本书是系统研究舌下络脉诊法的专著,是作者在国家自然科学基金、解放军总后卫生部资助下,用十年时间完成的一项科研成果。舌下络脉诊法本是舌诊的重要组成部分,它着重从舌的腹面观察络脉与细络,对疡证的判断最具意义,是祖国医学中独具特色诊法之一。虽然此诊法在晋隋唐宋发展较大,但明清以后迅速衰落停滞,直至新中国建国后始经倡导重新认识研究,今则临床应用稍见普遍,惜缺少深入的基础研究。本书首先通过文献研究,系统论述了舌下络脉诊法的源流、演变与传统理论;然后介绍了临床应用观察的结果,主要侧重癣证,包括恶性肿瘤、肝病、老年病等,并与甲诊进行对照。在基拙研究方面侧重于应用形态学手段。解剖学研究部分采用铸型、造影、墨汁灌注、局部解剖、计量学等方法,研究了舌的动脉系统、静脉系统、微血管系统和静脉瓣,阐明了舌下络脉诊法观察的具体实体,其结果不仅对舌诊、且对舌的解剖学与显微外科、舌辫的应用等均有稗益。组织学研究应用连续切片的方法比较观察了人、恒河猴、Beagle犬、大鼠的全舌的组织学特点,对舌乳头、舌腹面、舌的血管系统观察尤细。在病理生理与病理组织学研究部分,通过造模探讨了肝硬变疥证大鼠舌脉血流动力学变化及其发生机制、舌象与病理组织学变化的关系;用活检方法观察了疥证、非疥证病人和常人舌下络脉诊所见与病理组织学变化的关系。此外还观察了rh-bFGF慢性毒性试验恒河猴的舌象与其病理组织学变化。书末对舌下络脉诊法若干有关问题参考文献作了综述,以便读者了解动向。本书图文并茂,选用了科研中积累起来的照片及线条图共200余幅,形成图语部分,填补了舌诊图语缺乏舌下络脉诊的空白。本书内容丰富新颖,有些为新发现、新见解,可供医、教、研及学习中医与研究舌下络脉和舌诊以及舌解刹学、舌显微外科学各方面读者参考。
概论················································ (1)
1 舌下络脉诊法的源流与传统理论研究·········。······················· (4)
1.1萌芽于先秦··········································· (4)
1.2 奠基于《内经》···································· (6)
1.3 始于晋,兴于隋唐宋··································· (10)
1.4 停滞于金元明清和民国······································ (14)
1.5 复兴于新中国成立后······································· (16)
1.6 结语··············································· (17)
2 临床研究··············································· (20)
2.1 血疲证舌下络脉变化显现类型与特征的观察··············· (20)
2.2 慢性严重肝病舌下络脉诊意义的探讨························ (24)
2.3 甲床紫晕与舌下络脉诊对照的观察研究····················· (29)
2.4 舌下络脉诊、甲诊变化与血清自由基及其清除剂水平关系在癌症诊断中的意义···················· ( 32 )
2.5 恶性肿瘤患者甲象特点的观察研究··························· (36)
2.6 甲诊源流与传统理论的探索···································· (40)
3 解剖学研究···················································· (44)
3.1舌的大体解剖概观················································ (44)
3.2 舌的动脉系统研究················································ (54)
3.3 舌的静脉系统研究················································ (59)
3.4 舌静脉瓣的研究··················································· (63)
3.5 舌动脉的常见类型及其临床意义······························ (66)
3.6 舌血管构筑及计量学研究······································· (68)
3.7 舌瓣的动静脉基础研究·········································· (71)
4 组织学研究·································。·············· (75)
4.1舌的组织学概观··················································· (75)
4.2 舌下络脉诊法的组织学基础···································· (80)
4.3 大鼠、犬、猴与人舌的组织学比较观察····················· (83)
5 病理生理学与病理组织学研究·········································· (87)
5.1大鼠肝硬变门脉高压性癖证舌下络脉诊变化的血流动力学实验研究····························· ( 87 )
5.2 大鼠肝硬变痪证舌下络脉诊的病理组织学研究············ (91)
5.3 重组人碱性成纤维细胞生长因子(rh-bFGF)毒性试验中恒河猴舌病理组织学研究················· ( 93 )
5.4 舌下络脉诊临床与病理组织学对照的观察·················· (95)
6 舌下络脉诊法研究的进展(综述) ································· (100)
6.1 舌下络脉的观察与判定方法································· (100)
6.2 血疲证的观察研究············································· (102)
6.3 恶性肿瘤的观察研究·········································· (106)
6.4 心肺疾病的观察研究·········································· (110)
6.5 消化系疾病的观察研究······································· (114)
6.6 老年病的观察研究············································· (118)
6.7 其他内科疾病的观察研究···································· (119)
6.8 外科急腹症的观察研究······································· (122)
6.9 骨科疾病的观察研究·········································· (124)
6.10 妇产科疾病的观察研究······································· (125)
6.11 舌下络脉的相关诊法·········································· (127)
6.12 舌的脉管系统研究的进展···································· (133)
7 图谱············································ (137)
7.1 舌下络脉诊法源流与传统理论研究(照片1一1一1一6)································ ( 13 7)
7.2 临床研究(照片2一1一2一100) ··························· (141)
7.3 解剖学研究(照片3一1一3一49) ··························· (162)
7.4 组织学研究(照片4一1一4一55) ··························· (171)
7.5 病理生理与病理组织学研究(照片5一1一5一46)········· (182)