Exploring the application status of traditional chinese medicine syndrome differentiation of urolithiasis based on modern literature research
ZHOU Ying-lin，ZHOU Jian-fu，HU Lei
Abstract:
Objective To analyze clinical application status of traditional Chinese medicine (TCM) syndrome differentiation in the treatment of urolithiasis based on modern literature, providing insights for establishing a scientific and practical modern Chinese medicine syndrome differentiation standard for urolithiasis. Methods All relevant TCM clinical research literatures related to TCM syndrome differentiation of urolithiasis from January 1, 2001 to December 31, 2021 were searched in CNKI, Wanfang Data Knowledge Service Platform, and VIP databases to extract TCM syndrome elements, and to count the frequency of each TCM syndrome of urolithiasis. Results A total of 430 papers were included, 114 of which indicated the source of TCM diagnostic criteria, involving 19 diagnostic criteria, and another 130 were self-designed to identify the syndromes. In descending order of frequency, these were damp-heat pouring downward syndrome, qi stagnation and blood stasis syndrome, kidney-qi deficiency syndrome, kidney-yin deficiency syndrome, spleen and kidney deficiency syndrome, and kidney-yang deficiency syndrome. Conclusion The sources of TCM diagnostic criteria for urolithiasis in modern literature are inconsistent, and there are discrepancies in the syndrome differentiation of urolithiasis among different TCM diagnostic criteria, which limits the standardization and uniformity of clinical application and research. It is urgent to establish a syndrome differentiation standard that conforms to the pathogenesis of urolithiasis in TCM and clinical efficacy evaluation.
