On the qi deficiency in traditional Chinese medicine
On the qi deficiency in traditional Chinese medicine
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DOI：
10.1016/j.tjog.2013.06.013
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发表时间：
2014-09-01
影响因子：
2.1
通讯作者：
Hsu, Mutsu
中科院分区：
文献类型：
--
作者：
Chiang, Hui-Chu;Chang, Hen-Hong;Hsu, Mutsu
目的：气虚证是中医常见病证之一，与妇产科诸多疾病密切相关。本研究旨在探讨当代中医药专家诊断气虚证的一般过程和标准。材料与方法：将决策树分析法和改良德尔菲法的步骤合并为四轮邮寄问卷，收集定性和定量数据。采用开放式问卷和内容分析法，探讨了精通中医诊断的认知活动。从定性答复中获得的陈述被用来制定随后的调查表的项目。结果：2007年6月至2010年1月，30名参与者中有28人完成了全部4份问卷。第一轮问卷中确定的11个诊断程序被用作选择和排序诊断QD的所有步骤的替代方案。经过三轮邮政调查，确定了一个五阶段诊断过程的算法以及决策标准。虽然程序的优先顺序和推理的描述各不相同，但内容揭示了模型中的主要主题。结论：中医对气虚证的诊断有一定的程序和标准，可作为了解类似气虚证的妇女证候的参考。版权所有（C）2014，中华民国妇产科医学会.出版社：Elsevier Taiwan LLC All rights reserved.
Objective: Qi deficiency (QD), one of the most common disorders in Traditional Chinese medicine (TCM), is relevant to many disorders in obstetrics and gynecology. This study aimed to identify the common processes and criteria for diagnosing QD among contemporary proficient TCM practitioners.Materials and methods: Steps of decision tree analysis and modified Delphi method were merged together into four-round postal questionnaires to collect qualitative and quantitative data. Open-ended questions and content analysis were used to explore the proficient TCM practitioners' cognitive activities used for diagnosis. The statements obtained from the qualitative responses were used to develop the items for subsequent questionnaires. Based on the TCM practitioners' responses, the diagnostic processes and criteria for making diagnosis were generated.Results: Twenty-eight out of the 30 participants completed all four questionnaires from June 2007 to January 2010. The 11 diagnostic procedures identified in the returned first round of questionnaires were used as the alternatives to select and rank for all the steps to diagnose QD. After three more rounds of postal surveys, an algorithm with a five-stage diagnostic process as well as sets of decision criteria were identified. Although the priorities of procedures and descriptions of reasoning were varied, the content revealed the major themes in the model. The criteria to differentiate signs and symptoms (S/S) included five principles for correlating S/S with QD, and 17 S/S should be differentiated carefully.Conclusion: The results demonstrate that the TCM practitioners precisely diagnosed QD using a number of specific procedures and criteria that could be used as a reference to understand women complaining of S/S that could be similar to QD. Copyright (C) 2014, Taiwan Association of Obstetrics & Gynecology. Published by Elsevier Taiwan LLC. All rights reserved.