Study on the Tongue Diagnosis of Chinese Medicine in Upper Gastroenteric disorder with Helicobacter pylori Infection

• Main Author: 鄭振鴻
• Other Authors: 張永賢
• Format: Others
• Language: zh-TW
• Published: 2002
• Online Access: http://ndltd.ncl.edu.tw/handle/30644174222908280166

碩士 === 中國醫藥學院 === 中西醫結合研究所 === 90 === The four essential diagnostic steps: Inspection、 percussion、history talking and palpation of patient’s pulse in Chinese medicine are the conformity to establish the diagnostic result. The tongued diagnosis is the major item of observing the symptom because the tongue is the only figure that exposes outside the body and needs no invasion. It is the important method to diagnose in Chinese medicine. The theory in Chinese medicine theories, “The fur on the tongue is formed by the emanation forming on the stomach and spleen”. The condition of the five organs would appear on stomach, so the fur on the tongue could be used for diagnosing the health of these five organs. The illness of stomach and spleen are easier to appear on the tongued fur. Recently, because the scientific research of Chinese medicine is widely esteemed, many researches combine the tongued diagnosis with endoscope diagnosis to improve the theory traditional of Chinese medicine. IR(Infrared thermography) thermo-imager is transferred from military to medicine and applied on the thermo-image system. It is no invasion, and its sensitivity is fast. This is a diagnostic instrument researching recently, using the physiological and pathological change of human body such as the inflammation, tumidity, hurt of local tissue and metabolism to affect surface temperature. The social tense pressure causes above 10% of people to contract digestive ulcer and gastritis. These two chronic upper digestive tract diseases bother many people. Since 1993, Marshall and Warren culture Helicobacterium pylori (HP) from pylorus, many researches mention that HP is closed relative to upper digestive tract diseases, HP has become the trend to treat digestive ulcer theory. Now, the relative research with tongued diagnosis and HP mention that the tongued fur is significant to HP, but these researches are processed on the natural light by the traditional observing method. It could not quantify the observing result. This study is used the computer structure. First, ask the tongue diagnostic information and major description, then divide to different types. Combining the endoscope patients to collect tongue diagnostic information before examination, process colored digital camera film, then process endoscope examination and Clo test (the HP examination test). This research had collect 118 patients. After data analysis, the result shows that the temperature from the patients with gastroenteric disorder and infected HP is lower than non-infected HP. The average temperature on the center of tongue is significant. It improved that the temperature of tongue reflects the function of gastroenteric system. So differentiating depend on syndrome is necessary in Chinese tranditional medicine.