Study On The Selection About Items Of Diagnostic Scale For TCM Syndrome Of Hemorrhagic Apoplexy

Purpose: Syndrome standardization,an important objective of the research is to study Syndrome Diagnostic Scale candidates.Screening Scale for entry of the scale is an important part of the process.In this study,expert consultation questionnaire method,with reference to the Delphi method(Delphi),experts believe that in order to gain for hemorrhagic stroke common clinical syndrome factors and a diagnosis of four diagnostic information,experiences screening expert syndrome scale entry,combined with the application statistical analysis of clinical information of four diagnostic methods,to further explore the clinical information and expertise combined screening hemorrhagic stroke syndrome factors diagnostic scale entry,in order to build a hemorrhagic stroke syndrome diagnostic scale factors lay the foundation.Method: Research is divided into two phases,the first phase of the establishment of hemorrhagic stroke syndrome factors and diagnostic scale dimensions corresponding entry pool.Referring to the Delphi method,by way of two questionnaires expert advice expert advice,access to expertise,screening for hemorrhagic stroke syndromes elements and their diagnostic significance of the four diagnostic information(items),filter entry from the perspective of the importance ?The second part,clinical information Screening hemorrhagic stroke syndrome diagnostic scale factors based on entries further validates expertise screening results.Hemorrhagic stroke clinical use prospective,multi-center,large sample collection of four diagnostic information by chi-square test,factor analysis,cluster analysis,four diagnostic clinical information,access to diagnosis of syndromes elements have meaning four diagnostic information in verification expertise screening results,while the four diagnostic findings as a two-part common hemorrhagic stroke syndrome factors diagnostic scale entry pool.Result: The items of endogenous wind of diagnostic scale for TCM syndrome of hemorrhagic apoplexy according to selected by experts experience and nalyzing clinical symptoms include such items: two hand solid,Koujin not open,forgetfulness,severe head pain,dizziness,thick yellow greasy moss,pulse string,impartial eye blink,latch head pain,trembling tongue 48 hours to reach the peak,thick and greasy fur,mouth painThe items of internal burner syndrome of diagnostic scale for TCM syndrome of hemorrhagic apoplexy according to selected by experts experience and nalyzing clinical symptoms include such items: Flushed,strong heat,red eyes,noise disturbance restless,red purple,thirst-hi cold,head burning,red tongue,rapid pulse,bad breath,red tongue,yellow thickThe items of phlegm syndrome syndrome of diagnostic scale for TCM syndrome of hemorrhagic apoplexy according to selected by experts experience and nalyzing clinical symptoms include such items: Sputum,thick and greasy fur,drowsiness,throat phlegm,greasy moss,looked sluggish,sleepiness,thick yellow greasy moss,greasy coating,unresponsive,Hunkui,heavy head,big fat tongue,slippery pulse,yellow sputum,dizziness,thick fur,apathy,edema,pulseThe items of stasis syndrome of diagnostic scale for TCM syndrome of hemorrhagic apoplexy according to selected by experts experience and nalyzing clinical symptoms include such items: head tingling,pain has given place,tongue with ecchymosis or petechiae,sublingual vein bruising,bruising of the tongue,skin a mistake,skin purpura,swarthy,Zhao Jia bruising,lips Qinghei,pulse knot,pulse astringent,tongue under varicose vein,dull,numb limb painThe items of qi deficiency of diagnostic scale for TCM syndrome of hemorrhagic apoplexy according to selected by experts experience and nalyzing clinical symptoms include such items: head tingling,pain has given place,tongue with ecchymosis or petechiae,sublingual vein bruising,bruising of the tongue,skin a mistake,skin purpura,swarthy,Zhao Jia bruising,lips Qinghei,pulse knot,pulse astringent,tongue under varicose vein,dull,numb limb painThe items of yin deficiencyof diagnostic scale for TCM syndrome of hemorrhagic apoplexy according to selected by experts experience and nalyzing clinical symptoms include such items:light red tongue without coating,night sweats,hot flashes,fever,less moss,dry tongue,throat,hand,foot and motility,tongue atrophy,two head dry,stripping coating,thready pulse,dry mouth,dysphoria hotConclusion: 1.Syndrome factors constitute "syndrome," the smallest unit,the "dimensionality reduction","reduced order" to simplify the TCM multidimensional and complex for the study of TCM scale provides a model example.2.Diagnosis and treatment system is evolving and the ancient physicians improve clinical practice,is the essence of traditional Chinese medicine,and ancient literature is the "essence" of the most complete bearing,research syndromes provide a valuable resource.Therefore,based on the study of ancient Syndrome it is to establish TCM diagnostic criteria necessary prerequisite.3.Preliminary view through literature research,clinical epidemiology,and clinical expertise to build four diagnostic information statistical analysis and clinical validation,hemorrhagic stroke syndrome factors Diagnostic Scale entry pool through modern mathematical statistical analysis to two the results were the integration and test each other,support each other,with each other for the final screening of the importance of independence,sensitivity and clinical operational scale entry,for the standardization of syndrome to provide a standardized reference for research ideas and methods.