Development of a diagnostic scale for the syndrome of deficiency of both qi and yin in IgA nephropathy
Objective To develop a diagnostic scale for the syndrome of deficiency of both qi and yin in IgA nephropathy to provide ideas and methods for its clinical diagnosis.Methods Through literature searches,expert group discussions,terminology standardization,and a Delphi expert questionnaire survey,etc.,the core items of the scale were screened,and weights were assigned by the analytic hierarchy process.Then,an expert consensus argumentation was conducted to determine the hierarchical division boundaries,diagnosis methods,and presentation forms of the diagnostic scale.Results The 12 core items of the diagnostic scale for the syndrome of deficiency of both qi and yin in IgA nephropathy were determined and the boundaries were divided by their specific weights,with clinical symptoms(total weight 0.68)>tongue manifestations(total weight 0.23)>pulse manifestations(total weight 0.09),presented in the form of a combination of primary and secondary symptoms.Conclusion The diagnosis scale for the syndrome of deficiency of both qi and yin in IgA nephropathy is in line with clinical practice.It can provide a basis for the clinical diagnosis of the disease by TCM physicians at all levels and can also serve as a reference for related clinical trials and the development of other scales.
IgA nephropathysyndrome of deficiency of both qi and yindiagnostic scale