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Journal of Traditional Chinese Medicine ›› 2023, Vol. 43 ›› Issue (1): 181-187.DOI: 10.19852/j.cnki.jtcm.20220719.002

• Methodology • Previous Articles     Next Articles

Consensus on diagnostic criteria for Yin deficiency syndrome in hypertension: a modified Delphi study

HE Yun1, HE Jing3, XU Xiangru6, LI Haixiao1, SHI Rongwei1, LIANG Junya4, ZHOU Ying5, ZHU Yao5, CHEN Xiaohu5, TANG Shuhua5, XIAO Min7, ZHAN Libin8, PEI Yinghao2(), JIANG Weiming5()   

  1. 1 Department of General Internal Medicine, Jiangsu Province Hospital of Chinese Medicine Affiliated to Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China
    2 Department of Intensive Care Unit, Jiangsu Province Hospital of Chinese Medicine Affiliated to Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China
    3 Department of Hepatology, Jiangsu Province Hospital of Chinese Medicine Affiliated to Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China
    4 Department of Institute of Hypertension, Jiangsu Province Hospital of Chinese Medicine Affiliated to Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China
    5 Department of Cardiology, Jiangsu Province Hospital of Chinese Medicine Affiliated to Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China
    6 Department of Emergency, Longhua Hospital affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
    7 Department of Cardiology, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100700, China
    8 School of Traditional Chinese Medicine & School of Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China
  • Received:2022-01-11 Accepted:2022-04-18 Online:2023-02-15 Published:2023-01-10
  • Contact: PEI Yinghao,JIANG Weiming
  • About author:PEI Yinghao, Department of Intensive Care Unit, Jiangsu Province Hospital of Chinese Medicine Affiliated to Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China. piaopiao5556@sina.com.Telephone:+86-25-86617141
    Prof. JIANG Weiming, Department of Cardiology, Jiangsu Province Hospital of Chinese Medicine Affiliated to Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing 210029, China. jwm0410@njucm.edu.cn;
  • Supported by:
    Study on Syndrome Differentiation Standard of Yin deficiency Syndrome in Hypertension(2018YFC1704403);National Key R&D Program of China Project: Systematic Study on the Standard of Syndrome Differentiation of Yin Deficiency Syndrome(2018YFC1704400)

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Abstract:

OBJECTIVE: To reach consensus on the diagnostic criteria for Yin deficiency syndrome in hypertension (YDSH) patients by a modified Delphi method.
METHODS: Our study was consistent with T/CACM 1032-2017. The methodology of RAND/UCLA appr-opriateness was used to develop consensus guidance statements. A nationwide panel of experienced clinical experts from 19 provinces was constructed. These experts were all prominent in Traditional Chinese Medicine (TCM) of cardiovascular diseases. This con-sensus process consisted of two rounds of ques-tionnaires and a final round of consultation to analyze the weight score of each item. Moreover, the data extraction process is carried out independently by third-party researchers (LIANG Junya, SUN Yang, and DU Xiaona). When there is disagreement in all three rounds, the expert panel group (odd number) are invited to vote, and the one with more votes wins. In the questionnaires, participants were asked to rate the appropriateness of each syndrome item using a nine-point Likert scale. The consensus was defined as a panel median rating 1-3 or 7-9 without disagreement. And then the diagnostic criteria of YDSH were formed according to the weight score in the final round.
RESULTS: Twenty-eight experts (84.8%) participated in the first round, and thirty-one (93.9%) finished the second round. After two rounds, the consensus of YDSH was reached on 11 items (25.6%), including symptoms, signs, and pulse condition. Twenty-one experts (63.6%) com-pleted the final round in which they used a grading system for each item. Red tongue with scanty fur had the highest weighting (22.8%), followed by heat in the palms and soles (20.1%).
CONCLUSIONS: The consensus-based diagnostic criteria for YDSH, formed by a modified Delphi method, can be widely incorporated in TCM. A further clinical study will be conducted to analyze the diagnosis value and cut-off score of our YDSH criteria.

Key words: Yin deficiency syndrome, hypertension, consensus, Delphi technique, weight score

Cite this article

HE Yun, HE Jing, XU Xiangru, LI Haixiao, SHI Rongwei, LIANG Junya, ZHOU Ying, ZHU Yao, CHEN Xiaohu, TANG Shuhua, XIAO Min, ZHAN Libin, PEI Yinghao, JIANG Weiming. Consensus on diagnostic criteria for Yin deficiency syndrome in hypertension: a modified Delphi study[J]. Journal of Traditional Chinese Medicine, 2023, 43(1): 181-187.