Characteristics of blood-activating and toxin-resolving tongue pictures of patients with stable coronary heart disease
Abstract：Objective To explore the tongue manifestations of blood stasis and toxin syndrome in patients of coronary heart disease (CHD) and its value of predicting acute cardiovascular events (ACEs).Methods Totally 254 stable CHD patients diagnosed by coronary angiography were enrolled and the tongue appearances were recorded by digital camera of uniform type.ACEs occurred in 29 cases during one-year follow-up.Gender,age (±5 years),diabetes mellitus history and hospitalization history of acute coronary syndrome were observed.The tongue appearance in ACEs and control group was observed and compared.Results In ACEs and control group,the percentage of bluish tongue (including bluish-grounding or bluish purple tongue) was 7.4％ (4/54) and 37.9％ (11/29),respectively (P=0.002) ; 48.1％ (26/54) and 10.3％ (3/29) showed yellow tongue coating (P=0.001) ; 66.7％ (36/54) and 41.4％ (12/29) showed sticky greasy tongue coating (P =0.026) ; 20.4％ (11/54) and 41.4％ (12/29) showed purplish-red sublingual vessel (P =0.041).Odd ratio (OR) analysis showed that patients with bluish tongue,purplish-red sublingual vessel,dry-greasy or dirty greasy coating were more likely to experience ACEs during one-year follow-up period (OR 11.67,95％CI:3.34-40.81,P ＜0.01; OR2.76,95％CI:1.02-7.44,P＜ 0.05; OR 3.12,95％ CI:0.89-10.92,P ＞ 0.05).Condusion The bluish tongue and purplish-red sublingual vessel are potential tongue manifestations of " blood-stasis and toxin",and the tongue coating changing from sticky greasy to dry greasy or dirty greasy is probably a tongue manifestation of "transforming toxin" in CHD patients.
Keywords：Coronary diseaseBlood-stasis and ToxinTongue manifestations
Publication Date：2015-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 305-308 )