中晚期宫颈癌维吾尔族患者舌脉像初探
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1. 上海中医药大学附属龙华医院,上海 200032; 2. 新疆喀什地区第二人民医院,新疆喀什 844000; 3. 上海中医药大学附属曙光医院,上海 200021

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R271.9

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Preliminary Study on Tongue Image and Electropulsogram of Uygur Patients with Advanced Cervical Caner
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1. Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China; 2. The second People’s of Kashgar Region, Xinjiang 844000, China; 3. Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China

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    摘要:

    目的 观察新疆喀什地区中晚期宫颈癌维吾尔族患者舌脉像及证型。方法 对50例中晚期宫颈癌患者运用中医数字化四诊仪进行舌脉像象及问诊数据的采集录入,并通过计算机分析辨证得到每位患者证型及体质结论。结果 50例患者中舌质以暗红为最多,所占比例70%;舌苔见厚苔、腻苔或两者兼而有之者占70%,其中厚腻苔占56%;脉象见弦脉者占74%(37例),见数脉者占38%(19例),见虚脉者占28%;患者症状频数构成比超过50%的有7项,分别是腰痛、善怒、善忧思、易疲劳、干性皮肤、腰酸、善太息;患者证型中主证或兼证见气虚者占92%,其中主证为气虚者占76%. 结论 中晚期子宫颈癌维吾尔族患者亦以气虚为主要矛盾,同时可能存在痰湿内蕴、肝郁气滞等虚实错杂之病机。

    Abstract:

    Objective To observe tongue image and electropulsogram of uygur patients with advanced cervical cancer in Xinjiang. Methods The parameters of tongue image and electropulsogram were selected from 50 uygur patients with advanced cervical cancer, and detected by the Traditional Chinese Medicine digital analysis instrument. Combined with the results of interrogation, the syndrome differentiation and physical conclusion of each patient can be obtained automatically. Results The most common tongue color and tongue coating in these patients is dark red and greasy thick tongue, and the proportion is 70% and 56% respectively. The proportion of the patients with taut pulse, rapid pulse, and feeble pulse is 74%, 38%, and 28% respectively. Seven kind of syndrome are frequently occurred in more than 50% patients, such as backache, irritability, anxiety, weakness, dry skin, soreness of waist, and susceptible sigh. The dominant or subordinate syndrome differentiation is Qi-deficiency in 92% of the patients, and the proportion of patients with Qi-deficiency in their dominant syndrome differentiation is 76% specially. Conclusion Qi-deficiency could be the principal contradiction in uygur patients with advanced cervical cancer, but meanwhile, there may be other intermingled deficiency and excess syndromes such as phlegm-damp retention and liver-Qi stagnation.

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