| Purpose:This study analyzes the characteristics of cerebral infarction syndromes and the distribution of TCM syndromes in different clinical stages of cerebral infarction patients;explores the differences in digital tongue image data between cerebral infarction patients and healthy people,and discusses the similarities and differences of digital tongue image data in different clinical stages.It provides new ideas for the objective diagnosis and research of traditional Chinese medicine for cerebral infarction,and provides a new theoretical basis for the prevention,treatment,and prognosis of cerebral infarction.Method:The cases originated from 157 newly admitted patients with cerebral infarction in the Department of Neurology and Cardiology of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from February 2019 to January 2020 and 154 healthy persons in the Department of Physical Examination.For newly admitted patients with cerebral infarction and healthy persons who meet the inclusion criteria,with the consent of themselves and their families,the case data are sorted in detail,relevant medical history and pathological data are collected,and the TFDA-1 tongue and face diagnostic instrument is used.Record the tongue pictures of patients and healthy people.Tongue diagnosis parameter value was obtained by using Chinese medicine tongue diagnosis and analysis system V2.0 software.SPSS25.0 statistical software was used for data processing and analysis.Result:?1?In the distribution of TCM syndromes of cerebral infarction,there are68 cases?43.3%?of wind-phlegm obstruction syndrome,36 cases?22.9%?of qi deficiency and blood stasis syndrome,22 cases?14.0%?of wind-fire disturbance syndrome,liver and kidney There were 17 cases of deficiency syndrome?10.8%?and14 cases of yin deficiency syndrome?8.9%?.?2?The distribution of different clinical stage syndrome types in patients with cerebral infarction,33 cases?57.9%?of stroke-phlegm obstruction syndrome in acute stage,8 cases?14.0%?of wind-fire disturbance syndrome,and 7 cases?12.2%?of qi deficiency and blood stasis syndrome,7 cases of liver and kidney deficiency syndrome?12.2%?,2 cases of yin deficiency wind syndrome?3.5%?;7 cases?77.8%?of stroke-phlegm obstruction syndrome in recovery period,1 case?11.1%?of qi deficiency and blood stasis syndrome,liver One case of kidney deficiency syndrome?11.1%?;a total of 28 cases?30.8%?of stroke phlegm obstruction syndrome,28 cases of qi deficiency and blood stasis syndrome?30.8%?,14 cases of wind and fire disturbance syndrome?15.4%?,Yin There were 12 cases?13.2%?of deficiency wind dynamic syndrome and 9 cases?10.0%?of liver and kidney deficiency syndrome.?3?Through statistical analysis of the tongue color parameters,tongue color parameters,tongue texture and thickness parameters of healthy people and cerebral infarction groups,it shows:?1?Differences in tongue color parameters between the healthy group and the cerebral infarction group were statistically significant?p<0.05?,of which zhi R*10^2,zhi Clr H,zhi Clr S*10^2,zhi Clr L,zhi Clr Cr in the cerebral infarction group Zhi Clr Cb was significantly lower than the healthy group.The zhi G*10^2,zhi Clr B,zhi Clr R,zhi Clr G,zhi Clr I,zhi Clr La,zhi Clr Lb,and zhi Clr Y in the cerebral infarction group were significantly higher than those in the healthy group.?2?There was no statistically significant difference in tai R*10^2,tai Clr S*10^2,and tai Clr Cr between the healthy group and the cerebral infarction group?p>0.05?,and the differences in other tongue coating color parameters were statistically significant?p<0.05?.The tai G*10^2,tai Clr R,tai Clr G,tai Clr B,tai Clr I,tai Clr La,tai Clr Lb,tai Clr Y in the infarction group were significantly lower than those in the healthy group,and the tai Clr H,tai Clr L,tai Clr Cb in the cerebral infarction group were significantly higher than those in the healthy group.?3?All the texture and thickness parameters of tongue coating in healthy group and cerebral infarction group did not satisfy the normal distribution,and rank sum test was used to compare the differences.The difference of per All*10^2between the two groups was not statistically significant?p>0.05?,and the differences in texture and thickness parameters of other tongue coatings were statistically significant?p<0.05?,among which tai Con,tai ASM*10^2,tai ENT and tai MEAN*10^2were significantly higher than those in healthy people,and per Part*10^2in cerebral infarction group were significantly lower than those in healthy people.?4?The statistical analysis of the tongue color parameters,tongue color parameters,tongue texture and thickness parameters of three different clinical stages of newly admitted patients through statistical analysis showed:?1?The differences of zhi Clr L,zhi Clr La,and zhi Clr Lb in the three groups of acute stage,recovery stage,and sequelae of cerebral infarction were statistically significant?p<0.05?,and the differences of other tongue color parameters were not statistically significant?p>0.05?.The acute phase of zhi Clr L is significantly lower than the sequelae.The zhi Clr La in the acute phase is significantly higher than the sequelae phase.The zhi Clr Lb in the acute phase is significantly higher than the sequelae phase.?2?The differences of tai Clr H,tai Clr L,and tai Clr La in the three groups of acute stage,recovery stage,and sequelae of cerebral infarction were statistically significant?p<0.05?,and the differences of other tongue coating color parameters were not statistically significant?p>0.05?.The tai Clr H in the acute phase is significantly higher than that in the sequelae phase.The tai Clr L in the acute phase and recovery phase is significantly lower than the sequelae phase.The tai Clr La in the acute phase is significantly higher than that in the sequelae phase.?3?The differences of tai Con,tai ENT,and per Part*10^2in the three groups of acute stage,recovery stage,and sequelae of cerebral infarction were statistically significant?p<0.05?,and other tongue coating textures and thickness parameters were not statistically significant?p>0.05?.The tai ENT in the acute phase was significantly higher than the sequelae phase.The per Part*10^2in the acute phase and recovery phase is significantly lower than the sequelae phase.In Conclusion:1.The 157 cases of cerebral infarction patients collected in this study were subjected to TCM syndrome type statistics,and the results showed that the proportions from high to low were wind phlegm obstruction syndrome,qi deficiency blood stasis syndrome,wind and fire disturbance syndrome,liver and kidney deficiency Card,Yin deficiency wind dynamic card.The main TCM pathogenic syndromes of cerebral infarction are wind,fire,phlegm,blood stasis,etc.The disease location syndrome is in the brain.For the distribution of TCM syndromes of different clinical stages,the wind and phlegm obstruction syndrome are mainly used in the acute phase and recovery phase Mainly;and stagnation of phlegm obstruction syndrome,qi deficiency and blood stasis syndrome.In the acute stage of cerebral infarction,evil qi prevails,liver yang is hyperactive,internal wind clamps phlegm and fire,and crosses the meridians.At this time,it is mainly based on the standard.With the gradual receding of the standard,the deficiency of virginity is revealed.After entering the sequelae period,the deficiency of qi and phlegm and other pathological factors consume the Yin and Tianjin,and the deficiency of virginity further develops.2.According to the analysis of digital results,it can be concluded that patients with cerebral infarction have darker red tongues and yellowish greasy tongue coatings than healthy people,and their onset may be related to phlegm and fire;digital tongue images for clinical classification of patients with cerebral infarction In terms of characteristics,in the early stage of the disease,it is mainly based on standard,wind and fire turbulence and disturbance,phlegm turbidity and heat,scorching yin and red tongue or crimson,and then the evil forces such as wind,fire and phlegm heat have weakened,so the tongue The quality gradually fades,but it has entered the meridian and consumed the true yin,and the stomach yin is also injured,the spleen and stomach are damaged,and the middle coke is unfavorable.For thick.It shows that under the condition of continuous development of the disease,various pathological factors are also interrelated and cause-and-effect. |
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