Study On The Correlation Between Tongue Image And Pattern And Gastroscopy Of Chronic Non-atrophic Gastritis

Objective: To collect the tongue image and gastroscopy information of patients with chronic non-atrophic gastritis,and to study the correlation between tongue image and pattern type and gastroscopic mucosal morphology,in order to provide a basis for the correlation between tongue image and classification diagnosis,gastric mucosal morphology and pathological parameters of chronic non-atrophic gastritis.Methods:According to the established inclusion and exclusion criteria,202 cases of chronic non-atrophic gastritis in the Department of Gastroenterology from Jiangxi Provincial Hospital of Traditional Chinese Medicine from September 2017 to February 2018 were collected and screened.Designed a clinical information collection scale for patients with chronic non-atrophic gastritis to collect basic information of patients.The gastric mucosal morphology of patients with chronic non-atrophic gastritis was observed and recorded(99 cases were detected by Hp infection and 39 cases were simultaneously detected pathological parameters).The canon70 d was used to capture the tongue image(interpreted by two qualified personnel of Chinese medicine practitioners,and the third person negotiated inconsistently).Thenthe archived photos were applied to the DS01-A Chinese Medicine Four Diagnostic Instrument(Shanghai Daosheng Company)for parameter analyzing and interpretation of the tongue image.If the manual interpretation is consistent with the interpretation of the four diagnostic instruments,the case is included;if the manual interpretation and the four diagnostic interpretations are inconsistent,the case is discarded.Import relevant data into SPSS.21 for statistician.And to analyze the correlation between tongue image information characteristics and pattern in TCM,gastroscopy,Hp infection and pathological indicators.Results:1.In patients with chronic non-atrophic gastritis,the age is concentrated in the 40 to 49 age group,followed by the 50 to 59 age group.The 40-59 age group accounted for 51% of the total sample,while the proportion of patients aged 10-19 years and 70-79 years old was small,The 10-19 age group accounted for 0.5% of the total sample,The 70-79 age group accounted for 6.4% of the total sample.10 to 19 years old: 1 male.20 to 29 years old: 15 males and 10 females.After 29 years of age,there were more female patients than male patients.2.Among the 202 patients with chronic non-atrophic gastritis,the tongue color was ranked in the top three: 77 cases(38.12%)with light red tongue,58 cases(28.71%)with red tongue,and 38 cases(18.81%)with dark red tongue.Tongue moss ranked in the top three: 68 cases of thinness white moss(33.66%),44 cases of thick yellow(greasy)moss(21.78%),33 cases of white thick(greasy)moss(16.34%).The top three forms of tongue are: 85 cases(42.08%)of teeth-print,80 cases(39.60%)of swelling tongue,and 46 cases(22.77%)of normal tongue.3.The relationship between tongue image and pattern of TCM:(1)There was a statistically significant difference in the distribution of tongue color and TCM pattern type(p<0.05).The light red tongue accounts for more than the pattern of liver and stomach disharmony.The red tongue accounts for a lot of liver and stomach disharmony and spleen and stomach dampness pattern.The dark red tongue accounts for a lot of spleen and stomach dampness pattern and liver and stomach disharmony.The pale tongue accounts for a lot of spleen and stomach weakness pattern.Both the tongue and the blue-purple tongue accounted for more of the spleen and stomach damp-heat pattern.(2)There was a statistically significant difference in the distribution of tongue moss and TCM patterns(p<0.05).thinness white moss and white thick greasy moss accounted for more in the spleen and stomach weakness pattern.Exfoliated moss accounts for a large proportion of stomach yin deficiency.thinness yellow moss accounts for a lot of liver and stomach disharmony and spleen and stomach weakness.Yellow thick greasy,yellow and white phase thick and greasy are more in the liver and stomach disharmony and spleen and stomach dampness pattern.(3)There was a statistically significant difference in the distribution of swelling or thinnessness tongue and TCM patterns in the tongue shape(p<0.05).The swelling tongue accounted for more of the spleen and stomach deficency,and the thinness tongue accounted for more than the liver and stomach disharmony.(4)There was a statistically significant difference in the distribution of tick marks between tongue and tongue in traditional Chinese medicine(p<0.05),and the dentate tongue accounted for more in the pattern of spleen and stomach weakness.(5)There was a statistically significant difference in the distribution of cracked tongue and TCM patterns in the tongue(p<0.05).The cracked tongue accounted for more in the spleen-stomach damp-heat pattern and the stomach-yin deficiency pattern.(6)There was a statistically significant difference in the distribution of the tongue-shaped tongue between the tongue and the TCM pattern type(p<0.05).The prickle tongue was more than the liver and stomach disharmony.4.The association between tongue image and gastroscopy:(1)There was a statistically significant difference in the distribution of tongue color and gastric mucosal erosion(p<0.05).In patients with gastric mucosal erosion,the tongue color was more pronounced with light red tongue,dark red tongue and red tongue.(2)There was a statistically significant difference in the distribution of red and white between the tongue and the gastric mucosa(p<0.05).In patients with red and white gastric mucosa,the tongue coating had the most proportion of thinness white moss.(3)There was a statistically significant difference in the distribution of tongue and gastric mucosal erosion(p<0.05).In patients with gastric mucosal erosion,the tongue coating was yellow thick(greasy)and white thick(greasy).(4)The difference in the distribution of cracked tongue and gastric mucosal erosion in the tongue was statistically significant(p<0.05).The cracked tongue of patients with gastric mucosal erosion was more than the cracked tongue of patients without gastric mucosal erosion.(5)There was a statistically significant difference in the distribution of cracked tongue and gastric mucosa with mucus lake in the tongue(p<0.05).The cracked tongue of patients with mucus lake yellow staining had more cracked tongue than those without mucus lake yellow staining.(6)There was a statistically significant difference between the tongue-shaped prickle tongue and the gastric mucosa with mucus lake yellow staining(p<0.05).The point tongue of the patient with mucus lake yellow staining was more than the point tongue of the yellow-stained patient without mucus lake.(7)There was a statistically significant difference in the distribution of tongue color and gastroscopy type(p<0.05),and the pale red tongue accounted for the most in chronic non-atrophic gastritis.Red tongue accounts for more chronic chronic non-atrophic gastritis and chronic non-atrophic gastritis with bile reflux.Dark red tongue accounts for a large proportion of chronic non-atrophic gastritis with erosion.The pale white tongue accounts for a large proportion of chronic non-atrophic gastritis.Both the tongue and the blue-purple tongue accounted for more chronic non-atrophic gastritis with erosion and bile reflux.(8)There was a statistically significant difference in the distribution of tongue moss and gastroscopy(p<0.05).thinness white moss and thinness yellow moss accounted for the most proportion in chronic non-atrophic gastritis.White thick(greasy)moss accounted for the most in chronic non-atrophic gastritis with erosion.Yellow thick(greasy)moss accounts for more chronic non-atrophic gastritis and chronic non-atrophic gastritis with erosion and bile reflux.Yellow-white phase and thick(greasy)moss account for a large proportion of chronic non-atrophic gastritis.(9)There was a statistically significant difference in the distribution of cracked tongue and gastroscopy in the tongue(p<0.05).The cracked tongue accounted for more chronic non-atrophic gastritis with erosion and bile reflux.(10)There was a statistically significant difference in the distribution of tongue-type tongue and gastroscopic diagnosis type(p<0.05).The point tongue was more common in chronic non-atrophic gastritis and chronic non-atrophic gastritis with bile reflux.5.Randomized synchronous sampling of 99 patients with Hp infection,Hp positive rate was 56.57%,there was no statistically significant difference in the incidence of Helicobacter pylori infection and TCM tongue and TCM patterns in the sampling population(p>0.05).6.The pathological biopsy report of 39 patients was randomly randomized.There was no significant difference in the distribution of pathological indexes between the sampling population and TCM tongue and TCM patterns(p>0.05).Conclusion : Under the condition of the test level α=0.05,the distribution of tongue color,tongue coating and tongue shape in the patterns of traditional Chinese medicine was different,and the difference was statistically significant;There was a difference in tongue color,tongue coating and tongue shape from the gastroscopy,and the difference was statistically significant.That is,the tongue of the liver and stomach disharmony is light red.The coating is white.The shape is normal or thinness,or a bit thorny.It is basically consistent with the tongue-like standard of "Consensus Opinions on TCM Diagnosis and Treatment Experts of Chronic Gastritis" formulated by the Chinese Traditional Medicine Association Spleen and Stomach Branch in 2017;The liver and stomach disharmony type of gastroscopyis more common in gastric mucosa with mucus lake yellow staining.The study found that the gastric mucosa with the mucus lake yellow stained,the tongue is a bit thorny,the two are related;The tongue of the spleen and stomach damp-heat pattern is reddish tongue or dark red tongue,thick yellow greasy coating or yellowish white and thick,or cracks are common.The above content is basically consistent with the standard of the tongue of the expert consensus opinion.The gastroscopy of the spleen-stomach damp-heat pattern is more common in the gastric mucosal erosion.It is found that the gastric mucosa is eroded,and there are many cracks in the tongue image.The two are related.In chronic non-atrophic gastritis,there is a correlation between tongue image and gastroscopy,and both can be an objective basis for judging pattern in TCM.