《脾虚证中医诊疗专家共识(2023)》解读

Interpretation of Expert Consensus on Traditional Chinese Medicine Diagnosis and Treatment of Spleen Deficiency Syndrome(2023)

《脾虚证中医诊疗专家共识(2023)》是2020年11月由中华中医药学会脾胃病分会在北京主导,联合全国50余家三级甲等医院、高等院校及科研机构共同修订并最终由国内权威期刊《中医杂志》公开发布的新一版中医证候专家共识,它呈现了3大重要特点:(1)细化与规范了脾虚证概念的表述及其所包含的脾气虚、脾阴虚、脾阳虚3个亚证的病证分类和代码及其ICD-11编码,以及脾虚证主症与次症程度和舌象体征的量化分级;(2)系统梳理了脾虚证诊疗标准的发展历程,挖掘整理了古代医家有关脾虚证诊治的重要论述,与时俱进体现了全国脾胃团队对脾虚证诊治相关病理生理改变、作用机制、临床疗效的现代生物学基础与量表研究的最新成果;(3)增加了脾气虚、脾虚湿蕴、脾阴虚和脾阳虚证典型舌质舌苔图像的客观示范展示。本共识突出实用性,以期进一步提高临床脾虚证的诊疗水平,为脾虚证诊疗及科学研究提供新的临床思维与决策参考,为了能更好地应用本共识,特进行解读。

Expert Consensus on Traditional Chinese Medicine Diagnosis and Treatment of Spleen Deficiency Syndrome(2023)is a new version of Traditional Chinese Medicine syndrome expert consensus jointly revised by the spleen and stomach diseases branch of the Chinese society of Traditional Chinese Medicine in Beijing in november 2020 and jointly released by more than 50 third-level and first-class hospitals,colleges and universities and scientific research institutions in China,and finally published by the authoritative domestic Journal of Traditional Chinese Medicine.It presents three important features:(1)the concept of spleen deficiency syndrome and its classification and code of spleen Qi deficiency,spleen-Yin deficiency and spleen-Yang deficiency as well as their ICD-11 codes were refined and standardized,as well as the degree of main and secondary symptoms of spleen deficiency syndrome and the quantitative grading of tongue sign;(2)this paper systematically combs the development process of diagnosis and treatment criteria for spleen deficiency syndrome,excavates the important discussions of ancient doctors on the diagnosis and treatment of spleen deficiency syndrome,and reflects the latest achievements of modern biological basis and scale research of the national spleen and stomach team on the pathophysiological changes,mechanism of action,and clinical efficacy related to the diagnosis and treatment of spleen deficiency syndrome in digestive system diseases;(3)the objective demonstration and demonstration of the typical tongue coating images of spleen-Qi deficiency,spleen deficiency,spleen-Yin deficiency and spleen-Yang deficiency were increased.This consensus highlights practicability,in order to further improve the level of clinical diagnosis and treatment of spleen deficiency syndrome,and provide new clinical thinking and decision-making reference for the diagnosis and treatment of spleen deficiency syndrome and scientific research.In order to better apply this consensus,it is interpreted as follows.