| Purpose:By comparing the characteristic parameters of tongue picture with the control group,the differences were discussed and the objective laws were summarized,so as to provide some objective guidance for the syndrome differentiation of clinical epigastric pain diseases and provide some reference for the modern,scientific and individualized application of tongue diagnosis in traditional Chinese medicine.Research method : From September 2019 to December 2021,the tongue images of 286 patients with epigastric pain in the spleen and stomach clinic and inpatient department of Liaoning University of traditional Chinese medicine and the tongue picture in the physical examination center accorded with 62 cases in the control group with light red tongue and thin white fur.All syndromes were judged by2 or more physicians with more than 5 years clinical experience,specializing in internal medicine of traditional Chinese medicine or internal medicine of integrated traditional Chinese and western medicine and with the title of deputy chief physician or above.By using Cannon EOS 800 D camera to collect the tongue picture,select three color space models of RGB,HSV and Lab,compare the tongue picture of each syndrome group of epigastric pain with that of the control group to analyze the tongue picture characteristics of each syndrome type of epigastric pain.Use Microsoft Excel2019 to preliminarily summarize and sort out the collected data,and then convert it to SPSS25.0 statistical software,and then SPSS25.0 statistical software for statistical analysis.Using the statistical software for statistical analysis.Results:1.A total of 286 patients with epigastric pain met the screening conditions,including122 male patients(42.66%)and 164 female patients(57.34%);and there were 62 cases in the control group,including 28 males(45.16%)and 34 females(54.84%).2.Among 286 patients with epigastric pain,182 cases(accounting for 63.64% of the total cases)had normal weight(BMI 18.5-23.9),23 cases(accounting for 8.04% of the total cases)were thin(BMI < 18.5),76 cases(accounting for 26.57% of the total cases)were overweight(BMI 24.0-27.9),5 cases of obesity(BMI ≥ 28.0)(accounting for 1.75% of the total cases).In the control group,there were 31 cases(accounting for 50.00% of the total cases)with normal body weight(BMI 18.5-23.9),10 cases(accounting for 16.13% of the total cases)with lean body weight(BMI <18.5),21 cases(accounting for 33.87% of the total cases)with overweight(BMI 24.0-27.9)and 0 cases with obesity(BMI ≥ 28.0).3.The age range of patients with epigastric pain included in this study is: 20-80 years old.Patients younger than 20 and older than 80 years old can be excluded.The average age of all investigated patients is 46.35 ± 12.550 years old.The age distribution was 17 patients younger than 30 years old(5.94%),99 patients aged 31-40 years old(34.62%),68 patients aged 41-50 years old(23.78%),57 patients aged51-60 years old(19.93%),30 patients aged 61-70 years old(10.49%)and 15 patients older than 71 years old(5.24%).The age of patients is mainly 31-40 years old,and the number of patients in this age group is significantly greater than that in other age groups.4.The results also showed that the duration of epigastric pain was less than 1 year in60 cases(20.98%),1-3 years in 73 cases(25.52%),4-6 years in 65 cases(22.73%),7-9 years in 52 cases(18.18%)and over 10 years in 36 cases(12.56%).5.Among 286 patients with epigastric pain,the distribution of clinical syndrome types is as follows: 80 cases(28.00%)of damp heat syndrome of spleen and stomach,49cases(17.10%)of blood stasis blocking stomach,33 cases(11.50%)of deficiency of stomach yin,30 cases(10.50%)of cold evil guest stomach syndrome,and 29 cases(10.10%)of deficiency of cold syndrome of spleen and stomach,27 cases(9.40%)of disharmony between liver and stomach,23 cases(8.00%)of food injury stomach syndrome and 15 cases(5.20%)of mixed cold and heat syndrome.From the above results can be seen,286 cases of epigastric pain patients data collation statistical analysis,in this study the damp heat syndrome of spleen and stomach is the most common,mixed cold and heat syndrome less.6.According to statistical analysis,compared with the control group,the characteristic parameters of tongue image of damp heat syndrome of spleen and stomach were as follows: the color parameter she-S,she-V,she-a,she-b,tai-G,tai-S and tai-b of tongue was significantly increased(P < 0.01),and she-R,she-G,she-B,she-H,she-L,tai-R,tai-B,tai-H,tai-V,tai-L and tai-a was significantly decreased(P < 0.01);the characteristic parameters of tongue image of blood stasis blocking stomach were as follows: the color parameter she-H,she-S,she-b and tai-S was significantly increased(P < 0.01),and she-R,she-G,she-B,she-V,she-L,she-a,tai-R,tai-G,tai-B,tai-H,taiV,tai-L,tai-a and tai-b was significantly decreased(P < 0.01);the characteristic parameters of tongue image of deficiency of stomach yin were as follows: the color parameter she-S,she-a,she-b,tai-H,tai-S,tai-a and tai-b was significantly increased(P < 0.01),she-R,she-G,she-B,she-H,she-V,she-L,tai-R,tai-G,tai-B,tai-V and taiL was significantly decreased(P < 0.01);the characteristic parameters of tongue image of cold evil guest stomach syndrome were as follows: the color parameter sheR,she-G,she-B,she-H,she-V,she-L,tai-R,tai-G,tai-B,tai-L was significantly increased(P < 0.01),she-S,she-a,she-b,tai-H,tai-S,tai-V,tai-a and tai-b was significantly decreased(P < 0.01);the characteristic parameters of tongue image of cold syndrome of spleen and stomach syndrome were as follows: the color parameter she-H,she-b,tai-G,tai-B,tai-L and tai-b was significantly increased(P < 0.01),sheR,she-G,she-B,she-S,she-V,she-L,she-a,tai-R,tai-H,tai-S,tai Vand tai-a was significantly decreased(P < 0.01);the characteristic parameters of tongue image of disharmony between liver and stomach syndrome were as follows: the color parameter she-S,she-V,she-a,she-b,tai-R,tai-G,tai-S,tai-V,tai-L and tai-b was significantly increased(P < 0.01),she-R,she-G,she-B,she-H,she-L,tai-B,tai-H and tai-a was significantly decreased(P < 0.01);the characteristic parameters of tongue image of food injury stomach syndrome were as follows: the color parameter she-H,she-S,she-a,she-b,tai-G,tai-L and tai-b was significantly increased(P < 0.01),she-R,she-G,she-B,she-V,she-L,tai-R,tai-B,tai-H,tai-S,tai V,and tai-a was significantly decreased(P < 0.01);the characteristic parameters of tongue image of mixed cold and heat syndrome were as follows: the color parameter she-S,she-a,she-b,tai-G,tai-L and tai-b was significantly increased(P < 0.01),she-R,she-G,she-B,she H,she-V,she-L,tai-R,tai-B,tai-H,tai-S,tai-V,and tai-a was significantly decreased(P < 0.01).Conclusion:1.In this study,different syndromes of epigastric pain patients gender,age,course of disease has no significant difference,BMI has significant differences.2.In this study,the most common TCM syndrome type of patients with epigastric pain is spleen stomach damp heat syndrome,and the syndrome of mixed cold and heat is relatively rare.3.There were significant differences in tongue characteristic parameters she-R,she-G,she-B,she-H,she-S,she-V,she-L,she-a,she-b,tai-R,tai-G,tai-B,tai-H,tai-S,tai-V,tai-L,tai-a and tai-b among various syndrome types of epigastric pain,suggesting that it can be used as the objective diagnosis basis of tongue image of syndrome types of epigastric pain to a certain extent.4.Based on the objective parameters of tongue picture in this study,it can reflect the objective differences between different syndromes of epigastric pain and healthy people in RGB,HSV and Lab parameters of tongue picture,which provides a certain basis for further study on the correlation between objective parameters of tongue picture and clinical treatment based on syndrome differentiation in the future. |
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