卫气虚证诊断规范的构建思路与方法  

The thought and method of constructing diagnostic specification for syndrome/pattern of defensive qi deficiency

作　　者：车钰文 王天芳 焦扬 赵燕 吴志松 吴秀艳 刘兆兰 薛晓琳 李宁 CHE Yuwen;WANG Tianfang;JIAO Yang;ZHAO Yan;WU Zhisong;WU Xiuyan;LIU Zhaolan;XUE Xiaolin;LI Ning(School of Chinese Medicine,Beijing University of Chinese Medicine,Beijing 102488,China;Fangshan Hospital,Beijing University of Chinese Medicine,Beijing 102400,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学中医学院,北京102488 [2]北京中医药大学房山医院 [3]北京中医药大学东方医院

出　　处：《北京中医药大学学报》2024年第8期1180-1184,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：中央高校基本科研业务费专项资金项目(No.2023-JYB-KYPT-08);北京中医药大学-优莎纳联合研究中心(BURC)联合招标项目(No.2022-JS-KF-004)。

摘　　要：卫气虚证作为临床常见的中医基本证候,在实际应用中缺乏规范的、可操作性强的诊断规范。通过前期文献研究,本文提出基于证候要素从“卫外不固”“气虚”两个维度构建面向全病域的卫气虚证定性诊断标准,并配合诊断条目量化评定表的构建思路,尝试由课题组核心成员先行制订规范草案,再通过德尔菲法专家问卷咨询及名义群体法达成共识,最终经临床验证评价规范的诊断能力与可重复性,以期为证候的规范化、标准化研究提供思路。The syndrome/pattern of defensive qi deficiency is a common basic syndrome of traditional Chinese medicine in clinical practice.However,there is a lack of standardized and operable diagnostic specifications in practical applications.Based on the previous literature,this study proposed the idea of starting from the elements of the syndrome,qualitative diagnostic criteria for the syndrome/pattern of defensive qi deficiency oriented to the entire region of the disease were constructed based on the two dimensions of"deficient defensive qi failing to consolidate the exterior"and"qi deficiency"and constructing a set of quantitative evaluation criteria as the supporting content for the diagnostic items.The core members of the research group attempted to formulate the draft standard,then reached a consensus through the Delphi method expert questionnaire consultation and the Nominal group technique,and finally evaluated the reliability and validity of the standard through clinical verification to provide ideas for the standardization and normalization of research on syndromes.

关 键 词：卫气 卫气虚证 诊断规范 思路与方法 

分 类 号：R241.8[医药卫生—中医诊断学]