| In four examinations, looking examination is the first. Tongue examination is an important part of the inspection. It has been the attention of the medical scientists of the Chinese medical diagnostics. In the clinical, it is equally important with pulse examination. The establishment and development of tongue examination and development of cold damage is inseparable. With the development of the theory of cold damage, content and technology of tongue examination has also been enriched and development. But on the relationship between cold damage and tongue in the clinical diagnosis and treatment are few studies, case histories is a record of diagnosis and treatment in the clinical of ancient physicians in China. Qing Dynasty is both the mature period of developments in tongue examination theory, is also the heyday of developments of case histories. During this period, there are plenty of case histories to be written out, there are many case histories of tongue examination of cold damage in which. So in this study, case histories of tongue examination of cold damage in Qing Dynasty was chosen entry point, combined with the theory of tongue examination, find the change rule of tongue in cold damage, the purpose is to provide reference for diagnosis of cold damage in the clinical, hope to have the guiding significance to the clinical application of tongue examination in cold damage.Research objective:Using statistical and philological methods to analyze case histories of tongue examination in cold damage, find the change rule of tongue in case histories of cold damage in the Qing Dynasty, and these rules contribute to the later development of tongue examination theory of TCM and modern value in diagnosis of cold damage.Object of studyBased on case histories of the Qing Dynasty in<Head of Chinese ancient books catalogue of China> and<Classics of traditional Chinese Medicine> CD-ROM, at the same time, select the case histories of the part of other medical works, the election is case histories of cold damage as the object of study.Research methodsIn the reading medical books, find out the case histories of tongue examination with cold damage of56books,248cases of case histories. Data entry is used EXCEL spreadsheet, then extracting information of tongueã€pattern identification and prescription. The processing of the data is used the EXCEL spreadsheet processing functions and the basic statistical methods, Frequency statistics about tongue image, six-channel pattern identification, method of treatment and prescription is used the EXCEL spreadsheet processing functions and the basic statistical methods. About dissertation of theory of tongue examination, to retrieve<Classics of traditional Chinese Medicine) CD-ROM on a keyword index and sequential search method, and to read one by one, The book’s publication time is time to write in the<Head of Chinese ancient books catalogue of China> as the standard. Results and discussion1. Tongue examination, in the clinical diagnosis of cold damage, tongue coating using frequency is the highest, tongue body using frequency is the lowest. In the abnormal form of the tongue, prickly tongue is the most in form of the tongue. In texture of the fur, record of. dry fur is the most, followed by glossy tongue fur. These show that the diagnosis and treatment of cold damage is attaching importance to the condition of tongue coating and fluids.2. In the case histories of cold damage, when there are records of the abnormal tongue bearing, the illness is more serious.3. When cold damage appear yellow tongue and dry fur, commonly used the purgation and the prescription used Chengqi decoction. It should pay attention to the difference between cold and heat when cold damage appear black tongue fur. When cold damage appear exuberant heat damaging liquid and black tongue and dry fur, generally use the purgation and clearing in the treatment and Chengqi decoction and baihu decoction in the prescription. When cold damage appear co]d pattern and black tongue and slippery tongue fur, generally use the in the warming and supplementation in the treatment and Counterflow Cold Decoction and Center-Rectifying Decoction in the prescription. 4. There is only record of slippery tongue fur in the tongue examination of cold damage in the early of the Qing Dynasty. The earliest record of greasy fur can be traced back to Shang Hang Lun Tiao Bian by Youzhi Fang in the Ming dynasty. Since then, after slippery tongue fur and slimy tongue fur exist for some time, the slimy tongue fur diverged from the slippery tongue fur and become an independent tongue. There is positive significance to the development of tongue examination in warm disease.Is of positive significance to the development of tongue diagnosis5. In the early, record of tongue fur is "no tongue fur" when evil qi of cold damage is in the defense exterior, but the concept of "no tongue fur" is different between the ancient and the modern, the "no tongue fur" in ancient times is the same as the thin white tongue fur in modern times. The first people is Wuji Cheng in Jin Dynasty (AD1142) who said the "no tongue fur" when evil qi of cold damage is in the defense exterior. Since then, in a very long period of time, healers have followed this concept. Until the Qing Dynasty (AD1722), Tianzhang Dai was clearly put forward tongue of thin white tongue fur when evil qi of cold damage is in the lefense exterior.6.It can be seen black tongue fur no matter yin channel, cold pattern, yang channel, heat pattern, but it should be noted that the different of cold and heat. It is the cold pattern when there is black and slippery tongue fur, It is the heat pattern when there is black tongue fur and prickly tongue. There is a relatively serious disease when black tongue fur accompanied by consciousness symptoms, this time often used precipi tation.7. There is no clear distinction between the concept of red tongue and chi tongue. The red tongue is a sign of heat pattern in most cases, but it should also be combined with tongue coating, if accompanied by red tongue and slippery tongue fur is cold pattern. The prognosis is good if there is pale red and andmoist tongue. The prognosis is not good if there is red tongue and dry fur or red tongue and no tongue fur. The prognosis is good if there is black tongue and dry fur and red tongue.8. It can show purple tongue when have cold damage after drinking, or when exterior evil entering the interior, or cold and food damage. It an be seen purple tongue no matter yin channel, cold pattern, yang channel, heat pattern. Lesser yin channel and reverting yin channel are more in yin channel. When it show purple tongue in cold and food damage, this time often used precipitation. When it leads to fluids be damaged and there is dry, prickly and fissured tongue because exuberant heat of cold damage, the prognosis is not good. |
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