Alteration of the tongue manifestation reflects clinical outcomes of peptic ulcer disease

Hwang Huei Wang, Chun Hsu Pan, Ping Ping Wu, Shu Fang Luo, Hung Jen Lin, Chieh Hsi Wu

研究成果: 雜誌貢獻文章同行評審

14 引文 斯高帕斯(Scopus)

摘要

Objectives: This study investigated whether the tongue inspection technique in Traditional Chinese Medicine (TCM) can be used as a noninvasive auxiliary diagnostic tool to differentiate the subtypes of peptic ulcer disease (PUD) and as an indicator of therapeutic efficacy. Subjects and methods: A total of 198 outpatients from the China Medical University Hospital were recruited. The control group comprised 50 healthy adults. The remaining 148 patients were diagnosed with gastric ulcer, duodenal ulcer, or Helicobacter pylori (Hp) infection using upper gastrointestinal (GI) endoscopy, biopsy, and Campylobacter-like organism test. Tongue appearance was evaluated by a physician experienced in clinical Chinese medicine. Images of the tongue were immediately recorded using a high-resolution digital camera system. Results: The affected group of 148 patients received an 8-week course of ulcer therapy. Of these, 108 patients infected with Hp were subjected to triple therapy in the first week. Forty-nine of these 108 cases infected with Hp completed secondary examination of upper GI endoscopy and tongue inspection. Forty-one of 49 cases (83.7%) were fully cured of Hp infection. These results showed that the color of the tongue body did not change in the cured patients; however, tongue fur was markedly thinner with a color change to white (p<0.05), while sublingual veins with engorgement (p<0.05) and blood stasis (p<0.01) improved after the ulcer healed and Hp was eradicated. Conclusions: TCM tongue inspection can be potentially used as a noninvasive auxiliary diagnostic method and as an indicator for clinical outcomes for patients with PUD.

原文英語
頁(從 - 到)1038-1044
頁數7
期刊Journal of Alternative and Complementary Medicine
18
發行號11
DOIs
出版狀態已發佈 - 11月 1 2012
對外發佈

ASJC Scopus subject areas

  • 補充和替代醫學

指紋

深入研究「Alteration of the tongue manifestation reflects clinical outcomes of peptic ulcer disease」主題。共同形成了獨特的指紋。

引用此