기능성소화불량 환자에서 변증유형과 설 지표의 상관성 연구
A Clinical Study on the Relationship between Pattern Identifications for Patients with Functional Dyspepsia and Tongue Features
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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.
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.
참고문헌 (22)
- Ford AC, "Global prevalence of, and risk factors for, uninvestigated dyspepsia: a meta-analysis", Gut, 64(7), pp.1049~1057 (2015)
- 정기욱, "로마 기준 IV 이해하기: 위십이지장 질환", 대한내과학회지, 92(4), pp.362~365 (2017), 대한내과학회[DOI]
- Yang SY, "Prevalence of gastroesophageal reflux disease symptoms and uninvestigated dyspepsia in Korea: a population-based study", Dig Dis Sci, 53(1), pp.188~193 (2008)
- Ganguli SC, "Alternative medicine use by Canadian ambulatory gastroenterology patients: secular trend or epidemic?", Am J Gastroenterol, 99(2), pp.319~326 (2004)
- Jiang M, "Syndrome differentiation in modern research of traditional Chinese medicine", J Ethnopharmacol, 140(3), pp.634~642 (2012)
- 신윤진, "舌診의 진단적 의의에 대한 문헌고찰", 한방안이비인후피부과학회지, 20(3), pp.118~126 (2007), 대한한방안이비인후피부과학회
- 박종기, "설진의 (舌診) 원리와 의의에 관한 고찰", 대한한의진단학회지, 2(1), pp.183~388 (1997)
- 김근호, "혀를 이용한 건강진단 장치 개발 동향및 응용 가능 방향", 융합연구리뷰, 5(2), pp.28~64 (2018)
- 하나연, "기능성소화불량 변증도구 개발 및 임상적 특성 분석", pp.2020
- 김동훈, "설진기의 설태 판정에 대한 유효성 평가", pp.2021
- Kang JS, "The Study on Relationship of Dampness-Phlegm Tongue Diagnosis to hyperlipidemia in Stroke Patients", Journal of Korean Institute of Oriental Medical Diagnostics, 13(2), pp.24~33 (2009)
- 홍순석, "중의진단학" (2009), 군자출판사
- 김근호, "설진의 과거와 미래 전망", 전자공학회지, 37(7), pp.62~71 (2010)
- 김근호, "설진기의 개발 동향", 전자공학회지, 43(12), pp.35~43 (2016)
- 김지혜, "기능성 소화불량 환자에서 설 지표의 경향성 파악", 대한한방내과학회지, 39(4), pp.637~644 (2018), 대한한방내과학회
- 한가진, "기능성 소화불량 환자 97명의 변증유형별 특성", 대한한의학회지, 32(2), pp.42~62 (2011), 대한한의학회
- 손지영, "기능성 소화불량 환자에서 설태후박 및 흉늑각 측정의 진단적 가치", 대한한방내과학회지, 35(2), pp.157~174 (2014), 대한한방내과학회
- Kim J, "Development of differential criteria on tongue coating thickness in tongue diagnosis", Complement Ther Med, 20(5), pp.316~322 (2012)
- Kim J, "Different trends of teeth marks according to qi blood yin yang deficiency pattern in patients with chronic fatigue", Eur J Integr Med, 12, pp.122~128 (2017)
- 김연태, "『筆花醫鏡‧卷一』에 대한 硏究 - 진단 및 변증을 중심으로 -", 대한한의학원전학회지, 33(1), pp.17~28 (2020), 대한한의학원전학회[DOI]
- 김증배, "기능성 소화불량증 변증도구 개발 연구", 동의생리병리학회지, 24(6), pp.1094~1098 (2010), 한의병리학회
- 송보윤, "설진기의 치흔 판정에 대한 유효성 평가", pp.2021