A Pilot Study on the Correlation of Tongue Manifestation with the Site of Cerebral Infarction in Patients with Stroke

Objective：To discuss the correlation of tongue manifestation with the site of cerebral infarction in patients with acute cerebral infarction.Methods：From March 2008 to February 2009,200 cases of hospitalized patients with first unilateral cerebral infarction were chosen in the Department of Neurology,Xuanwu Hospital.The correlation of different tongue color,fur texture,fur color with the site of cerebral Infarction was analyzed.Results：The site of cerebral infarction in patients were compared between different tongue color by Chisquare test（P=0.314）,and further correspondence analysis demonstrated that there was correlation between red tongue and cortical-subcortical infarction group.The site of cerebral infarction in patients were compared between thick fur group and thin fur group,cortical-subcortical infarction occurred more frequently in the former（P=0.0008）.The site of cerebral infarction in patients were compared between dry fur group,moist fur group and smooth fur group,correspondence analysis demonstrated there was correlation between dry fur and cortical-subcortical group.The site of cerebral infarction in the patients were compared between white fur group,white-yellow fur group and yellow fur group（P=0.010）,and correspondence analysis demonstrated there was correlation between white fur and brainstem infarction;white-yellow fur has relationship with cortical infarction;subcortical infarction was weakly related with white-yellow fur;there was closer relationship between yellow fur and cortical-subcortical infarction.Conclusion：The change of tongue manifestation was associated with the site of cerebral infarction in patients,providing a new combining site for diagnosing cerebrovascular diseases by integrative medicine.

A Pilot Study on the Relationship between Tongue Manifestation and the Degree of Neurological Impairment in Patients with Acute Cerebral Infarction

Objective： To discuss the relationship between tongue manifestation and the degree of neurological impairment in the patients with acute cerebral infarction. Methods： Two hundred patients with first unilateral cerebral infarction were recruited. The relationship between different tongue manifestation and National Institute of Health Stroke Scale （NIHSS） were analyzed. Results： NIHSS scores in the patients from different tongue color groups were analyzed and further analysis demonstrated that the NIHSS score was higher in the patients with red or bluish-purple tongue than that of those with the pink （P〈0.01）. On tongue fur, the NIHSS score in the patients with thick fur was higher than that of those with the thin （P=0.003）. NIHSS score in patients with slippery, moist or dry fur was significant different （P=0.003）, Further analysis demonstrated that the NIHSS score was higher in the patients with dry fur than that of those with moist fur, and had statistical significance （P=0.01）. The NIHSS score was higher in patients from greasy fur group than that of the non-greasy （P=0.002）. There was significant difference of NHISS score in the patients with different fur color （P=0.000）, and further analysis demonstrated that the NHISS score in white-yellow, yellow fur group were higher than that of the white （P=0.06 or 0.000）. Conclusion： The changes of tongue manifestation might be associated with the degree of neurological impairment in the patients with acute cerebral infarction.