摘要
目的分析内风证诊断标准的证候组成、诊断模式及判定形式,为临床应用提供参考。方法检索中国知网(CNKI)、维普(VIP)、万方及PubMed数据库1915—2021年内风证临床研究文献,提取归纳相关信息。结果共检索出3157篇文献,纳入510篇。纳入文献中筛选出诊断标准68项,分别是《中风病诊断与疗效评定标准》、《缺血性中风证候要素诊断量表》、《中药新药临床研究指导原则(试行)》等。内风证候类型11种分别为阴虚风动证、肝风内动证、肝阳化风证、血瘀风动证、痰热动风证、血虚生风证、血热生风证、毒热动风证、外风引动内风证、热极生风证、风热动风证。证候组成共77个,频次前10位的症状依次为眩晕、脉象多弦、肢体抽搐、肢体颤动、肢体麻木、肢体强直、肢体蠕动、头部颤摇、耳鸣、肢体拘急。现行的诊断标准包含传统辨证、证候要素、病证结合3种诊断模式,叙述法、赋分法2种判定方式。结论内风证诊断标准众多,相关疾病及证型繁多复杂,在临床应用上病证结合的诊断模式有形成共识的趋势,判定形式也以叙述法为主。
Objective To analyze the diagnostic criteria and application status of endogenous wind syndromes from diagnosis content,Diagnostic mode and judgment form.Methods Through the search of CNKI,Wanfang and VIP database,find and screen the clinical research literature of endogenous wind syndromes published from 1915-2021,and summarize and analyze the diagnostic criteria for endogenous wind syndromes.Results A total of 3157 articles were retrieved,and then 510 articles were included.A total of 68 diagnostic criteria were involved,including Criteria for diagnosis and efficacy evaluation of stroke,Ischemic stroke syndrome factor diagnostic scale,Guiding principles of clinical research on new drugs of traditional Chinese medicine.It involved 11 syndromes including yin deficiency and wind stirring,liver wind stirring inside,liver yang transforming into wind,f blood stasis pneumatic,Phlegm heat causing wind,blood deficiency and internal wind stir,blood-heat with wind stirring,terrific heat and dynamic wind type,exogenous wind inducing endogenous wind,generation of wind by extreme heat,wind and heat stirring wind.There were 77 syndromes of endogenous wind syndrome,the first 10 frequency were the Vertigo,pulse string,limb convulsion,limb fibrillation,limb numbness,limb rigidity,limb peristalsis,head shaking,tinnitus,limb arrest.It includes three diagnostic modes:traditional syndrome differentiation,syndrome element differentiation and combination of disease and syndrome,and two judgment methods:narrative method and scoring method.Conclusion Internal wind syndrome,involving a variety of complex syndrome elements,and the main symptoms,diagnostic modes and judgment forms of each diagnostic criterion are also different.In clinical application,the diagnostic mode of"disease syndrome"combination has the trend of forming a consensus,and the judgment form is also dominated by narrative method.
作者
任立松
于莉
张会永
李威莹
杜佳蓉
白燕来
刘竞男
杨关林
Ren Lisong;Yu Li;Zhang Huiyong;Li Weiying;Du Jiarong;Bai Yanlai;Liu Jingnan;Yang Guanlin(Graduate School of Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China;College of Integrative Medicine,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2023年第4期1434-1441,共8页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
国家自然科学基金委员会青年科学基金项目(81503468):基于PRO冠心病心绞痛中医病证结合疗效评价量表的研制与考评,负责人:于莉
关键词
内风
肝风
肝风内动
诊断标准
诊断模式
病证结合
Endogenous wind syndromes
Liver wind
Liver wind agitation
Diagnostic criteria
Diagnostic mode
Combination of disease and syndrome
