舌脉是近十几年来,舌诊研究与应用过程中,逐渐认识到的舌象观察范畴内的重要指标之一。其形态、色泽变化,对临床中血淤证、门脉高压症、肺心病、高血压病都具有独特的重要的辨证辨病价值。本文通过对血淤证和三种疾病的临床观察和动物造型,提示了舌脉诊断血淤证,特别是门脉高压症,可称得起有“金标准”般的重要作用。舌脉管径扩张、形态改变、色暗紫、病人有肝病史,即应诊断有门脉高压症;舌脉伸张呈螺丝状串珠样改变,色绛紫有咳嗽气喘病史,即应考虑为肺心病;舌脉伸长羽状侧支形成问杂有淤斑淤点、色红或淡紫,伴有胸闷气短其血压升高者,多考虑为高血压病。三种疾病,由于其病理机制不同,其产生的舌脉病变程度各有不同,更进一步说明,在某些病症中,观察舌脉的辨证辨病意义的重要,值得应用研究。
The tongue vein is one of the important indexes in the range of observation on tongue state, which is realized gradually in the process of research and application of tongue diagnosis, The tongue vein's form, color and luster are of great clinical importance to discrimination and differentiation of blood stasis syndrome, portal hypertension, pulmonary heart disease, and hypertension, Through clinical inspection and animal modeling for the syndrome of blood stasis and the three kinds of disease caused by it, this paper revealed that the diagnosis of blood stasis syndrome through inspection of blood veins, especially the portal hypertension, playing an important role of "gold standard" . If the patient's tongue veins are dilated, mulberry, change in shape, and the patient has a history of liver disease, then the portal hypertension should be diagnosed. If the patient's tongue veins are extending and screwed or like a string of beads, dark reddish purple, and the patient has a history of cough and asthma, then the pulmonary heart disease should be diagnosed, If the patient's tongue veins are extending and have red or lilac petechiae on the side branches, accompanied by the sense of suppression in the chest and breathing hard and rising blood pressure, then hypertension should be diagnosed. These three kinds of disease have different pathological degrees in the tongue veins due to different pathogenesis. This further shows that for some diseases, it is of great significance and worthy of study to discriminate disease by inspection of the tongue vein.