20. SURVEY ON THE RELATIONSHIP BETWEEN TONGUE CHARACTERISTICS AND TRADITIONAL MEDICINE BODY CONSTITUTION TYPES IN STUDENTS
Main Article Content
Abstract
Objectives: To evaluate the relationship between tongue characteristics and Traditional Medicine body constitution types in healthy volunteers from the Faculty of Traditional Medicine (TM) in the University of Medicine and Pharmacy at Ho Chi Minh City (UMP).
Subjects and research methods: The cross-sectional study of 424 TM students at the UMP was conducted from January to April 2024. Primary outcome variables included body constitution (BC) types (via the Vietnamese version of the Constitution in Chinese Medicine Questionnaire), and tongue characteristics (extracted by ZMT-1A machine). Chi-square tests were used to analyze relationships between BC types and tongue characteristics.
Results: Distribution analysis showed that the Neutral constitution was the most common (64.6%). BC types related with tongue body characteristics include color, size, fissures, and papillae (p <0.05); BC types also correlated with tongue coating characteristics include color, thickness, moisture, and dirty level (p<0.05). Specifically, Yin-deficiency, Qi-deficiency, and Dampness-heat constitutions showed pink to dark red body tongue. Yang-deficiency, Yindeficiency, Dampness-heat, and Blood-stasis displayed tongue fissures, while papillae only appeared in Dampness-heat. Dampness-heat showed a yellowish-white coating. Additionally, moist tongue coating was predominantly found in Yang-deficiency, Qi-deficiency, Dampness-heat, and Blood-stasis types.
Conclusions: Tongue diagnosis – including tongue body color, papillae, fissures, coating color, and moisture level – provides a rapid assessment of TM BC and thus indicates trends in disease development. This enables physicians to guide individuals in targeted lifestyle changes to improve their quality of life.
Article Details
Keywords
Tongue diagnosis, tongue characteristics, body constitution types, CCMQ
References
[2] Le BL, Tang KH. Basic theory of Traditional Medicine. 1st rev. ed. Ho Chi Minh City: Ho Chi Minh City National University Publisher; 2021. 405 p. Vietnamese.
[3] Nguyen THD, Le TT, Tang KH, Le BL, Lam CT, Le THL. The Vietnamese version of the constitution in Chinese medicine questionnaire (CCMQ): validity and reliability. MedPharmRes. 2021 Dec 20;6(2):18-27.
[4] Tang KH, Nguyen NPQ, Le THL, Nguyen THD, Le BL. Association between Traditional Medicine Body Constitution types and Body Mass Index of students at the University of Medicine and Pharmacy at Ho Chi Minh City. Obesity Medicine. 2023;43(3):100512. doi: 10.1016/j.obmed.2023.100512.
[5] Dyrbye LN, Harper W, Durning SJ, et al. Patterns of distress in US medical students. Medical Teacher. 2011;33(10):834-839. doi:10.3109/0142159X.2010.531158.
[6] Zhang JF, Pan M, Fei XJ, et al. Investigation and Analysis on the Relationship between Tongue Image and TCM Constitution of College Students. Zhonghua Zhongyiyao Zazhi.
2014;29(2):358-361. Chinese. doi:10.88888/j.1673-1727.2014.2.358-361.
[7] Zhang JW, Hu GQ, Zhang XF. Extraction of tongue feature related to TCM physique based on image processing, 12th International Computer Conference on Wavelet Active Media Technology and Information Processing ((ICCWAMTIP).2015:251-255. doi:10.1109/ICCWAMTIP.2015.7493986.
[8] Trinh TDT, Nguyen TL. Traditional Medicine diagnosis. 1st ed. HoChiMinh City Medical Publisher; 2021. 305 p. Vietnamese.
[9] Deng LL, Sun Y, Deng YG, et al. Investigation and analysis of the relationship between tongue image and constitution of undergraduates. Jiangxi Zhongyiyao Daxue. 2016:2(47). Chinese.