主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2020, Vol. 43 ›› Issue (10): 859-864.doi: 10.3969/j.issn.1006-2157.2020.10.010

• 临床研究 • 上一篇    下一篇

寻常型银屑病中医辨治新体系Delphi法专家问卷调查研究*

刘爱民1, 李伟玲2, 陈宏翔3, 闫小宁4, 赵巍1, 张步鑫1, 王晓丽5, 徐胜东2   

  1. 1 河南省中医院皮肤科 河南 450000;
    2 河南中医药大学第二临床医学院;
    3 华中科技大学协和深圳医院皮肤科;
    4 陕西省中医医院皮肤科;
    5 郑州市中医院皮肤科
  • 收稿日期:2019-05-12 出版日期:2020-10-30 发布日期:2020-11-04
  • 作者简介:刘爱民,男,博士,主任医师,教授,博士生导师
  • 基金资助:
    *国家自然科学基金项目(No. 81874471), 河南省中医药科学研究专项课题(No. 2017ZY2072)

Establishing the new system of traditional Chinese medical diagnosis and treatment of psoriasis vulgaris based on expert survey using the Delphi method*

Liu Aimin1, Li Weiling2, Chen Hongxiang3, Yan Xiaoning4, Zhao Wei1, Zhang Buxin1, Wang Xiaoli5, Xu Shengdong2   

  1. 1 Department of Dermatology, Henan Traditional Chinese Medicine Hospital, Henan 450000, China;
    2 Second Clinical Medical College of Henan University of Traditional Chinese Medicine, Henan 450000, China;
    3 Department of Dermatology, Shenzhen Hospital of Union Huazhong Univevsity of Science and Technology, Shenzhen 518000, China;
    4 Department of Dermatology, Shaanxi Traditional Chinese Medicine Hospital, Shaanxi 710000, China;
    5 Department of Dermatology, Zhengzhou Traditional Chinese Medicine Hospital, Henan 450000,China
  • Received:2019-05-12 Online:2020-10-30 Published:2020-11-04
  • Contact: Prof. Liu Aimin, Ph D., Chief Physician, Doctoral Supervisor, Henan Traditional Chinese Medicine Hospital,No. 6, Dongfeng Street, Jinshui District, Zhengzhou 450000. E-mail: 13592603226@163.com
  • Supported by:
    National Natural Science Foundation of China (No.81874471), Special Project of Traditional Chinese Medicine Research in Henan Province(No.2017ZY2072)

摘要: 目的 根据专家意见优化寻常型银屑病中医辨治新体系条目,旨在形成寻常型银屑病有广泛共识的常见证型、辨证要点、治法、方药等。方法 采用德尔菲法进行专家咨询,分别对23位专家进行3轮问卷调查、回收、统计和整理。结果 根据专家评分统计结果,最终确立了血热证(风热蕴毒证、积热入血证、肝经郁热证、湿热入血证),血燥证(热耗阴血证、血虚燥热证,气血两虚瘀热留滞证),血瘀证(血热血瘀证、阴亏热瘀证),外寒内热证,阳虚外寒肌肤瘀热证5大证型,共11个细分型,以及相应的症状组成、治法和方药。结论 进一步规范了寻常型银屑病中医辨治新体系,便于临床推广使用。

关键词: 寻常型银屑病, 中医辨治, 新体系, 德尔菲法

Abstract: Objective To establish a new system of traditional Chinese medical diagnosis and treatment of psoriasis vulgaris according to experts’ opinions and to form a broad consensus of pattern types, pattern diagnosis essentials, treatment methods and prescriptions for psoriasis vulgaris. Methods Delphi method was used to gather experts’ opinion. Three rounds of questionnaires were distributed among 23 experts, and the questionnaires were collected, entered and analyzed. Results According to the statistical results of experts’ scoring, five types of patterns were identified in the following order: blood-heat patterns (wind-heat toxin, accumulated heat entering blood, heat constrained in the liver meridian, damp-heat in the blood), blood-dryness patterns (yin-blood consumed by heat, blood deficiency and dryness-heat, qi-blood deficiency and stasis and heat retention), blood stasis patterns (blood-heat and blood stasis, yin deficiency and stasis and heat retention), external cold and internal heat pattern, yang deficiency and external cold, skin stasis heat), a total of 11 sub-types, and the corresponding symptoms, treatment methods and prescriptions. Conclusion This study furthers the establishment of the new system of traditional Chinese medical diagnosis and treatment of psoriasis vulgaris, which could be helpful for clinical application.

Key words: psoriasis vulgaris, differentiation and treatment of traditional Chinese medicine, new system, Delphi method

中图分类号: 

  • R275