本文選題：高血壓 + 辨證分型�。� 參考：《廣州中醫(yī)藥大學(xué)》2013年碩士論文

【摘要】：目的： 本研究認(rèn)為高血壓病的證型互相之間的鑒別在舌象上有特定的著手點,而反映在光譜學(xué)上有特定的量化指標(biāo)范圍。研究中,我們突出舌診臨床需要,立足中醫(yī)根本,我們將高血壓病證型分為四種,包括痰濕壅盛、陰虛陽亢、肝火亢盛、陰陽兩虛,探求他們在光譜上量化的不同,促進(jìn)中醫(yī)現(xiàn)代化研究。 方法： 選取高血壓病人213名,中醫(yī)證型分為痰濕壅盛、肝火亢盛、陰虛陽亢、陰陽兩虛四型,采集屬于舌尖部位的舌色信息,對不同的證型所采集得到的數(shù)據(jù)予以計算制圖,最后進(jìn)行統(tǒng)計。采集儀器使用USB4000型VIS/NIR可見近紅外光譜儀,Matlab7.0軟件(美國MathWorks公司)編程從而進(jìn)行數(shù)據(jù)計算,Origin8.0軟件(美國Origin Lab公司)制圖,均數(shù)比較統(tǒng)計分析方面使用的是軟件SPSS19.0for Windows。 結(jié)果： 將研究對象舌色的x10與y10值導(dǎo)入到CIE1964標(biāo)準(zhǔn)色度坐標(biāo)圖中,可見各型舌色散點在色度坐標(biāo)中的分布存在著各自的特點。不同證型的高血壓病患者舌色的CIE LAB色空間三維分布區(qū)域存在差異。比較高血壓病不同證型患者舌色的L值：痰濕壅盛型的舌色的L*值比其余3個證型略高,且與陰虛陽亢型的L*差異有統(tǒng)計學(xué)意義(P0.01)；與肝火亢盛型的L*差異有統(tǒng)計學(xué)意義(P0.05)；其他證型互相之間差異無統(tǒng)計學(xué)意義(P0.05)。通過高血壓病不同證型患者舌色a*b*色坐標(biāo)的分布結(jié)果,不同證型的舌色分布差異明顯,如痰濕壅盛型主要分布于左方,陰虛陽亢型主要集中在右下方；而肝火亢盛型和陰陽兩虛型在圖中均分布于圖的中上方,其中肝火亢盛型分布偏右,陰陽兩虛型分布偏左。不同證型患者舌色色度角存在差異：痰濕壅盛組色度角值最大,陰虛陽亢組色度角值最小,其中陰虛陽亢與痰濕雍盛型之間、陰虛陽亢與陰陽兩虛型之間、肝火亢盛與陰陽兩虛之間的色度角比較差異有統(tǒng)計學(xué)意義(P0.05)；而肝火亢盛與陰虛陽亢型之間、痰濕壅盛與陰陽兩虛之間、肝火亢盛與痰濕壅盛之間的色度角比較差異無明顯統(tǒng)計學(xué)意義(P0.05)。不同證型患者舌色的彩度值差異明顯：痰濕壅盛組彩度值最小,陰虛陽亢組彩度值最大,其中陰虛陽亢與痰濕雍盛型之間、陰虛陽亢與陰陽兩虛型之間、肝火亢盛與陰陽兩虛之間、痰濕壅盛與陰陽兩虛之間、肝火亢盛與痰濕壅盛之間的彩度值比較差異有統(tǒng)計學(xué)意義(P0.05),而肝火亢盛與陰虛陽亢型之間的彩度值比較差異無明顯統(tǒng)計學(xué)意義(P0.05)。 結(jié)論： 高血壓病四種證型(痰濕壅盛、肝火亢盛、陰虛陽亢、陰陽兩虛型)互相之間鑒別時舌色上有差異,而這些差異可以量化反映在光譜數(shù)據(jù)上面。那么在臨床鑒別不同證型時,這些標(biāo)準(zhǔn)量化的光譜數(shù)據(jù)確可指導(dǎo)辨證。
[Abstract]:Objective:This study suggests that the identification of syndromes of hypertension has a specific starting point in tongue image and a specific quantitative index range in spectroscopy.To promote the study of modernization of traditional Chinese medicine.Methods:Finally, statistics are carried out.Results:By importing the tongue color x10 and y10 values into the CIE1964 standard chromaticity coordinate map, we can see that the distribution of various tongue dispersion points in the chrominance coordinate has its own characteristics.The spatial distribution of CIE LAB color in different syndromes of hypertension patients was different.The L value of tongue color in patients with different syndrome types of hypertension was compared: the L * value of tongue color of phlegm dampness accumulation type was slightly higher than that of the other three syndrome types.There was significant difference between L* and Yin-deficiency and Yang hyperactivity type (P0.01A), and there was significant difference between L* and liver-fire hyperactivity type (P0.05N), and there was no significant difference between other syndrome types (P0.05G).According to the distribution results of the color of tongue in different syndrome types of hypertension, the distribution of tongue color of different syndromes is obvious, such as phlegm and dampness accumulation type mainly distributed on the left side, Yin deficiency and Yang hyperactivity type mainly concentrated in the lower right part;The type of hyperactivity of liver-fire and the deficiency of both yin and yang were distributed in the middle and upper part of the graph, in which the distribution of the hyperactive type of liver-fire was on the right side, and the distribution of the type of deficiency of both yin and yang was on the left.There were differences in tongue color angle between different syndromes: phlegm dampness accumulation group had the largest color angle value, Yin deficiency yang hyperactivity group had the lowest color angle value, among them, Yin deficiency yang hyperactivity and phlegm dampness Yongsheng type, yin deficiency yang hyperactivity and yin yang deficiency type,The difference of color angle between hyperactivity of liver-fire and deficiency of yin and yang was statistically significant (P 0.05), while between hyperactivity of liver fire and hyperactivity of yin and yang, phlegm dampness and deficiency of both yin and yang, there was a significant difference between phlegm and dampness and deficiency of yin and yang.There was no significant difference in chromaticity angle between hyperactivity of liver fire and phlegm dampness.The color values of tongue color of different syndrome types were significantly different: phlegm dampness accumulation group had the smallest color value, and Yin deficiency yang hyperactivity group had the largest color value, in which Yin deficiency yang hyperactivity and phlegm dampness Yongsheng type, yin deficiency yang hyperactivity and yin and yang deficiency type,Between liver-fire hyperactivity and yin and yang deficiency, between phlegm dampness and yin and yang deficiency,There was significant difference in color value between hyperactivity of liver fire and phlegm dampness accumulation, but there was no significant difference in color value between hyperactivity of liver fire and hyperactivity of yin deficiency and yang hyperactivity.Conclusion:There are differences in tongue color between the four syndrome types of hypertension (phlegm dampness hyperactivity, liver fire hyperactivity, yin deficiency and yang hyperactivity, yin and yang deficiency), and these differences can be quantitatively reflected in the spectral data.In clinical identification of different types of syndrome, these standard quantitative spectral data can guide syndrome differentiation.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R241.25;R259

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 孫立友,程釗,高逢生,謝虎臣,夏文杰;利用計算機圖像識別技術(shù)進(jìn)行舌診客觀化研究的探討[J];安徽中醫(yī)學(xué)院學(xué)報;1986年04期

2 張衡翔;李斌;姚鵬;莊鎮(zhèn)泉;岳小強;;中醫(yī)舌象自動分類方法研究[J];北京生物醫(yī)學(xué)工程;2006年01期

3 馬樹恒,張遠(yuǎn)炎,譚德銀,陳紅珍,張戰(zhàn)平;氣虛證舌苔脫落細(xì)胞學(xué)研究[J];成都中醫(yī)藥大學(xué)學(xué)報;2000年01期

4 翁維良,黃世敬;中醫(yī)舌診客觀化研究[J];中國工程科學(xué);2001年01期

5 李慶利;薛永祺;劉治;岳小強;;基于高光譜成像技術(shù)的中醫(yī)舌紋分析算法[J];光電工程;2007年04期

6 黎秋明;中醫(yī)辨證分型治療高血壓病103例[J];廣西中醫(yī)學(xué)院學(xué)報;2003年03期

7 侯建民;;辨證分型治療高血壓病205例[J];河北中醫(yī);1989年05期

8 李慶利;薛永祺;王建宇;岳小強;;高光譜成像系統(tǒng)在中醫(yī)舌診中的應(yīng)用研究[J];紅外與毫米波學(xué)報;2006年06期

9 張發(fā)榮;高血壓病氣虛血瘀型特征探析——附357例臨床資料[J];江蘇中醫(yī);1997年09期

10 張郁靖;曾常春;孔猛;劉漢平;;光學(xué)信號分析中醫(yī)色診三原色主生主死特性的應(yīng)用研究[J];北京中醫(yī)藥大學(xué)學(xué)報;2010年02期

，

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