60例急性心肌梗塞舌象分析

作者	单位
陈可冀	中医研究院西苑医院心血管病研究室
钱振淮	中医研究院西苑医院心血管病研究室
张问渠	中医研究院西苑医院心血管病研究室
赵孟华	中医研究院西苑医院心血管病研究室

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中文摘要:

本文报告60例急性心肌梗塞的舌象分析,初步说明有一定的特征及演变规律,一般舌苔由薄→腻→黄→黑为逆,由黑→黄→腻→薄为顺。薄白苔多见于急性心肌梗塞的早期或恢复期,如见黄腻苔持续不退,病情多有恶化可能,而往往伴有便秘,故应该重视化浊通腑药物的应用,以助急性心肌梗塞的修复。

英文摘要:

This paper expounds the analysis of 60 cases of acute myocardial infarction(AMI)tonguefeature.Preliminary results showed that AMI tongue feature has certain characteristics and developing patterns.In general,the tongue coats which developed from flimsy→thick→yellow→black indicated unfavourable prognosis,while those developed from black→yellow→thick→flimsy indicated favourable prognosis.The thin white coats usually appeared in the early and recovery stage of AMI.Among the 60 cases,we observed there were 22 cases(36.7%)of thin white coats on the first day of admission and 32 cases(53.4%)in the second week after admission.If the thin white coats appeared during the whole course of AMI,the case condition would not be considered serious, complications would be less and the prognosis would be better.There were 16 cases(26.7%)with yellow slimy coats on the first day of admission.Along with the AMI development,the yellow slimy coats increased to 22 cases(36.7%) and 20 cases(33.4%)on the third day and in one week after admission respectively.If the yellow slimy coats appeared continuously,the prognosis would probably turn worse. Furthermore,AMI patients with yellow slimy coats were usually accompanied with constipation,therefore the herbs for cleaning phlegm-dampness and relaxing bowel should be given so as to help repair AMI.

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