Screening and Construction of Diagnostic Items for Fire-heat Syndrome
Objective By systematically analyzing the four consultation pieces of information from previous diagnostic norms and clinical studies related to the fire-heat syndrome,we summarized the four diagnostic clinical representations and provided a basis for constructing a clinical diagnostic criteria items pool for the fire-heat syndrome.Methods The clinical studies of the fire-heat-related syndrome and identification norms published in PubMed,CNKI,WANFANG,CQVIP,CBM,and other databases were retrieved to describe the basic information of the four diagnoses of symptoms,tongue,and pulse of the fire-heat syndrome,and the clinical symptoms were analyzed by the Nominal Group Technique(NGT)combined with expert consultation.Results 193 entries of clinical studies of the fire-heat syndrome were retrieved,and 63 entries were screened by normalization,and the main symptoms were fever,constipation,rapid pulse,short yellow urine,restlessness,yellow tongue coating,blush,and thirst.Through the NGT method,the entries were optimized,and the 11 entries included in the pool of fire-heat syndrome were composed of eight symptoms with three tongues and pulses.Symptoms:fear of heat,flushing,constipation,local redness and heat pain(gingingival pain,sore throat,mouth ulcers,etc.),dysthesia,bitter taste,thirst for cold drinks,and recent illness fluctuations.Tongue and pulse:red tongue,yellow tongue coating,and rapid pulse.Conclusion The items pool of fire-heat syndrome focuses on the two core symptoms of"recent illness fluctuations,local redness and heat pain(gingingival pain,sore throat,mouth ulcers,etc.)"and on the tongue and pulse,the red tongue,yellow fur,and rapid pulse are the main symptoms.
Fire-heat syndromeDiagnosisSyndromeDiagnostic criteriaItems pool
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