70 Patients With Pulmonary Fibrosis Tongue Clinical Observation

Pulmonary fibrosis is one of the common respiratory disenses,whose pathological features are alveolar inflammation and pulmonary fibrosis. Its cause and pathogencsis are not definite,whose development is gradually worse day after day, and the illness is hard to be cured. Majority of patients eventual ly turn out to be respiratory failure and death. The mainly medicine treatments for PF are hormones and immunosuppressive agents,which can only slow down the disease’s progress. Recently,Traditional Chinese medicine has been proved to have a in-depth study of PF.and its treatment has shown certain advantages and good prospects. Therefore, on the basis of the existing traditional Chinese medicine theory of pulmonary fibrosis,the research on tongue manifestation characteristics of PF patients is useful to promote the PF’s diagnosis and treatment,and it is also good to improve the understanding of the disease’s etiology and pathogenesis.This study is divided into two primary parts.Part1Literature studyObjective:to provide a reference to clinical by analyzing the main features of the tongue of PF patients,which have been reported in the literature.Objects:the lung fibrosis patients recorded in the CNKI database(2003-2012).Method:to put tongue color, tongue-shaped, fur color, fur quality of patients into EXCEL tables,and establish database.Results and Conclusions:The disease is characterized by:①dark tongue, there was42.78%;②fat large scalloped tongue, the emergence rate of63.27%;③white fur, the rate was59.36%;④thin fur, the emergence rate of85.31%;⑤greasy fur, there was59.8%. These tongue characteristics prompt etiology and pathogenesis of lung fibrosis,which are consistent with modern pointsPart2Clinical researchObjective:to gain further understanding of PF etiology and pathogencsis and improve Chinese medicine diagnosis.treatment and prognosis of PF.Objects:70cases of patients with pulmonary fibrosis, and40cases of non-pulmonary fibrosis patients.Method:to collect patients’. Tongue and general information, clinical symptoms and signs, clinical qualitative and quantitative indicators and put these information into EXCKI. tables, and establish dat abase, then analyze PF tongue characteristies and the relevance between tongue characteristies and elinieal indiratersResults and Conclusions:(1) The majority PF pat ients, beyond middle age, are idiopathie pulmonary fibrosis without, a family history,and its’ course is often short;(2)The most abnormal tongue characteristie is the change of tongue color,which more often appears to be dark tongue and purple tongue;(3)Rnvironmental and hormonal or immunosuppressant drugs have weaker effect on the change of tongue;(4)Thcre is a significant difference of dyspnea-degree between blood-stasis tongue group and non-blood-stasis tongue group,and purple tongue group have the highest degree of dyspnea,followed by dark tongue group;(5)Purple tongue group have lower PH value than dark tongue group. The other tongue characteristics showed no significant correlation with other clinical symptoms, signs and results of blood gas analysis.