急性黄疸型病毒性肝炎中医证型及舌、脉与肝功能指标的关系

Relationship between type of syndrome of tcm and conditions of tongue and pulse and parameter of liver function in acute jaundice virus hepatitis

关键词:  病毒性肝炎  中医证型  舌象  脉象  肝功能

Key words:  viral hepatitis  type of syndrome of TCM  conditions of tongue  conditions of pulse  liver function

摘要:

[目的] 探讨急性黄疸型病毒性肝炎中医证型及舌、脉与肝功能指标的关系。[方法] 278例急性黄疸型病毒性肝炎患者按标准观察舌象、脉象,并进行辨证分型,同时进行肝功能检测。[结果] 热重于湿患者胆红素较湿重于热患者明显增高,淡红舌患者白蛋白较绛舌患者明显增高,腻苔患者γ-谷氨酰转移酶(γ-GT)均较薄苔明显升高,弦脉患者天门冬氨酸氨基转移酶(AST)较滑脉患者高。[结论] 急性黄疸型病毒性肝炎中医证型及舌、脉与肝功能指标存在一定的相关性。

Abstract:

[Objective] To research the relationship between Type of syndrome of TCM and conditions of tongue and pulse and parameter of liver function in acute jaundice viral hepatitis.[Methods] Two hundred and seventy-eight patients with acute jaundice viral hepatitis were divided into syndrome of heavy heat and light damp,syndrome of heavy damp and light heat and syndrome of heavy damp and heat according to the differentiation of syndromes of TCM.Their tongue demonstrations and pulse tracings have been recorded respectively,and their liver functions determined.[Results] The amount of total bilirubin of patients with syndrome of heavy heat and light damp was higher than those of patients with syndrome of heavy damp and light heat.The amount of albumin of patients with pink tongue was higher than those of patients with crimson tongue.The level of γ-GT of patients with greasy fur was higher than those of patients with thin fur.The amount of AST of patients with taut pulse was higher than those of patients with slippery pulse.[Conclusions] Some correlation have existed between type of syndrome of TCM and conditions of tongue and pulse and parameter of liver function in acute jaundice viral hepatitis.