中風 患者 34例의 舌診에 對한 臨床的 觀察 = Clinical Study for Tongue Change as Diagnostic Method on 34 Acute Stage Cerebrovascular Accident Patients

국문 초록 (Abstract)

1997年 2月부터 1997年 8月까지 圓光韓醫大 全州韓方病院에 中風으로 來院하여 治療한 34名(平均年齡:65.07歲, 男:19 女:15名)을 對象으로 舌診을 시행하였고, 관찰된 결과는 다음과 같다. 1. 中風原因에 대한 변증결과는 陰虛, 氣虛, 濕痰/痰火, 瘀血이 각각 13, 10, 7, 4例를 보였다. 2. 腦 電算化斷層 撮影 結果 腦出血로 診斷된 16例의 患者에서 舌質은 紅色, 絳色, 淡紅色, 靑紫色, 淡白色이 각각 6, 4, 4, 1, 1例를 보였다. 그리고 腦梗塞의 境遇는 18例중 舌質이 淡紅色, 淡白色, 紅色, 絳色, 靑紫色이 각각 7, 5, 3, 2, 1例를 보였다. 3. 入院當時 觀察한 顔面과 眼色은 面紅目赤한 境遇가 舌質이 紅, 絳한 경우에서 더 頻度가 높았으며, 面紅이 있는 患者는 程度의 差異는 있지만 모든 例에서 目赤을 같이 同伴하였다. 또한 腦 電算化斷層撮影 所見上 腦出血患者에서 腦梗塞이 있는 환자에서 보다 面紅과 目赤이 훨씬 더 많이 관찰되었다.

다국어 초록 (Multilingual Abstract)

A clinical observation by the tongue change as a diagnostic method was made on 34 acute stage (in 24 hours from the onset) cerebrovascular accident patients admitted to Wonkwang University, Chonju Oriental Medical Hospital from February, 1997 to August, 1997 and the observed results were summarized as follows.
1. The observed results with the differentiation of symtoms and signs for the cerebrovascular cause were that deficiency of yin(陰), deficiency of qi(氣), clamp phlegm or phlegm fire(濕痰, 痰火) and blood stasis(瘀血) was 13, 10, 7, 4 case(s), respectively.
2. The texture of tongue in 16 patients diagnosed intracranial hemorrhages on the brain CT was that red, dark red, pink, cyanosis color, and whitish color was 6, 4, 4, 1, 1 case(s), respectively. And the one in 18 cases diagnosed intracranial infarctions was that pink, whitish color, red, dark red, and cyanosis color was 7, 5, 3, 2, 1 case(s), respectively.
3. As the face color and the eyeball color of the observed patients in the first admission day, The flush and reddish eyes cases were more frequently occurred.
Among the patients with red, dark red texture of tongue, All of the cases had reddish eyes in the flushed patients more or less. And The observed results in the intracranial hemorrhages were detected more frequently than one in the intracranial infarctions on the brain CT studys.