目的研究关于子宫肌瘤舌象特征的文献,探讨子宫肌瘤舌象的共性特征。方法检索CNKI(1999-2008)数据库,以"子宫肌瘤"及"舌"为关键词,检索出文献629篇。进一步筛选有舌诊记录的文献189篇,累计病例1796例,并分析子宫肌瘤时出现的各种舌质与舌苔的百分比。结果子宫肌瘤中暗舌出现率为57.07%,瘀点舌出现率为48.11%。从辨证的角度分析,气滞血瘀证的瘀点舌出现率为67.04%,暗紫舌出现率为54.93%;气虚血瘀证的淡舌出现率为81.03%,瘀点舌出现率为42.56%;痰湿内阻证的白腻苔出现率为82.44%,暗紫舌出现率为81.68%,胖大、齿痕舌出现率为67.18%;瘀血内阻证的瘀点舌的出现率为89.15%,暗红舌出现率为40.31%。结论子宫肌瘤的舌象特征为暗舌和瘀点舌,且各种常见证型具有各自的舌象特征。这些舌象特征可运用于对子宫肌瘤的体质辨识和健康管理。
Objective To study the literature concerning the pattern of tongue coating in patients with fibroid uterus to look for the common characteristics of the pattern of tongue coating. Methods The concerned data were searched in China National Knowledge Infrastructure (CNKI) database (1999--2008) using the key words "fibroid uterus" and "tongue", and 629 papers were retrieved. The literature was scanned further, and 189 papers which consisted with glossoscopy records of 1796 patients with uterus fibroid were selected. The percentages of tongue texture and tongue fur in these patients with uterus fibroid were analyzed. Results The frequency of dark tongue was 57. 070//00 and spotted tongue was 48. 11% in patients with uterus fibroid. An analysis in regard to differentiation of symptoms and signs was made, and it was found that the frequency of spotted tongue was 67. 04% and dark purple tongue was 54. 93% in patients with "stagnancy of qi and blood stasis"; the frequency of pale tongue was 81.03% and spotted tongue was 42. 56% in patients with "deficiency of qi and blood stasis'; the frequency of dark purple tongue was 81.68%, enlarqement tongue with tooth mark was 67. 18%, and white and greasy furred tongue was 82.44% in patients with "stagnation of phlegm-dampness'; and the frequency of spotted tongue was 89. 15% and dark tongue was 40. 31% in patients with "stagnation of blood". Conclusions The tongue pattern in patients with fibroid uterus is characterized by dark tongue and spotted tongue, which can be used for the differentiation of constitution and health management of the patients with fibroid uterus.