488例清代温病医案的舌象分析

488 cases analysis of tongue characteristic from case record monographs of Warm disease in Qing Dynasty

From 51 monographs of case record in Qing Dynasty, we chose 29 monographs in which tongue diagnosis applied to Warm disease. Then extracted all the case records and got 488 cases from them. In according to the classification of tongue diagnosis in teaching material of TCM diagnosis of higher TCM schools education, we had a statistic analysis on the 488 cases. Results show that the recording rate of tongue coating was highest, 65.16%. From high to low sequentially, the frequency of different fur was yellow fur, white fur and black fur. During 1850~1911 of Qing Dynasty, the description of tongue coating changed that the proportion of white fur, yellow fur and compound fur was increased. On the contrary, the proportion of black fur was decreased. The recording rate of the color of tongue was 23.16%, in which the rate of red tongue and crimson tongue were higher. The recording rate of fur character was 37.7%. During 1850~1911 of Qing Dynasty, the recording rate of greasy fur was increased to the first. The applicationof tongue diagnosis involves the warm-heat species of Warm Disease, damp-heat species of Warm Disease and pestilence.