卫气虚证诊断规范的构建思路与方法
The thought and method of constructing diagnostic specification for syndrome/pattern of defensive qi deficiency
车钰文 1王天芳 2焦扬 3赵燕 2吴志松 3吴秀艳 2刘兆兰 2薛晓琳 2李宁2
作者信息
- 1. 北京中医药大学中医学院 北京 102488;北京中医药大学房山医院
- 2. 北京中医药大学中医学院 北京 102488
- 3. 北京中医药大学东方医院
- 折叠
摘要
卫气虚证作为临床常见的中医基本证候,在实际应用中缺乏规范的、可操作性强的诊断规范.通过前期文献研究,本文提出基于证候要素从"卫外不固""气虚"两个维度构建面向全病域的卫气虚证定性诊断标准,并配合诊断条目量化评定表的构建思路,尝试由课题组核心成员先行制订规范草案,再通过德尔菲法专家问卷咨询及名义群体法达成共识,最终经临床验证评价规范的诊断能力与可重复性,以期为证候的规范化、标准化研究提供思路.
Abstract
The syndrome/pattern of defensive qi deficiency is a common basic syndrome of traditional Chinese medicine in clinical practice. However,there is a lack of standardized and operable diagnostic specifications in practical applications. Based on the previous literature,this study proposed the idea of starting from the elements of the syndrome,qualitative diagnostic criteria for the syndrome/pattern of defensive qi deficiency oriented to the entire region of the disease were constructed based on the two dimensions of " deficient defensive qi failing to consolidate the exterior" and " qi deficiency" and constructing a set of quantitative evaluation criteria as the supporting content for the diagnostic items. The core members of the research group attempted to formulate the draft standard,then reached a consensus through the Delphi method expert questionnaire consultation and the Nominal group technique,and finally evaluated the reliability and validity of the standard through clinical verification to provide ideas for the standardization and normalization of research on syndromes.
关键词
卫气/卫气虚证/诊断规范/思路与方法Key words
defensive qi/syndrome/pattern of defensive qi deficiency/diagnostic specification/thought and method引用本文复制引用
基金项目
中央高校基本科研业务费专项资金项目(2023-JYB-KYPT-08)
北京中医药大学-优莎纳联合研究中心(BURC)联合招标项目(2022-JS-KF-004)
出版年
2024