| In the traditional Chinese medicine theory system, the theory of "kidney receive qi" has a long history, important theoretical significance and practical and effective practice value. But relevant expositions have been scattered, after 1979, relevant articles is less than a hundred, and the diagnostic standard of the syndrome of kidney failing to receive qi also have been unable to regulate, even in modern Chinese textbook, this theory has gradually fade out. Diagnose first,then medicine, disease and syndrome unknown, treatment will be uneffective.We will take effect to improve clinical diagnostic level and put forward the diagnostic standard of the syndrome of kidney failing to receive qi according clearing up ancient literature, epidemiological survey, Expert investigation.This topic research contents include theory research and literature study, epidemiology medical record investigation and expert consultations.This paper looked for ancient literature of the kidney, kidney main receive qi, and related concepts and etiology and related disorders, modern research theory research,and especially put forward that the warm pathogen is also the important cause to the syndrome of kidney failing to receive qi.According to The Medical Classic Of the Yellow Emperor, a classic on medical problems, Treatise on Febrile Diseases,and other famous doctor's theory,we summarized the basic concept and clinical expression of the syndrome of kidney failing to receive qi, and we use statistical methods to calculate concordance rate including clinical common symptom statistics, tongue expression and other 41 variables.After this research,we put up the tentative diagnostic standard of "kidney not absorb qi", and the standard is that if "exhale more than inhale"or "pant while move",the diagnosis will be established.Then we picked up several medical record from jiangsu traditional Chinese medicine hospital. According statistical analysis,we got the relationship between "kidney failing to receive qi"and western medicine diagnosis,medical examination.In the end,we revised diagnosis standard of syndrome of kidney failing to receive qi and insert physical examination and auxiliary examination content to this criteria. We made analysis of the syndrome of kidney failing to receive qi and modern medicine different disease and other. What is specially important is that we discussed the relationship of "exhale more than inhale"and "pant while move" between the medical examination. Through literature study, epidemiology investigation and expert advice consult, we got a standard of diagnosing the syndrome of kidney failing to receive qi. And we expressed this criteria with the form of "A+B+C+D" (main symptoms,secondary symptoms, tongue veins and laboratory and auxiliary examination).Finally, it puts forward several related discussion, and puts forward this paper present problems and prospect. |