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乳腺癌指数:中医舌诊的新视角。

Breast cancer index: a perspective on tongue diagnosis in traditional chinese medicine.

机构信息

Department of Traditional Chinese Medicine, Changhua Christian Hospital, Changhua, Taiwan ; Graduate Institute of Statistics and Information Science, National Changhua University of Education, Changhua, Taiwan.

Graduate Institute of Statistics and Information Science, National Changhua University of Education, Changhua, Taiwan.

出版信息

J Tradit Complement Med. 2013 Jul;3(3):194-203. doi: 10.4103/2225-4110.114901.

Abstract

Breast cancer (BC) ranks second in the cancer fatality rate among females worldwide. Mammogram, ultrasound, magnetic resonance imaging (MRI), blood testing, and fine needle aspiration biopsy are usually applied to discriminate BC patients from normal persons. False-negative results, undetectable calcifications, movement-incurred blurry image, infection, and sampling error are commonly associated with these traditional means of diagnosis. Traditional Chinese medicine (TCM) covers a broad range of medical practices sharing common theoretical concepts. Tongue diagnosis plays an important role in TCM. Organ conditions, properties, and variation of pathogens can be revealed through observation of tongue. In light of this observation, this paper investigates discriminating tongue features to distinguish between BC patients and normal people, and establishes differentiating index to facilitate the non-invasive detection of BC. The tongue features for 60 BC patients and 70 normal persons were extracted by the Automatic Tongue Diagnosis System (ATDS). The Mann-Whitney test showed that the amount of tongue fur (P = 0.007), tongue fur in the spleen-stomach area, maximum covering area of tongue fur, thin tongue fur, the number of tooth marks, the number of red dots, red dot in the spleen-stomach area, red dot in the liver-gall-left area, red dot in the liver-gall-right area, and red dot in the heart-lung area demonstrated significant differences (P < 0.05). The tongue features of the testing group were employed to test the power of significant tongue features identified in predicting BC. An accuracy of 80% was reached by applying the seven significant tongue features obtained through Mann-Whitney test. To the best of our knowledge, this is the first attempt in applying TCM tongue diagnosis to the discrimination of BC patients and normal persons.

摘要

乳腺癌(BC)在全球女性癌症死亡率中排名第二。乳腺 X 光、超声、磁共振成像(MRI)、血液检测和细针抽吸活检通常用于区分 BC 患者和正常人。假阴性结果、不可检测的钙化、运动引起的图像模糊、感染和取样误差是这些传统诊断方法常见的问题。中医(TCM)涵盖了广泛的医学实践,具有共同的理论概念。舌诊在 TCM 中起着重要的作用。通过观察舌头,可以揭示器官状况、病原体的性质和变化。有鉴于此,本文研究了区分舌特征以区分 BC 患者和正常人,并建立了鉴别指数,以促进 BC 的非侵入性检测。使用自动舌诊系统(ATDS)提取了 60 名 BC 患者和 70 名正常人的舌特征。Mann-Whitney 检验表明,舌苔量(P=0.007)、脾胃区舌苔、舌苔最大覆盖面积、薄舌苔、齿痕数、红点数、脾胃区红点、肝胆左区红点、肝胆右区红点和心肺区红点差异有统计学意义(P<0.05)。检验组的舌特征用于检验通过 Mann-Whitney 检验确定的显著舌特征预测 BC 的能力。应用 Mann-Whitney 检验得到的 7 个显著舌特征,准确率达到 80%。据我们所知,这是首次尝试将中医舌诊应用于 BC 患者和正常人的鉴别。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7f/3924992/d6f828312e87/JTCM-3-194-g001.jpg

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