慢性萎缩性胃炎中医舌象研究进展

文章信息/Info

• Title:慢性萎缩性胃炎中医舌象研究进展

• 卷期:2024年22卷13期

• 作者:钱金丹，杨欣，康秀丽，唐容达，武泰和，陈璇 *

• 苏州科技城医院中医科 苏州 215153

• Author(s):Jindan Qian,Xin Yang,Xiuli Kang,Rongda Tang, Taihe Wu,Xuan Chen*

• Traditional Chinese Medicine Department of Suzhou Science & Technology Town Hospital, Suzhou 215153, China

• 关键词慢性萎缩性胃炎；舌象；综述

• Keywords:chronic atrophic gastritis; tongue image; review

• 摘要:慢性萎缩性胃炎（CAG）是消化系统常见病、多发病。CAG常见的舌象与内镜下表现、病理、HP感染及理化指标等相关，其常见舌象为舌质淡伴齿痕、腻苔。随着内镜下炎症的加重，舌苔增厚，黄色加深。结合病理发现随着萎缩及肠化生、异型增生的加重，厚腻苔、黄苔及胖大舌、裂纹舌比例增加，其中黄腻苔HP感染率最高。同时，应用电子显微镜观察不同证型的CAG患者亦有不同的细胞改变及微循环变化。另外CAG舌象的基础研究也取得了一些成果，但仍需进一步研究证实。                                                                                                                                                                                

• AbstractChronic atrophic gastritis (CAG) is a common and frequently-occurring disease in digestive system. The common tongue manifestations of CAG are related to endoscopic manifestations, pathology, HP infection and physicochemical indexes. The common tongue manifestations of CAG are pale tongue with teeth marks and greasy coating. With the aggravation of endoscopic inflammation, the tongue coating becomes thick and yellow. Combined with pathological findings, it was found that with the aggravation of atrophy, intestinal metaplasia and dysplasia, the proportions of thick and greasy coating, yellow coating, and fat, large and cracked tongue were increased, and the HP infection rate with yellow and greasy coating was the highest. At the same time, electron microscopy was used to observe the different cellular changes and microcirculation changes in CAG patients of different syndrome types. In addition, some results have been achieved in the basic research of CAG tongue picture, but further research is needed to confirm it.>

  慢性萎缩性胃炎（chronic Atrophic Gastritis，CAG）是慢性胃炎的一种常见类型，是指因各种原因导致的胃黏膜上皮固有腺体减少，或伴有肠腺化生、假幽门腺化生、异型增生或上皮内瘤变的一种常见的慢性胃部疾病［1］。根据其临床症状本病可归属于中医学“胃痞”、“胃脘痛”、“吐酸”、“嘈杂”等疾病范畴，病位在脾胃。“舌为脾之外候”、“苔乃胃气之所熏蒸，五脏皆禀气于胃，故可借以诊五脏之寒热虚实也。”，是故舌象在中医辨证论治中具有重要地位，特别是脾胃疾病直接反映于舌象。