KHẢO SÁT ĐẶC ĐIỂM THIỆT CHẨN BẰNG MÁY ZMT-1A VÀ HỘI CHỨNG LÂM SÀNG Y HỌC CỔ TRUYỀN TRÊN NGƯỜI BỆNH NHỒI MÁU NÃO GIAI ĐOẠN PHỤC HỒI TẠI CÁC BỆNH VIỆN Ở BÌNH ĐỊNH

Abstract

Objectives: This study aimed to explore traditional medicine (TM) tongue features in post-ischaemic stroke patients in Binh Dinh province. Methods: In a descriptive cross-sectional study from November 2022 to May 2023, the study collected 205 tongue samples of post-ischemic stroke patients in Binh Dinh Hospitals province and then analysed tongue characteristics: tongue colour, tongue coating colour, tongue body shape feature, and tongue coating proper feature through the automatic tongue diagnosis system (ATDS). Results: The distribution rate of traditional medicine clinical syndrome in the stage of post-ischaemic stroke in the recovery stage with kidney yin deficiency (28.78%), low phlegm (24.88%), liver yang prosperity (23.41%), qi deficiency, blood stasis (22.44%), and kidney yang deficiency (0.49%). The most common characteristic features are the dark purple tongue (60.69%), no or less coating (65.37%), and wet  viscous tongues (83.41%)a wet, slimy tongue (83.41%). The majority of tongues are thin (43.41%), tongues have fissures (98.61%), and tongues with spines appear in 55.61%. Conclusion: Tongue features are mainly dark purple, with fissures, little or no coating, and wet  viscous tongues. The most common clinical syndrome of post-ischaemic stroke in the recovery phase is liver and kidney yin deficiency, consistent with the average age characteristics of the population ≥60 years old. Although the rate of the clinical syndrome of traditional medicine after cerebral infarction in the form of blood stasis is not the highest, the characteristic purple tongue color (dark purple) accounts for 60.69%. In addition to light purple (9, 27%), purple-pink (4.39%) shows blood stagnation in the viscera and meridians ranging from severe to light purple color. This is consistent with the method of tonic qi and active blood applied to patients with post-ischaemic stroke in the recovery phase