DOI QR코드

DOI QR Code

A Clinical Study on the Relationship between Pattern Identifications for Patients with Functional Dyspepsia and Tongue Features

기능성소화불량 환자에서 변증유형과 설 지표의 상관성 연구

  • Lee, Hanul (Dept. of Gastroenterology, Kyung Hee University Korean Medicine Hospital) ;
  • Jeong, Hae In (Dept. of Gastroenterology, Kyung Hee University Korean Medicine Hospital) ;
  • Lee, Hyun-Jin (Dept. of Gastroenterology, College of Korean Medicine, Graduate School, Kyung Hee University) ;
  • Cho, Yunjae (Dept. of Gastroenterology, College of Korean Medicine, Graduate School, Kyung Hee University) ;
  • Keum, Chang-Yul (Dept. of Gastroenterology, Kyung Hee University Korean Medicine Hospital) ;
  • Han, Aram (Dept. of Gastroenterology, Kyung Hee University Korean Medicine Hospital) ;
  • Ha, Na-Yeon (Dept. of Gastroenterology, Kyung Hee University Korean Medicine Hospital) ;
  • Kim, Jinsung (Dept. of Gastroenterology, Kyung Hee University Korean Medicine Hospital)
  • 이하늘 (경희대학교한방병원 위장소화내과) ;
  • 정해인 (경희대학교한방병원 위장소화내과) ;
  • 이현진 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 조윤재 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 금창열 (경희대학교한방병원 위장소화내과) ;
  • 한아람 (경희대학교한방병원 위장소화내과) ;
  • 하나연 (경희대학교한방병원 위장소화내과) ;
  • 김진성 (경희대학교한방병원 위장소화내과)
  • Received : 2021.09.15
  • Accepted : 2021.12.15
  • Published : 2021.12.30

Abstract

Objectives: The aim of this study was to analyze the correlation between patterns determined by pattern identification of functional dyspepsia (FD) and tongue features, including tongue coating and tooth marks, in FD patients. Methods: We reviewed the clinical records of 68 FD patients who visited the Department of Digestive Diseases of Kyung Hee University Korean Medicine Hospital from September 1, 2020 to August 31, 2021. The subjects were evaluated with a computerized tongue image acquisition system (CTIS) and by pattern identification of FD. Measurement included the percentage of tongue coating, tooth mark levels, and pattern scores. Results: Statistically significant negative correlations were noted between the scores of the pattern of 'spleen and stomach deficiency and cold' (SSDC) and the percentage of tongue coating in whole, center, and root of the tongue body. However, no other patterns were correlated with any parameter measured by CTIS. No significant difference was noted in the percentage of tongue coating and the tooth mark level between the patterns. Conclusions: This study demonstrated that the pattern of SSDC was significantly associated with the percentage of tongue coating. We suggest that the percentage of tongue coating could be a useful indicator for identifying the degree of patterning of SSDC in patients with FD.

Keywords

References

  1. Ford AC, Marwaha A, Sood R, Moayyedi P. Global prevalence of, and risk factors for, uninvestigated dyspepsia: a meta-analysis. Gut 2015;64(7):1049-57. https://doi.org/10.1136/gutjnl-2014-307843
  2. Jung KW. Understanding the Rome IV: Gastroduodenal Disorders. The Korean Journal of Medicine 2017;92(4):362-5. https://doi.org/10.3904/kjm.2017.92.4.362
  3. Yang SY, Lee OY, Bak YT, Jun DW, Lee SP, Lee SH, et al. Prevalence of gastroesophageal reflux disease symptoms and uninvestigated dyspepsia in Korea: a population-based study. Dig Dis Sci 2008;53(1):188-93. https://doi.org/10.1007/s10620-007-9842-0
  4. Ganguli SC, Cawdron R, Irvine E. Alternative medicine use by Canadian ambulatory gastroenterology patients: secular trend or epidemic? Am J Gastroenterol 2004 Feb;99(2):319-26. https://doi.org/10.1111/j.1572-0241.2004.04046.x
  5. Jiang M, Lu C, Zhang C, Yang J, Tan Y, Lu A, et al. Syndrome differentiation in modern research of traditional Chinese medicine. J Ethnopharmacol 2012;140(3):634-42. https://doi.org/10.1016/j.jep.2012.01.033
  6. Shin YJ, Kim YB, Nam HJ, Kim KS, Cha JH. A Literature Review on Diagnostic Importance of Tongue Diagnosis. The Journal of Korean Oriental Ophthalmology & Otorhinolaryngology & Dermatology 2007;20(3):118-26.
  7. 박종기. 설진의 (舌診) 원리와 의의에 관한 고찰. 대한한의진단학회지 1997;2(1):183-388.
  8. 김근호. 혀를 이용한 건강진단 장치 개발 동향 및 응용 가능 방향. 융합연구리뷰 2018;5(2):28-64.
  9. 하나연. 기능성소화불량 변증도구 개발 및 임상적 특성 분석. 경희대학교 대학원 2020.
  10. 김동훈. 설진기의 설태 판정에 대한 유효성 평가. 경희대학교 대학원 2021.
  11. Kang JS, Kim DH, Shin HS, Jo CH, Lee JH, Kang BG, et al. The Study on Relationship of Dampness-Phlegm Tongue Diagnosis to hyperlipidemia in Stroke Patients. Journal of Korean Institute of Oriental Medical Diagnostics 2009;13(2):24-33.
  12. 홍순석. 중의진단학. 서울: 군자출판사; 2009.
  13. 김근호, 박경모. 설진의 과거와 미래 전망. 전자공학회지 2010;37(7):62-71.
  14. 김근호, 남동현. 설진기의 개발 동향. 전자공학회지 2016;43(12):35-43.
  15. Kim JH, Ko SJ, Park JW, Kim KH. Trends of Tongue Features in Functional Dyspepsia Patients. The Journal of Internal Korean Medicine 2018;39(4):637-44. https://doi.org/10.22246/jikm.2018.39.4.637
  16. Han GJ, Kim JS, Park JW, Ryu BH. Pattern Identification of 97 Functional Dyspepsia Patients and the Characteristics of Each Pattern Type. J Korean Oriental Med 2011;32(2):42-62.
  17. Son JY, Kim JS. Diagnostic Values of Tongue Coating Thickness and Sterno-costal Angle in Functional Dyspepsia. The Journal of Internal Korean Medicine 2014:35(2):157-74.
  18. Kim J, Han GJ, Cho BH, Park JW, Park K, Yeo IK, et al. Development of differential criteria on tongue coating thickness in tongue diagnosis. Complement Ther Med 2012;20(5):316-22. https://doi.org/10.1016/j.ctim.2012.03.004
  19. Kim J, Jung CJ, Nam DH, Kim KH. Different trends of teeth marks according to qi blood yin yang deficiency pattern in patients with chronic fatigue. Eur J Integr Med 2017;12:122-8. https://doi.org/10.1016/j.eujim.2017.05.004
  20. Kim YT, Kim YJ. A Study on 「Bihuayijing.Vol 1」 -Focusing on Diagnosis and Pattern Differentiation-. The Journal of Korean Medical Classics 2020;33(1):17-28. https://doi.org/10.14369/JKMC.2020.33.1.017
  21. Kim JB, Kim JH, Son CG, Kang WC, Cho JH. Development of Instrument of Pattern Identification for Functional Dyspepsia. Journal of physiology & pathology in Korean Medicine 2010;24(6):1094-8.
  22. 송보윤. 설진기의 치흔 판정에 대한 유효성 평가. 경희대학교 대학원 2021.