Screening Of Diagnostic Scale Items For TCM Syndrome Elements Of Myasthenia Gravis

Objective: Based on the principles of evidence-based medicine and clinical epidemiological methods,according to the requirements of the development of syndrome scales,through the literature survey,Delphi expert questionnaire method," Diagnostic scale of TCM syndrome elements for myasthenia gravis" is selected for the purpose of schizophrenia The development of the incompetent syndrome diagnostic scale provides a theoretical basis.Methods: Retrieving the large-scale e-book "Chinese Medical Code".Search China Bioscience Literature Disc(CBMdisc,1978-April 1818),China Journal Full-text Database(1979-April 2018),Wanfang Database(1979-April 2018),VIP Chinese Science and Technology Journal Database(1989-April 29-18),PubMed(1966-April 2018),EMbase(1978-April 2018)database,Two rounds of expert consultation questionnaires,collecting evidence and four diagnostic information,screening items by frequency,frequency,Person correlation analysis and other statistical methods.Results: 1 Through the research method,a total of 246 information items of four diagnostic records were collected into the diseased and diseased syndromes.;2 The four diagnostic information included in the spleen syndrome are: Shenfei,burnout,pale complexion,chills,nausea,relief after rest,hoarseness,ptosis,fatigue,dizziness,less food,light weight,chewing weakness and difficulty,Cough is weak,the tongue is reddish,Shen Qing,difficulty swallowing,asthma,dry mouth and so on.;3 The four diagnostic information included in the stomach syndrome were: sallow complexion,nausea,relief after rest,hoarseness,ptosis,upset,tinnitus,dry mouth,pale complexion and so on;4 The four diagnostic information included in the liver syndrome are: Shenfei,upset,asthma,weak waist and knees,difficulty in blinking,restricted eye movements,and stools;5 The four diagnostic information included in the kidney syndrome are: hoarseness,relief after rest,ptosis,distress,upset,night sweats,drinking rumors,blurred vision,less food,soft neck,weak waist,difficulty breathing,insomnia,etc;6 The four diagnostic information included in the qi deficiency syndrome are: drooping eyelids,morning light weight,less gas laziness,shortness of breath,insomnia,hoarseness,body weight loss,fatigue,chest tightness,drinking water ruminating,limb weakness,nausea,yellow urine,stool,the tongue is reddish,the fur is thin yellow,and the veins are fine;7 The four diagnostic information included in the gas trap is: lack of energy,weak neck,difficulty in articulation,asthma,hoarseness,small cracks,difficulty swallowing,insomnia,indifferent expression,difficulty in blinking,chills,burnout,chest tightness,stool Hey,the tongue is light,the pulse is weak and so on;8 The four diagnostic information included in the Yang deficiency syndrome are:hoarseness,spontaneous sweating,chills,difficulty walking,nausea,relief after rest,small eye cracks,difficulty in constructing sounds,lack of color,light weight,and fine pulse;9 The four diagnostic information included in the yin deficiency syndrome are: ptosis,hoarseness,restricted eye movement,weight loss,relief after rest,dry stool,less moss,night sweats,and fine pulse.Conclusion:1 The factors of myasthenia gravis are spleen,kidney,stomach and liver.The disease syndrome is qi deficiency,yang deficiency,yin deficiency,and gas depression;2 Based on ancient and modern literature research,through two rounds of expert questionnaire survey,the distribution and characteristics of syndrome elements of myasthenia gravis were further clarified,and the judgment items of common syndrome elements of the disease were preliminarily established,which laid a foundation for the construction of syndrome diagnosis scale.basis.