Diagnosis of symptomatic postmenopausal women by traditional Chinese medicine practitioners
Diagnosis of symptomatic postmenopausal women by traditional Chinese medicine practitioners
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DOI：
10.1097/00042192-200007020-00010
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发表时间：
2000-03-01
影响因子：
2.7
通讯作者：
Ettinger, KM
中科院分区：
文献类型：
--
作者：
Zell, B;Hirata, J;Ettinger, KM
目的：为了更多地了解中医（TCM）从业者诊断患有更年期症状的女性的方式，设计：我们组建了一个由23名患有潮热且其他方面健康的绝经后女性组成的队列。每位妇女在同一天由9名中医师独立检查。检查包括病史和体格检查。结果：中医诊断以肾阴不足最多，占81%（168/207）; 9名中医诊断23名女性。实践者对肾阴虚的存在表现出良好的一致性：在12名女性（52%）中，九名实践者中有八名做出了这一诊断;在16名女性（70%）中，九名实践者中有七名做出了这一诊断;在所有23名女性（100%）中，九名实践者中至少有五名做出了这一诊断。中医诊断绝经后妇女血管痉挛症状的医生可能会做出包括肾阴虚在内的诊断。（Menopause 2000;7：129-134，（C）2000，北美更年期协会。）
Objective: To learn more about the way that practitioners of traditional Chinese medicine (TCM) diagnose women who have menopausal symptoms,Design: We assembled a cohort of 23 postmenopausal women who had hot flushes and were otherwise healthy. Each woman was examined independently by nine practitioners of TCM on the same day. Examination consisted of medical history and physical examination. Diagnoses were recorded and counted.Results: The most frequent diagnosis made by the practitioners of TCM was kidney yin deficiency, which was the diagnosis made after 168 of 207 visits (81%); 23 women seen by nine TCM practitioners. Practitioners showed good agreement regarding presence of kidney yin deficiency: in 12 women (52%), this diagnosis was made by eight of nine practitioners; in 16 women (70%), seven of nine practitioners made this diagnosis; and in all 23 women (100%), at least five of nine practitioners made this diagnosis.Conclusions: Practitioners of TCM who diagnose postmenopausal women with vasomotor symptoms are likely to make a diagnosis that includes kidney yin deficiency. (Menopause 2000;7:129-134, (C) 2000, The North American Menopause Society.).