DENG Hualiang 1, WANG Tianfang 1, ZHAO Yan 1, et al. Analysis on the Identification Evidence of TCM Syndromes of Chronic Hepatitis B[J]. Journal of Traditional Chinese Medicine2011, 52(19): 1661-1664.
DENG Hualiang 1, WANG Tianfang 1, ZHAO Yan 1, et al. Analysis on the Identification Evidence of TCM Syndromes of Chronic Hepatitis B[J]. Journal of Traditional Chinese Medicine2011, 52(19): 1661-1664.DOI: 10.13288/j.11-2166/r.2011.19.013.
Objective To study the identification evidence for the common syndrome elements of chronic hepatitis B through the questionnaire of expert consultation.Methods The expert consultation questionnaire was worked out on the basis of earlier researches.The questionnaire was used in the survey for the experts from 17 hospitals or organizations of 8 centers in China.All of these experts engaged in the TCM researches on chronic hepatic diseases for a long time were with the title of deputy director or higher.The identification evidence for the commonly seen syndromes of hepatitis B was obtained through the cumulative percentage and variation coefficient of the evaluation from the experts.Results The identification evidence for diagnosing the common syndromes of chronic hepatitis B were initially determined as that the symptoms(signs) met the condition of cumulative percentage ≥60% and variation coefficient ≤0.25.Of the disease location elements
the "liver" had 12 symptoms and signs including "distension and fullness of hypochondriac region"
the "spleen" had 17 items including "abdominal distension"
the "kidney" had 11 items including "soreness and weakness of lumbus and knees"
the "gallbladder" had 8 items including "yellow skin and eyes"
and the "stomach" had 13 items including "nausea".Of the disease nature elements
the "damp(turbidity)" had 19 items including "tiredness and heaviness of head and body"
the "heat(fire)" had 18 items including "jaundice color bright as orange skin"
the "qi stagnation" had 15 items including "depression"
the "yin deficiency" had 17 items including "dull pain in hypochondrium"
the "blood stasis" had 16 items including "tongue having ecchymosis or blood spots"
the "yang deficiency" had 19 items including "pale complexion"
and the "qi deficiency" had 17 items including "listlessness".Conclusion From the collective standpoints of experts
the identification evidence for the commonly seen syndromes of hepatitis B is confirmed
laid a foundation for establishing later the standard of syndrome differentiation of this disease.