【摘要】：目的：觀察分析過敏性紫癜患兒的舌象,探討舌象特點及與辨證分型之間的關系,為臨床診斷治療提供依據。方法：將過敏性紫癜患兒分為皮膚型、關節(jié)型、腹型、腎型四型,通過對110例過敏性紫癜患兒進行癥候統(tǒng)計及舌象觀察,總結規(guī)律。結果：1、過敏性紫癜辨證分型中除腎型外,其他三型均以血熱妄行證多見,氣不攝血型在腎型紫癜的患兒中較多,占28.6%,與其他三組比較具有統(tǒng)計學意義(P0.05)。濕熱痹阻型在腹型中發(fā)生率較多,為8例,占19.0%,與其他三組比較無統(tǒng)計學意義；2、過敏性紫癜患兒舌色除腎型外,其他幾型都是以鮮紅舌為主,四組病例之間有顯著差異(P0.05)；腎型以淡紅舌、淡白舌為主,淡白舌與其他三組有顯著差異(P0.05)；其他如暗紅舌、斑點舌在幾組均可見,四組之間比較無顯著差異。(P0.05)；3、過敏性紫癜患兒舌形以嬌嫩舌最多,其次為齒痕舌、瘦薄舌及裂紋舌；胖大舌、齒痕舌、瘦薄舌在四組中有顯著差異,P值均小于0.05,其中腹型以胖大舌、齒痕舌較其他幾型多,而腎型瘦薄舌、齒痕舌較多；4、過敏性紫癜患兒舌苔以厚苔多于薄苔；腎型潤苔較多(42.9%),其他三型燥苔較多,比較有顯著性差異(P0.05)。苔色以淡黃苔為主,占47.2%,其次為白苔、深黃苔。在腎型中白苔為47.6%,略多于淡黃苔(42.9%)。結論：1、過敏性紫癜患兒(除腎型外)辨證分型以血熱妄行證為多見,’腎型紫癜的患兒以氣不攝血型為多見；2、過敏性紫癜患兒舌色(除腎型外)以鮮紅舌為主,腎型以淡紅舌、淡白舌為主；3、過敏性紫癜患兒舌形以嬌嫩舌最多,其次為齒痕舌、瘦薄舌及裂紋舌；4、過敏性紫癜患兒舌苔以厚苔多于薄苔；腎型潤苔較多,其他三型燥苔較多,苔色以淡黃苔為主,其次為白苔、深黃苔。提示過敏性紫癜病機以風、熱、濕、虛、瘀為主,其中腎型病機以虛、濕、瘀為主。
[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.
【學位授予單位】：山東中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R272

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