| 引用本文: |
郑彩杏,周小青,李金霞,张运辉,刁承林,赖丽娜.单一症状的多维考察与综合计量[J].湖南中医药大学学报,2021,41(3):401-405[点击复制] |
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| 单一症状的多维考察与综合计量 |
| 郑彩杏,周小青,李金霞,张运辉,刁承林,赖丽娜 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学, 湖南 长沙 410208;湖南中医药大学中医诊断研究所, 湖南 长沙 410208;中医诊断学湖南省重点实验室, 湖南 长沙 410208) |
| 摘要: |
| 症状的定性识别是中医辨证正确的要素之一，然而准确辨证不仅仅是“质”的推理，也离不开“量”的判断，二者相辅相成，方能实现精准诊断。如何量化症状，增强可操作性，是这一工作的关键。提出症状计量的思路：首先，利用四诊方法，对症状进行多维诊察，拆分其要素，如程度、频率、持续时间、范围、诱因等；其次，对这些单一因素进行定义与量化，进而联合多因素，对该症状在诊断中的主次与程度进行综合量化，以期实现计量诊断，为中医诊治服务。 |
| 关键词: 计量诊断 症状 辨证 心绞痛 |
| DOI：10.3969/j.issn.1674-070X.2021.03.015 |
| 投稿时间：2020-12-05 |
| 基金项目:国家自然科学基金项目（81473567）；湖南中医药大学中医诊断学国家重点学科开放基金（ZZKF201501，2015ZYZD01）。 |
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| Multidimensional Investigation and Comprehensive Measurement of Single Symptom |
| ZHENG Caixing,ZHOU Xiaoqing,LI Jinxia,ZHANG Yunhui,DIAO Chenglin,LAI Lina |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Institute of Chinese Medicine Diagnostics of Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan Provincial Key Laboratory of Diagnostics of Traditional Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| The qualitative identification of symptoms is one of the elements of correct syndrome differentiation in traditional Chinese medicine. However, accurate syndrome differentiation is not only "qualitative" reasoning, but also cannot do without "quantity" judgment. The two complement each other to achieve accurate diagnosis. How to quantify symptoms and enhance operability is the key to this work. This article proposes the idea of symptom measurement. Firstly, it uses the four-diagnosismethod to conduct multi-dimensional diagnosis of symptoms, split its elements, such as degree, frequency, duration, scope, incentives, etc., and secondly, define and quantify these single factors, and combine with multi-factors, comprehensively quantify the priority and degree of the symptoms in the diagnosis, with a view to realize quantitative diagnosis, and serve TCM differentiation and treatment. |
| Key words: metrological diagnosis symptom syndrome differentiation stenocardia |
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