仝小林"慢病十态"舌象辨析要点OA
Key points in distinguishing tongue images with'ten states of chronic diseases' guided by TONG Xiaolin
舌诊是疾病诊治的重要环节,仝小林教授将复杂慢性病从宏观上归纳为"寒、热、燥、湿、郁、瘀、瘠、壅、老、虚"十态,并通过长期临床实践总结出相应的舌象辨析要点.在舌诊中聚焦舌质、舌苔、舌底络脉三个关键要素以望舌识态、以态审病;再行"五察",即察"阳光"是否充盈、察"水分"是否丰沛、察"空气"是否条畅、察"营养"是否充分、察"生命过程"本质.针对不同病态各有侧重,最终综合判断以辨明本质.通过"慢病十态"舌象要点辨析,建立态靶辨治与传统舌诊的有机沟通,在传承中医舌诊精髓的基础上,加以发展创新,为临床把握舌象、辨别病态提供参考.
Tongue diagnosis serves as a crucial component in disease diagnosis and treatment.Professor TONG Xiaolin has systematically categorized complex chronic diseases into ten fundamental patterns('ten states' )from a macroscopic perspective:cold,heat,dryness,dampness,depression,stasis,congestion,consumption,senility,and deficiency.Through extensive clinical practice,he has established corresponding key diagnostic indicators in tongue examination.This approach focuses on three essential elements of tongue diagnosis-tongue body,tongue coating,and sublingual veins-to identify syndromes through tongue observation and assess diseases through syndrome differentiation.It further implements the'five inspections':evaluating'sunshine'sufficiency,'fluid'abundance,'air'circulation,'nutritional'status,and the essence of'life processes' .The diagnostic emphasis varies according to different pathological states,culminating in comprehensive evaluation to discern the underlying nature.By analyzing the characteristic tongue manifestations of these'ten states of chronic disease',this methodology bridges the gap between syndrome-targeted treatment and traditional tongue diagnosis.While preserving the essence of traditional Chinese medicine tongue diagnosis,it introduces innovative developments to provide valuable clinical references for accurate tongue assessment and syndrome differentiation.
唐程;薛崇祥;赵林华;杨映映;陈锐;雷烨;王涵;仝小林
北京中医药大学,北京 100029北京中医药大学,北京 100029中国中医科学院广安门医院,北京 100053南京中医药大学,南京 210023长春中医药大学,长春 130117陕西中医药大学第二附属医院,咸阳 712099北京中医药大学,北京 100029中国中医科学院广安门医院,北京 100053
慢性病十态舌象态靶辨治
Chronic diseaseTen statesTongue manifestationState-targeted diagnosis and treatment
《中华中医药杂志》 2026 (7)
1887-1891,5
国家自然科学基金项目(No.82405357,No.82305192),北京中医药大学壶天客座教授科研资助项目(No.2023-XJ-KYQD-006)
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