Tongue image characteristics of phlegm-blood stasis syndrome in stable angina pectoris of coronary heart disease and influencing factors

GU Jiyu; SONG Tingting; GUO Yuchen; ZHANG Jiwei; XU Yuying; WANG Zongxue; LOU Taiwei; LI Qiuyan

doi:10.16025/j.1674-1307.2025.10.002

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Tongue image characteristics of phlegm-blood stasis syndrome in stable angina pectoris of coronary heart disease and influencing factors

更新时间：2025-12-15

- Tongue image characteristics of phlegm-blood stasis syndrome in stable angina pectoris of coronary heart disease and influencing factors
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 10, Pages: 1236-1240(2025)
- 作者机构：
  
  1.南京航空航天大学医院，南京 210016
  2.中国科学院微电子研究所，北京 100029
  3.北京市红十字血液中心供血科，北京 100088
  4.中国中医科学院西苑医院综合内科，北京 100091
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.10.002
  CLC：
- Received：08 January 2024，
  
  Published：25 October 2025
- 稿件说明：
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顾继昱，宋婷婷，郭雨辰，等.冠心病稳定型心绞痛痰瘀互结证舌象特征及其影响因素研究［J］.北京中医药，2025，44（10）：1236-1240.

GU Jiyu,SONG Tingting,GUO Yuchen,et al.Tongue image characteristics of phlegm-blood stasis syndrome in stable angina pectoris of coronary heart disease and influencing factors[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1236-1240.
顾继昱，宋婷婷，郭雨辰，等.冠心病稳定型心绞痛痰瘀互结证舌象特征及其影响因素研究［J］.北京中医药，2025，44（10）：1236-1240. DOI： 10.16025/j.1674-1307.2025.10.002.

GU Jiyu,SONG Tingting,GUO Yuchen,et al.Tongue image characteristics of phlegm-blood stasis syndrome in stable angina pectoris of coronary heart disease and influencing factors[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1236-1240. DOI： 10.16025/j.1674-1307.2025.10.002.

摘要

目的

观察冠心病稳定型心绞痛痰瘀互结证患者的舌象特征，对其舌象的影响因素进行研究。

方法

选取2022年5月—2023年1月就诊于中国中医科学院西苑医院的90例冠心病稳定型心绞痛患者，其中痰瘀互结证47例（痰瘀互结证组），非痰瘀互结证43例（非痰瘀互结证组）。用舌诊仪采集并分析患者的舌象特征，分析其影响因素。

结果

2组苔质、舌下络脉比较差异有统计学意义（

0.05）。痰瘀互结证组以腻苔多见，而非痰瘀互结证组则以薄苔多见；痰瘀互结证组舌下络脉以中重度迂曲为主，非痰瘀互结证组则以轻中度迂曲多见。2组舌尖部三原色（RGB）值比较差异无统计学意义（

0.05），舌体瘀滞指数比较差异有统计学意义（

0.05）。年龄、饮酒史、TG、LDL-C均对冠心病痰瘀互结证患者薄苔无影响（

0.05）。年龄是冠心病痰瘀互结证患者腻苔的独立影响因素（

0.05）；吸烟史是冠心病痰瘀互结证患者舌体瘀滞指数的独立影响因素（

0.05）。

结论

冠心病稳定型心绞痛痰瘀互结证患者苔质偏厚腻，舌下络脉多中重度迂曲，舌体瘀滞指数较高；年龄对患者腻苔有影响，吸烟史对患者舌体瘀滞指数有影响。

Abstract

Objective

To observe the tongue image characteristics of phlegm-blood stasis syndrome in patients with stable angina pectoris of coronary heart disease， and to investigate factors influencing these tongue features.

Methods

From May 2022 to January 2023， a total of 90 patients with stable angina pectoris of coronary heart disease were enrolled at Xiyuan Hospital， China Academy of Chinese Medical Sciences， including 47 patients with phlegm-blood stasis syndrome （phlegm-blood stasis group） and 43 patients without phlegm-blood stasis syndrome （non-phlegm-blood stasis group）. Tongue images were collected using a tongue diagnostic instrument and analyzed， and potential influencing factors were assessed.

Results

Significant differences were observed between the two groups in tongue coating and sublingual collaterals （

0.05）. The phlegm-blood stasis group predominantly had greasy co

atings， while the non-phlegm-blood stasis group predominantly had thin coatings. Sublingual collaterals in the phlegm-blood stasis group were mainly moderately to severely tortuous， whereas the non-phlegm-blood stasis group showed mostly mild to moderate tortuosity. No significant differences were found in the tongue tip RGB values between the two groups （

0.05）， but the tongue body stasis index was significantly higher in the phlegm-blood stasis group （

0.05）. Age， alcohol consumption， triglycerides （TG）， and LDL-C had no effect on thin coating in phlegm-blood stasis patients （

0.05）； age was an independent factor influencing greasy coating （

0.05）； smoking history was an independent factor affecting the tongue body stasis index （

0.05）.

Conclusion

Patients with stable angina pectoris of coronary heart disease and phlegm-blood stasis syndrome exhibit thicker and greasy tongue coatings， sublingual collaterals that are moderately to severely tortuous， and higher tongue body stasis index. Age influences the presence of greasy coating， and smoking history affects the tongue body stasis index.

关键词

Keywords

references

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