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Chinese Medicine

, 10:30

First Online: 27 October 2015Received: 09 March 2014Accepted: 14 September 2015


BackgroundInfections such as common colds, influenza, acute upper respiratory infections, bacterial gastroenteritis, and urinary tract infections are usually diagnosed according to patients’ signs and symptoms. This study aims to develop a scale for the diagnosis of infectious diseases based on the six excesses Liu Yin etiological theory of Chinese medicine CM by the Delphi method.

MethodsA total of 200 CM-guided diagnostic items measuring signs and symptoms for infectious diseases were compiled from CM literature archives from the Han to Ming dynasties, CM textbooks in both China and Taiwan, and journal articles from the China Knowledge Resource Integrated Database. The items were based on infections and the six excesses Liu Yin etiological theory, i.e., Feng Xie wind excess, Han Xie coldness excess, Shu Xie summer heat excess, Shi Xie dampness excess, Zao Xie dryness excess, and Huo Xie fire excess. The items were further classified into the six excess syndromes and reviewed via a Delphi process to reach consensus among CM experts.

ResultsIn total, 178 items with a mean or median rating of 7 or above on a scale of 1–9 from a panel of 32 experts were retained. The numbers of diagnostic items in the categories of Feng wind, Han coldness, Shu summer heat, Shi dampness, Zao dryness, and Huo fire syndromes were 15, 22, 25, 37, 17, and 62, respectively.

ConclusionsA CM-based six excesses Liu Yin evaluation and diagnosis SEED scale was developed for the evaluation and diagnosis of infectious diseases based only on signs and symptoms.

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Autor: Pei-Jung Chiang - Tsai-Chung Li - Chih-Hung Chang - Li-Li Chen - Jun-Dai Lin - Yi-Chang Su


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