舌苔以厚苔多于薄苔；肾型润苔较多(42.9%),其他三型燥苔较多,比较有显著性差异(P0.05)。苔色以淡黄苔为主,占47.2%,其次为白苔、深黄苔。在肾型中白苔为47.6%,略多于淡黄苔(42.9%)。结论：1、过敏性紫癜患儿(除肾型外)辨证分型以血热妄行证为多见,’肾型紫癜的患儿以气不摄血型为多见；2、过敏性紫癜患儿舌色(除肾型外)以鲜红舌为主,肾型以淡红舌、淡白舌为主；3、过敏性紫癜患儿舌形以娇嫩舌最多,其次为齿痕舌、瘦薄舌及裂纹舌；4、过敏性紫癜患儿舌苔以厚苔多于薄苔；肾型润苔较多,其他三型燥苔较多,苔色以淡黄苔为主,其次为白苔、深黄苔。提示过敏性紫癜病机以风、热、湿、虚、瘀为主,其中肾型病机以虚、湿、瘀为主。
[Abstract]:Objective: to observe and analyze the tongue features of children with Henoch-Schonlein purpura and to explore the relationship between tongue features and syndrome differentiation and to provide basis for clinical diagnosis and treatment. Methods: the children with Henoch-Schonlein purpura were divided into four types: skin type, articular type, abdominal type and renal type. Results in the differentiation and classification of Henoch-Schonlein purpura, the other three types, except the renal type, were more common than those in the other three groups (P0.05). The proportion of children with kidney type purpura was more than that of the other three groups (P0.05). The incidence of damp-heat arthralgia obstruction in abdominal type was 8 cases (19.0%). There was no statistical significance compared with the other three groups. The tongue color of children with Henoch-Schonlein purpura was mainly bright red tongue except kidney type (P0.05). Kidney type was mainly light red tongue, pale white tongue, there was significant difference between the light white tongue and the other three groups (P0.05); others such as dark red tongue and spotted tongue were seen in several groups, but there was no significant difference among the four groups. (P0.05) 3, the most delicate tongue was in the children with allergic purpura. There were significant differences among the four groups (P < 0.05), in which the ventral type was fat big tongue, the dentate mark tongue was more than other types, while the kidney type was thin tongue, and the dentate mark tongue was more. 4. The thickness of tongue coating was more than that of thin coating in children with Henoch-Schonlein purpura, the kidney type was more (42.9%), the other three types of dry fur was more, there was significant difference (P0.05). The color of moss was light yellow moss, accounting for 47.2%, followed by white moss and deep yellow moss. In kidney type, white fur was 47.6%, slightly more than yellowish fur (42.9%). Conclusion the syndrome differentiation of children with Henoch-Schonlein purpura (except kidney type) is mainly based on blood-heat syndrome. In children with Henoch-Schonlein purpura, qi type is the most common, and the tongue color (except kidney type) is mainly bright red tongue in children with Henoch-Schonlein purpura. The kidney type is light red tongue, pale white tongue is mainly 3, the tongue shape of Henoch-Schonlein purpura is the most delicate tongue, the next is tooth mark tongue, thin tongue and cracked tongue 4, the tongue coating of allergic purpura is thicker than thin fur, kidney type moist fur is more, The other three types of dry moss, mainly yellow moss, followed by white moss, deep yellow moss. It is suggested that the pathogenesis of Henoch-Schonlein purpura is mainly wind, heat, dampness, deficiency and stasis, and kidney type is characterized by deficiency, dampness and stasis.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

【参考文献】