基于文献研究与专家共识法的原发性痛经中医证候研究  

Study on TCM Syndromes of Primary Dysmenorrhea Based on Literature Research and Expert Consensus

作　　者：梁潇 段彦苍[1,2,3] 宋亚静 杜惠兰 LIANG Xiao;DUAN Yancang;SONG Yajing;DU Huilan(Hebei University of Chinese Medicine,Shijiazhuang 050091,China;Hebei Collaborative Innovation Center of Integrated Chinese and Western Medicine on Reproductive Disease,Shijiazhuang 050091,China;Hebei Key Laboratory of Integrative Medicine on Liver-kidney Patterns,Shijiazhuang 050091,China)

机构地区：[1]河北中医学院,河北石家庄050091 [2]河北省中西医结合生殖疾病协同创新中心,河北石家庄050091 [3]河北省中西医结合肝肾病证研究重点实验室,河北石家庄050091

出　　处：《中国中医药信息杂志》2020年第2期73-78,共6页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家中医药管理局委托办事经费项目(GZY-FJS-2017-52)。

摘　　要：目的通过文献研究和专家共识法对原发性痛经的中医证候和证候构成要素进行分析,为修订《中医病证诊断疗效标准》(ZY/T001.1-94)原发性痛经中医证候标准提供依据。方法筛选报道类文献484篇,书籍类文献41部,提取文献信息并进行统计分析,形成专家调查问卷。通过问卷调查、专家函审、共识会议、行业专家论证会,最终形成《中医病证诊断疗效标准 原发性痛经(修订)》中医证候部分。结果确定原发性痛经6种证型,即气滞血瘀证、寒凝血瘀证、气血亏虚证、湿热瘀阻证、肝肾亏损证、阳虚内寒证,并修改完善各证型下的证候构成要素。结论文献研究法、专家问卷调查法、专家共识会议法联用,为获得规范的原发性痛经中医辨证分型和证候构成要素提供了有力依据,初步形成了原发性痛经规范化证候分型及证候构成要素。Objective To analyze the TCM clinical manifestation and syndrome factor of primary dysmenorrhea through literature research and expert consensus method;To provide the basis to revise primary dysmenorrhea TCM syndromes standard in the Diagnostic Efficacy Standard for TCM Syndrome(ZY/T001.1-94).Methods Totally 484 articles of report literature and 41 books were screened,and the literature information was extracted and statistically analyzed to form expert questionnaires.Through the expert questionnaires,expert review,expert consensus meeting,and industry expert argumentation meeting,the TCM syndrome part of the“Diagnostic Efficacy Standard for TCM Syndrome Primary Dysmenorrhea(Revised)”was finally formed.Results Six syndromes types of primary dysmenorrhea were identified:qi stagnation and blood stasis syndrome,cold blood stasis syndrome,qi and blood deficiency syndrome,dampness and heat stasis syndrome,liver and kidney loss syndrome,and yang deficiency and internal cold syndrome.The syndrome components under each type of syndrome were revised and improved.Conclusion The methods of literature research,expert questionnaires and expert consensus meeting provide a powerful basis for obtaining standardized primary dysmenorrhea syndrome classification and syndrome components.Primary dysmenorrhea standardized syndrome classification and syndrome components were preliminarily formed.

关 键 词：原发性痛经 证候 文献研究 专家共识法 标准修订 

分 类 号：R271.91[医药卫生—中西医结合]