Screening And Optimization Of Syndrome Diagnosis Scale Items For Ischemic Stroke Recovery Based On Modern Literature And Clinical Information

Purpose:The research is in order to select and optimize enteres of the scale for the diagnosis of TCM Syndromes of ischemic stroke convalescence.Material and method:This study select the clinical common syndrome elements and information of patients with syndrome diagnosis of ischemic stroke convalescence by consulting the literature and referring to expert experience to form scale item selection pool.Prospective,multicenter clinical investigation was performed to collect the clinical manifestations of the patients in order to select and optimize enteres of the scale for the diagnosis of TCM Syndromes of ischemic stroke convalescence.Results:1.qi deficiency syndrome:Item: spiritlessness,weak,shortness of breath,faint low voice,lazy words,be dizzy,pale complexion,spontaneous perspiration,loose stools,pale tongue,fine pulse,sunken pulse,weak pulse.reference item: knotted pulse,slow and intermittent pulse,feeble puls.2.blood deficiency syndrome:Item: palpitation,dreaminess,hands and feet numb,hypomenorrhea,pale nails,be dizzy,pale complexion,sallow complexion.reference item: hypomenorrhea,slow and intermittent pulse.3.yang deficiency syndrome:Item: fear of cold,cool limbs,tastelessness in the mouth and not thirsty,thirst with a liking for hot drinks,spontaneous perspiration,clear urine in large amounts,oliguria and edema,thin sloppy stool,pale complexion,plump pale tonguewith white fur,tongue with ecchymosis,moss white slip,sunken pulse,thready pulse.4.yin deficiency syndrome:Item: soreness of waist,soft knee,dry eye,dizzy,tinnitus,dry pharynx,astriction,fanre,tidal reddening of the cheeks,emaciation,hypochondriac pain,night sweat,scanty yellowish urine,red tongue,thin and dry tongue,little moss,net amount,thready pulse,rapidpulse.reference item: low-grade fever,no moss,feeble pulse.5.phlegm-dampness syndrome:Item: chest and epigastric fullness and distress,fat,head stuffy pain,heavy head,sticky and greasy in mouth,thirst without desire to drink,vomiting of phlegm-drool,anorexia,loose stool,excessive phlegm,heavy body,sticky sputum,nausea,pale tongue,enlarged tongue,tongue edge teeth marks,slippery tongue fur,greasy fur,thick and greasy fur,slippery pulse,wiry and rolling pulse,soft and moderate pulse.reference item: slippery and greasy moss.6.blood stasis:Item: dim complexion,darkish complexion,pachulosis,localized pain,cyanotic lips,stiff limbs,limb pain,dark tongue,dark purple tongue,tongue petechia,cyanosis of sublingual vesse,sublingual vessel varices,uneven pulse,knotted pulse,slow and intermittent pulse,thready and uneven pulse.reference item: purple tongue.7.wind syndrome:Item: dizzy,facial paralysis,limb tremor,rigidity of the limbs,deadlimb,headache,dysphasia,partial failure,neck rigidity,suddenly fainted,Tremor of tongue,red tongue,red or crimson tongue,white tongue fur,manifested by stringy polse,fine pulse,wire and frequent pulse,small and wiry pulse.reference item: twitch,rapid pulse.8.fire syndrome:Item: flush red all over,hot eyes,dry mouth,thirst with a liking for cold drinks,dry and withered lips,bitter taste,halitosis,yellowish sputum,be perturbed,dysphoria,yellowish or reddish urine,dry stool,fever,copious sweat,red tongue,red or crimson tongue,yellow fur,stringy pulse,rapid pulse,rapid pulse,slippery pulse,wire and frequent pulse,rolling and rapid pulse.reference item: dry fur,full and rapid pulse.Conclusion:1.< Ischemic stroke recovery stage syndrome diagnosis scale>'s entries is more suitable for the patients with ischemic stroke,which filtered by literature research,expert experience,and clinical epidemiology investigation.It is helpful for the clinical syndrome differentiation and convenient operation of the scale.2.Literature research combined with expert experience makes < Ischemic stroke recovery stage syndrome diagnosis scale>'s entries comprehensive,extensive,with the guidance of experts,Guaranteed the independence and representativeness of the scale.3.The information collected by clinical epidemiological investigation makes the scale items more comprehensive,objective,and more practical.4.Literature research and clinical epidemiological survey of the screening items have a more important diagnostic status.5.The combination of literature research,expert experience and epidemiological investigation is an effective method to select the items of TCM Syndrome Scale and provides a methodological reference for constructing the syndrome diagnostic scale.