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Journal of Chinese Integrative Medicine ›› 2011, Vol. 9 ›› Issue (12): 1326-1332.doi: 10.3736/jcim20111208

Special Issue: Traditional Chinese Medicine

• Original Chinical Research • Previous Articles     Next Articles

A study of diagnostic criteria for traditional Chinese medicine syndromes in osteoporosis

Li Dong-tao1(),Li Fu-yu1,Wang Jian1,Liu Ji-hong1,Yan Nan1,Cheng Yong-mei1,Hu Ai-hua2,Jiang Hong-yang3,Shi Feng-lei4,Zhang Mei-zeng5,Li Jie6,Wei Ling-bo6,Jiang Rong-qin7   

  1. 1. Department of Traditional Chinese Medicine, Qingdao First Sanatorium, Jinan Military Region, Qingdao 266071, Shandong Province, China
    2. Qingdao Social Welfare Institution, Qingdao 266071, Shandong Province, China
    3. Department of Orthopedics, Center Hospital of Haiyang, Haiyang 265100, Shandong Province, China
    4. Second Department of Orthopedics, Qingdao Orthopaedic and Traumatology Hospital, Qingdao 266021, Shandong Province, China
    5. Department of Neurology, the Affiliated Hospital of Medical College Qingdao University, Qiangdao 266071, Shandong Province, China
    6. Department of Traditional Chinese Cardiology, Qingdao Haici Medical Group, Qingdao 266033, Shandong Province, China
    7. Department of Medical Services, Qingdao Hospital of Integrated Traditional Chinese and Western Medicine, Qingdao 266002, Shandong Province, China
  • Received:2011-06-23 Accepted:2011-08-12 Online:2011-12-20 Published:2018-08-17

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Objective: To establish diagnostic criteria for common traditional Chinese medicine (TCM) syndromes in osteoporosis.
Methods: Based on the collection and analysis of related medical literature, clinical investigation, and expert discussion, a draft of preliminary diagnostic criteria for the basic syndromes of TCM in patients with osteoporosis was formulated. Then it was used in clinic for verification and revised repeatedly until a formal version of diagnostic criteria was satisfactorily achieved.
Results: The basic syndromes listed in the diagnostic criteria for patients with osteoporosis consisted of two parts: qualitative diagnosis and localization diagnosis. Results of qualitative diagnosis showed that the qualitative syndromes included damage of essence, deficiency of vital energy, deficiency of yin, deficiency of yang and blood stasis. The localization diagnosis showed that location of osteoporosis is bone and corresponds to the kidney, and also involves liver, lung, spleen (stomach) and heart. The diagnostic content has established the specific symptoms and the non-specific symptoms during various stages. Each of the above syndromes could be diagnosed according to a specific combination of its corresponding symptoms or signs. The clinical verification results showed that the total matching ratio of qualitative diagnosis was 80.56% between the diagnoses made according to the criteria and the diagnoses acquired from the experts' experience, and the total matching ratio of localization diagnosis was 85.56%.
Conclusion: The TCM syndrome diagnostic criteria for osteoporosis is generally consistent with TCM clinical practice, worthy of further popularization and application in clinical practice.

Key words: osteoporosis, syndromes, diagnosis specification, traditional Chinese medicine

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