[1]黄廷轩,陈卫衡,周诗晶,等.新型冠状病毒肺炎恢复期患者舌象分析[J].西部中医药,2026,39(05):45-49.[doi:10.12174/j.issn.2096-9600.2026.05.11]
　HUANG Tingxuan,CHEN Weiheng,ZHOU Shijing,et al.Analysis of Tongue Manifestations in Patients with COVID-19 during the Convalescent Period[J].Western Journal of Traditional Chinese Medicine,2026,39(05):45-49.[doi:10.12174/j.issn.2096-9600.2026.05.11]
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新型冠状病毒肺炎恢复期患者舌象分析()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年05期
页码:
45-49
栏目:
调查分析
出版日期:
2026-05-15

文章信息/Info

Title:
Analysis of Tongue Manifestations in Patients with COVID-19 during the Convalescent Period
作者:
黄廷轩1, 陈卫衡2, 周诗晶3, 李绪贵3, 于会勇2, 吕思缘2, 王成祥2
1.北京中医药大学东直门医院厦门医院，福建 厦门 361000
2.北京中医药大学第三附属医院，北京 100029
3.武汉中西医结合骨科医院，湖北 武汉 430079
Author(s):
HUANG Tingxuan1, CHEN Weiheng2, ZHOU Shijing3, LI Xugui3, YU Huiyong2, LYU Siyuan2, WANG Chengxiang2
1.Xiamen Hospital, Dongzhimen Hospital of Beijing University of Chinese Medicine, Xiamen 361000, China
2.The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China
3.Wuhan Orthopaedics Hospital of Integrated Traditional Chinese and Western Medicine, Wuhan 430079, China
关键词:
新型冠状病毒肺炎; 舌象; 恢复期; 调查分析
Keywords:
COVID-19; tongue manifestations; the convalescent period; investigation and analysis
分类号:
R241.25
DOI:
10.12174/j.issn.2096-9600.2026.05.11
文献标志码:
A
摘要:
目的分析400例新型冠状病毒肺炎恢复期患者的舌象特点，总结疾病证候规律，为遣方用药提供理论依据。 方法基于新型冠状病毒肺炎病例登记系统（Coronavirus disease 2019 Case Registration System，COVID-19CRS）采集到出院半年后仍有明显临床症状的400位患者的临床信息。由课题组成员统一制定临床病例调查表，内容包括基线资料、出院半年后的中医临床症状体征及舌象情况（舌色、舌形、舌态、苔质、苔色、舌下络脉）等。由课题组成员在病例收集现场判断舌象，并在固定光源及角度下用同一部设备拍摄患者舌象，由2名高级职称中医师人员进行第二次判断。采用Microsoft Office Excel建立数据库，运用SPSS 20.0软件对数据进行统计分析。 结果400例患者的舌象分析显示，淡白舌、舌形异常（尤其是胖舌、齿痕舌、裂纹舌）、厚苔与腻苔是本组患者最主要的舌象特征，占比均超过30%。舌下络脉异常者亦占29.75%。相关性分析结果表明，舌象变化与多种临床因素相关。性别与裂纹舌及舌态分布相关（P＜0.05）；西医分型与舌苔厚薄、少/无苔及舌下络脉异常相关（P＜0.05）。调查显示，激素应用不仅与舌形胖瘦、齿痕舌相关（P＜0.05），更与舌下络脉异常呈极显著相关（P＜0.001）。此外，合并高血压及高脂血症主要与舌体胖瘦密切相关（P＜0.05）。 结论新冠肺炎恢复期患者舌象主要表现为舌淡胖有齿痕，苔白腻，符合肺脾气虚证表现，少数患者舌象表现仍有余热稽留、湿浊内盛、瘀血内阻证候，合并高血压及高脂血症患者应使用补气养血法治疗。
Abstract:
ObjectiveTo analyze the tongue manifestation characteristics of 400 patients with COVID-19 during the convalescent period, summarize the patterns of traditional Chinese medicine (TCM) syndromes associated with the disease, and provide a theoretical basis for formulating appropriate prescriptions and medication. MethodsBased on the Coronavirus Disease 2019 Case Registration System (COVID-19CRS), clinical information was collected from 400 patients who still presented with significant clinical symptoms six months after discharge. A standardized clinical case questionnaire was developed by the research team members, which included baseline data, TCM clinical symptoms and signs at six months post-discharge, as well as tongue manifestation characteris-tics (including tongue color, tongue shape, tongue motility, fur quality, fur color, and sublingual vessels). Tongue manifestations were assessed by the research team members at the data collection site, and tongue images were captured using the same device under fixed lighting conditions and at a consistent angle. A second evaluation was subsequently performed by two TCM physicians with senior professional titles. A database was established using Microsoft Office Excel, and all data were statistically analyzed using SPSS software (version 20.0). ResultsAnalysis of tongue manifestations in 400 patients revealed that pale white tongue, abnormal tongue shape (especially enlarged tongue, teeth-marked tongue, and fissured tongue), as well as thick fur and greasy fur were the most prominent tongue features in this patient group, each accounting for over 30% of cases. Abnormal sublingual vessels were observed in 29.75% of patients. Correlation analysis indicated that tongue manifestation changes were associated with various clinical factors. Gender was correlated with fissured tongue and tongue motility distribution (P<0.05). Western medicine classification was correlated with fur thickness, absent/scant fur, and sublingual vessel abnormalities (P<0.05). The survey also showed that corticosteroid use was not only correlated with tongue shape (enlarged or thin tongue) and teeth-marked tongue (P<0.05), but also showed a highly significant correlation with sublingual vessel abnormalities (P<0.001). Additionally, the presence of comorbid hypertension and hyperlipidemia was closely correlated with enlarged or thin tongue body (P< 0.05). ConclusionThe tongue manifestations in convalescent patients with COVID-19 are primarily characterized by a pale, enlarged tongue with teeth marks and a white, greasy coating, which is consistent with the pattern of lung-spleen Qi deficiency. A small number of patients still present with tongue signs indicative of residual heat lingering, exuberant dampness turbidity, or internal obstruction of blood stasis. For patients with comorbid hypertension and hyperlipidemia, the therapeutic method of supplementing Qi and nourishing blood should be adopted.

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备注/Memo

备注/Memo:
北京中医药大学新冠肺炎防控应急专项资助（2020-JYB-YJ-023）。黄廷轩（1997—），男，博士学位。研究方向：中医药防治呼吸系统感染性疾病。
更新日期/Last Update: 2026-05-15