劉洪宇 張長連 陸小左

[摘要] 目的 為更準(zhǔn)確地診斷高尿酸血癥及提高臨床療效，擬對高尿酸血癥患者舌象進(jìn)行初步分析。 方法 2017年1～7月利用舌象儀在天津武清泉達(dá)醫(yī)院隨機(jī)收集50例高尿酸血癥患者舌象作為高尿酸組，同時采集50名健康體檢者的舌象作為健康組，分析高尿酸血癥舌色RGB值和苔色RGB值，并對高尿酸血癥舌色和苔色特點(diǎn)進(jìn)行初步探討。 結(jié)果 兩組舌尖顏色R1、舌尖顏色G1、舌尖顏色B1、舌左邊顏色R2、舌左邊顏色G2、舌右邊顏色R3、舌右邊顏色B3比較，差異均有統(tǒng)計(jì)學(xué)意義（均P < 0.05）;兩組舌根苔色R4、舌尖苔色G6、舌尖苔色R6、舌中苔色B5、舌尖苔色B6比較，差異均有統(tǒng)計(jì)學(xué)意義（均P < 0.05）。舌色淡紫、紅絳，苔色黃、苔色白為高尿酸血癥的舌象特點(diǎn)。結(jié)論 高尿酸血癥舌色、苔色具有與正常舌色、苔色不同的特點(diǎn)，為高尿酸血癥的中醫(yī)防治與療效評估提供了基礎(chǔ)數(shù)據(jù)。

[關(guān)鍵詞] 高尿酸血癥;舌色;苔色;RGB值

[中圖分類號] R589? ? ? ? ? [文獻(xiàn)標(biāo)識碼] A? ? ? ? ? [文章編號] 1673-7210（2019）03（a）-0113-04

[Abstract] Objective To diagnose hyperuricemia more accurately and improve the clinical effect， the tongue manifestation of patients with hyperuricemia was analyzed preliminarily. Methods The tongue manifestation of 50 patients with hyperuricemia in Tianjin Wuqing Quanda Hospital by tongue manifestation analyzer from January to July 2017 was randomly collected as hyperuricemia group. At the same time， the tongue manifestation of 50 healthy persons was collected as healthy group. The RGB values of tongue color and RGB values of moss color of hyperuricemia were analyzed， and the characteristics of tongue color and moss color of hyperuricemia were analyzed preliminarily. Results There were all statistically significant differences of the tongue tip color R1， the tongue tip color G1， the tongue tip color B1， the left tongue color R2， the right tongue color R3 and the right tongue color B3 between the two groups （all P < 0.05）. There were all statistically significant differences of the moss color of tongue root R4， the moss color of tongue tip R6， the moss color of tongue tip G6， the moss color of central tongue B5 and the moss color of tongue tip B6 between the two groups （all P < 0.05）. Lilac or purple-red tongue， yellow or white moss seems to be the characteristics of tongue manifestation of hyperuricemia. Conclusion The tongue color and moss color of hyperuricemia have different characteristics compared with those of normal tongue color and moss color， which provides essential data for TCM prevention and treatment and efficacy evaluation of hyperuricemia.

[Key words] Hyperuricemia; Tongue color; Moss color; RGB value

高尿酸血癥是一種由于嘌呤代謝異常而引起的代謝性疾病，尿酸生成過多或排泄減少都可以導(dǎo)致人血尿酸的升高，進(jìn)而導(dǎo)致高尿酸血癥。由于大多數(shù)患者臨床癥狀不典型，甚至可終身不出現(xiàn)癥狀，高尿酸血癥沒有得到人們應(yīng)有的重視，但無癥狀高尿酸血癥對健康的影響不容忽視，研究表明高尿酸血癥與高血壓病、高血脂、冠心病、腦血管意外、糖尿病、腎病等具有顯著的相關(guān)性，對人類健康造成威脅。目前，由于中藥有降低尿酸作用持久、副作用小的優(yōu)點(diǎn)，受到越來越多患者的認(rèn)可。舌診法在我國具有悠久的歷史，是中醫(yī)辨證的重要依據(jù)，舌象能客觀地反映人體正氣的盛衰、病邪的深淺、病情的進(jìn)退，因此根據(jù)舌象的變化可以預(yù)測疾病轉(zhuǎn)歸[1]。隨著中醫(yī)學(xué)的發(fā)展，舌診已成為診察疾病的一種常用手段，并且廣泛地應(yīng)用于臨床。中醫(yī)舌診在高尿酸血癥的辨證分型和辨證用藥的過程中具有重要的作用。為了提高高尿酸血癥的中醫(yī)辨證分型、療效評估和臨床用藥的準(zhǔn)確率，筆者對高尿酸血癥舌色和苔色RGB值進(jìn)行研究，并對高尿酸血癥舌色和苔色的特點(diǎn)進(jìn)行分析。