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邱曾秀,应依,陈泽霖,陈忠年.镜面舌30例临床分析与舌印片脱落细胞观察[J].,1984,(12):735-737,769,708
镜面舌30例临床分析与舌印片脱落细胞观察
Clinical Analysis of 30 Cases of Glossy Tongue and Observation on the Exfoliated Cells from the Tongue by Imprints
  
DOI:
中文关键词:  镜面舌  印片  构成比  脱落细胞  舌诊客观化  损伤性  科学方法  中医辨证  舌粘膜  细胞坏死
英文关键词:
基金项目:
Author NameAffiliation
Qiu Cengxiu 上海第一医学院耳鼻喉科研究所 
应依 上海第一医学院耳鼻喉科研究所 
Chen Zelin 上海第一医学院检验科 
hen zhongnian 上海第一医学院中医教研组 
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中文摘要:
      分析30例镜面舌患者的舌象及中医辨证。建立了舌印片法,观察镜面舌粘膜上皮脱落细胞的形态特征,发现与正常舌印片有显著差别。舌印片法无损伤性,是充实舌诊客观化的科学方法。最后讨论了镜面舌的形成原理及其再生舌苔的条件与过程。
英文摘要:
      Clinical observation on 30 cases of glossy tongue was made chiefly in the following two ways:describing the gross picture of the tongue and differentiating syndromes,and studying on exfoliated cells of the tongue in a sequence of time by imprints. The items including the pattern of distribution of cells,the cells from different layers and of various kinds,the proportions of various kinds of cells and the total number of cells,the degree of necrosis,and the background were compared with those of the normal tongue. All the statistical data showed a remarkable distinction.Besides,a few physiological and biochemical lest values were obtained.The relationship between the picture in imprints of the glossy tongue and the development of the disease was established to help predict the prognosis.Imprints as an innocuous method of detection for cytological changes in tongue makes the gross examination of tongue perfect. Pathogenesis of the glossy tongue was discussed.It is believed that cell necrosis is the principal feature of the glossy tongue.Marked deficiency of nutritious matter renders the cells vulnerable to the invasion of biological agents and other factors,leading to cell necrosis.Massive degeneration,atrophy,necrosis and postnecrotic shedding of middle layer epithelial cells result in glossy tongue.It is consistent with the theory of traditional Chinese medicine that glossy tongue is due to exhaustion of Yin fluid.The cytology of the tongue throws some new light on and confirms the validity of the theory.The prerequisite for and process of regeneration of new coating on glossy tongue were also discussed.
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