Tongue Inspection in TCM: Observations in a Study Sample of Patients Living with HIV
Tongue Inspection in TCM: Observations in a Study Sample of Patients Living with HIV
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DOI：
10.1089/acu.2013.1011
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发表时间：
2014-02-01
影响因子：
1.1
通讯作者：
Capili, Bernadette
中科院分区：
文献类型：
--
作者：
Anastasi, Joyce K.;Chang, Michelle;Capili, Bernadette
背景：中医的主要诊断方法之一是舌诊。这种方法包括检查舌体和舌苔的形状、大小、颜色和质地，有助于揭示器官功能的状态和病情的进展。人类免疫缺陷病毒（HIV）患者的舌观察文献是minimum.Objective：本研究的目的是提供一个临床“快照”的初步舌头评估159例艾滋病病毒感染者，谁参加了针灸慢性恶心的临床试验。目的是探索舌评估中观察到的相似性和差异。设计：本研究是前瞻性、随机、对照、双盲研究的一部分（受试者和评估者），平行组，针灸治疗慢性恶心的临床试验。设置：该研究在纽约市的一个大城市学术健康中心进行。患者：本研究中的患者为159名HIV感染者，他们有慢性恶心病史≥ 3个月。主要结果测量：初始舌评估记录了7个基本特征：（1）舌色;（2）舌形;（3）舌体质量;（4）被毛颜色;（5）被毛重量;（6）被毛表面;（7）舌的活动。结果：这些患者的舌象总体上是舌肿胀和齿痕，有粉红色的体，有裂纹，有厚而干的白色被毛。艾滋病本身和长期使用药物会影响血液，气，阴和阳。对舌头的观察为了解疾病的过程提供了一个窗口，并最终为临床护理提供了见解。这一样本人群快照说明了在药物治疗的长期慢性疾病中观察到的复杂过程。
Background: One of the principal diagnostic methods in Traditional Chinese Medicine (TCM) is the inspection of the tongue. This method involves examination of the shape, size, color, and texture of the tongue body and coat and helps reveal the state of organ functions and progression of conditions. Literature on tongue observations for patients who have human immunodeficiency virus (HIV) is minimal.Objective: The goal of this study was to provide a clinical "snapshot'' of initial tongue assessments of 159 patients living with HIV, who participated in an acupuncture clinical trial for chronic nausea. The aim was to explore the similarities and differences observed in tongue assessments.Design: This study was part of a prospective, randomized, controlled, double-blinded (subjects and evaluators), parallel-groups, acupuncture clinical trial for treating chronic nausea.Setting: The study was conducted at a large urban New York City academic health center.Patients: The patients in this study were 159 individuals who had HIV infections and who had histories of chronic nausea for >= 3 months.Main Outcome Measures: Initial tongue assessments were recorded for seven basic characteristics: (1) tongue color; (2) tongue shape; (3) tongue body quality; (4) coat color; (5) coat weight; (6) coat surface; and (7) tongue action.Results: The overall tongue picture seen in these patients was that the tongue was swollen and toothmarked, had a pink body with cracks, and had a thick, dry white coat.Conclusions: The HIV disease itself and the use of long term medications affect the Blood, Qi, Yin, and Yang. The observation of the tongue provides a window into the process of the disease and, ultimately, insight for clinical care. This sample population snapshot illustrates the complex processes seen in long-term chronic conditions managed by pharmacologic medications.