目的:探讨对支气管哮喘临床辨证有意义的舌脉象客观指标,以辅助临床诊断.方法:应用TP-Ⅰ型中医舌脉象数字化分析仪检测108例患者舌脉象参数,分析支气管哮喘发作期与缓解期的舌脉象特征.结果:108例支气管哮喘患者的舌象中,舌色以淡红舌、淡紫舌多见,舌苔以白苔、黄苔、薄苔为多见;脉象以弦脉、滑脉、弦滑脉为多见;舌脉象参数中舌色指数、苔色指数、厚苔指数、胖瘦指数在哮喘发作期各证型中有显著性差异(P<0.05);RPSR1、RPSR3、RPSR4、RBF、RLMS2、PLMP2、RLMS3、RLMP3在哮喘发作期与缓解期有显著性差异(P<0.05).结论:支气管哮喘患者的脉象参数、舌色指数、苔色指数、厚苔指数、胖瘦指数、RPSR1、RPSR3、RPSR4、RBF、RLMS2、PLMP2、RLMS3、RLMP3对其辨证分型有重要参考价值.

This work aimed to search for the standard tongue and pulse parameters among different patterns for syndrome differentiation in the clinical diagnosis of Traditional Chinese medicine (TCM). The tongue and pulse parameters were selected from 108 asthma patients, and examined utilizing the TP-1 digital analysis instrumenton tongue and pulse in TCM. These parameters were compared and analyzed, and the relationship between them was established. For the 108 patients with bronchial asthma, the most common tongue characteristics were the pale-red tongue, the pale-purple tongue, the tongue coating, the white tongue coating, the yellow tongue coating, and tial tongue coating, and the most common pulse characteristics were the wiry pulse, the slippery pulse, and the slipper-wiry pulse. During syndrome differentiation, the tongue color parameter, tongue coating parameter, thick tongue coating parameter, and enlarged or thin tongue body parameter, as well as RPSR1, RPSR3, RPSR4, RBF, RLMS2, PLMP2, RLMS3 and RLMP3, showed significant difference. These results showed that the selected standard parameters of the tongue and the pulse, including the tongue color parameter, tongue coating parameter, thick tongue coating parameter, enlarged or thin tongue body parameter, RPSR1，RPSR3，RPSR4，RBF，RLMS2，PLMP2，RLMS3，RLMP3, may work as a significant reference for syndrome differentiation in TCM.

上海市教委上海市属高校重点学科(第三期)建设计划(S30302):中医诊断学，负责人：王忆勤。