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Assessing for syndrome differentiation basis of intermingled phlegm-blood stasis syndrome in coronary heart disease based on Delphi method
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DOI   10.11656/j.issn.1672-1519.2019.03.02
Key Words   coronary heart disease;intermingled phlegm-blood stasis syndrome;syndrome differentiation;Delphi method;expert consensus
Author NameAffiliationE-mail
XIE Rong Department of Neurology, Zhuhai Hosptial, Guangdong Provincial Hospital of TCM, Zhuhai 519015, China  
LIAN Xinfu Department of Neurology, Zhuhai Hosptial, Guangdong Provincial Hospital of TCM, Zhuhai 519015, China  
ZHOU Xuan Basic Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, China  
WANG Bin Basic Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, China  
FANG Ge Basic Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, China  
REN Qi Basic Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, China  
HE Meiying Basic Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, China  
LI Xiantao Basic Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, China lxt@126.com 
Abstract
    [Objective] To evaluate the relative importance of syndrome differentiation basis of intermingled phlegm-blood stasis syndrome in coronary heart disease.[Methods] On the basis of the literature evaluation system,expert consultation questionnaire for intermingled phlegm-blood stasis syndrome differentiation of traditional Chinese medicine (TCM) was formulated. two rounds of the modeling symptom quantitative evaluation of the importance of syndrome differentiation basis of intermingled phlegm-blood stasis syndrome in coronary heart disease was constructed. A total of 88 experts were participated. The recovery rate and each question response rate were 100% in two expert consultation questionnaires.[Results] The reliability and validity of two rounds of consultation total were 0.5890 and 71.724%,which suggested that stability and validity of the questionnaire were acceptable. The key items for diagnosis of intermingled phlegm-blood stasis syndrome in coronary heart disease were chest tightness/pain,greasy coating,tongue dark purple. The important items were tongue with petechia or bruise,heaviness of limbs,bluish lips. The optional items were wiry and choopy pulse,dim complexion,obesity.[Conclusion] The results of this research could serve as a reference for diagnosis of intermingled phlegm-blood stasis syndrome in coronary heart disease.

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