摘要
目的:筛选气滞证辨证核心条目,为气滞证的临床诊疗和科学研究提供参考。方法:检索中国知网全文数据库(CNK I)、维普全文数据库(CQVI P)、万方全文数据库和读秀数据库发表的涉及气滞证诊断标准的文献,归纳气滞证辨证条目池并制定问卷,通过专家咨询对气滞证辨证核心条目进行优化。结果:文献分析最终纳入1984年至2021年气滞证诊断标准29个,涵盖辨证条目35个;出现频率最高的前5位条目依次为:“局部胀闷疼痛”(100.0%)、“脉弦”(75.9%)、“胀痛可因叹息、嗳气、或矢气而减轻”(69.0%)、“疼痛时轻时重,时作时止”(65.5%)、“疼痛随情绪变化增减”(62.1%)。来自全国25位专家响应调查(专家积极程度92.6%,正高级职称占80.0%),最终确定气滞证辨证核心条目为:“情志抑郁”“急躁易怒”“喜叹息”“胸、胁、腹、背部胀闷疼痛,痛无定处,时轻时重”“症状变化与情志有关”“身体有异常感觉,部位不定(冷、热、麻、蚁行感等)”“脉弦”。结论:位置不固定且可随情志变化的胀、闷、痛是气滞证诊断的核心要点。
Objective:To screen the core items of qi stagnation syndrome differentiation,and to provide reference for clinical diagnosis,treatment and scientific research of qi-stagnation syndrome.Methods:The diagnostic criteria of qi-stagnation syndrome published in CNKI Full-text database(CNKI),VIP Full-text database(CQVIP),Wanfang and other databases were searched,and the entry pool of qi-stagnation syndrome differentiation was summarized and questionnaires were formulated.The core items of qi-stagnation syndrome differentiation were optimized through expert consultation and investigation.Results:Twenty-nine diagnostic criteria for qi-stagnation syndrome were included in the literature analysis from 1984 to 2021,including 35 syndrome differentiation items;The occurrence frequency of the top five items were:‘local distension and pain’(100.0%),‘pulse string’(75.9%),‘distension and pain can be relieved by sighing,belching,or sagittal gas’(69.0%),‘pain is sometimes light,sometimes heavy,sometimes intermittent’(65.5%),‘pain increases and decreases with emotional changes’(62.1%).Twenty-five experts from 7 districts across the country responded to the survey(92.6%positive degree of experts,80.0%senior titles),and finally determined the core items of qi stagnation syndrome differentiation as follows:‘Emotional depression’‘irritable’‘happy sigh’‘chest,flank,abdomen,back distension pain,pain is not fixed,when light when heavy’‘symptom changes and emotion related’‘the body has abnormal feelings,indefinite parts(cold,heat,hemp,ant feeling,etc.)’‘pulse string’.Conclusion:Distension,distress and pain,which are not fixed and vary with emotion,are the key points in the diagnosis of qi stagnation syndrome.
作者
吴珊
王传池
杨燕
江丽杰
陈南杰
汪锦城
张佳乐
林明欣
胡镜清
WU Shan;WANG Chuanchi;YANG Yan;JIANG Lijie;CHEN Nanjie;WANG Jincheng;ZHANG Jiale;LIN Mingxin;HU Jingqing(Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Xin-Huangpu Joint Innovation Institute of Chinese Medicine,Guangzhou 510000,China;China Science and Technology Development Center for Chinese Medicine,Beijing 100027,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2023年第7期3376-3382,共7页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家重点研发计划(No.2019YFC1708501)
中国中医科学院基本科研业务费优秀青年科技人才培养专项(No.ZZ15-YQ-069)
中国中医科学院中医基础理论研究所基本科研业务费自主选题项目(No.YZ-202051)
佛山市科技创新项目中医药领域先行先试科技攻关专项(No.202000100558)
中国中医科学院广安门医院结余经费课题(No.2022068)。
关键词
气滞证
诊断标准
辨证
文献分析
专家咨询
Qi stagnation syndrome
Diagnostic criteria
Differentiation of symptoms
Literature analysis
Expert consultation
