Article(id=1317133228096471139, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317133098966433889, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2026.01.048, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1791958632729, onlineDateStr=2026-10-14, pubDate=1767974400000, pubDateStr=2026-01-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1791958632729, onlineIssueDateStr=2026-10-14, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1791958632729, creator=13701087609, updateTime=1791958632729, updator=13701087609, issue=Issue{id=1317133098966433889, tenantId=1146029695717560320, journalId=1255847919539208197, year='2026', volume='44', issue='1', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1767974400000', pubDateStr='2026-01-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1791958601943, creator='13701087609', updateTime=1791958824557, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1317134032719171723, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317133098966433889, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1317134032719171724, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1317133098966433889, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=253, endPage=258, ext={EN=ArticleExt(id=1317133228591399013, articleId=1317133228096471139, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=Expert Consensus on Diagnostic Items of Intermingled Phlegm and Blood Stasis Syndrome in Hypertension Based on Delphi Method, columnId=1317133228507512932, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Expert Consensus and Guideline, runingTitle=null, highlight=null, articleAbstract=
Objective To screen clinical diagnostic items for hypertension with the syndrome of intermingled phlegm and blood stasis from both macro and micro perspectives using the Delphi method，providing evidence for the development of a diagnostic scale for this syndrome.
Methods Based on the Delphi method and combined with previous literature research results from the working group，two rounds of expert consultations were conducted. The results of the expert consultations were evaluated from multiple perspectives such as the mean，the coefficient of variation and the coordination coefficient. The items were revised based on the clinical experience of the experts to form a consensus on diagnostic items for hypertension with the syndrome of intermingled phlegm and blood stasis.
Results A total of 30 domestic experts were surveyed，with a response rate of 86.67% for both rounds. The expert authority coefficients for the two rounds were 0.914 and 0.925，respectively. Based on the mean and coefficient of variation of each item，combined with the clinical experience of the experts，the appropriate deletions were made，and ultimately 20 core diagnostic items were determined. These included primary symptoms：a heavy sensation in the head as if wrapped，stabbing pain in the head or chest with a fixed location，dark purple lips and nails，chest distress，obesity，heavy limbs，a swollen tongue with teeth marks on the edges，purple or dark tongue，or tongue with ecchymoses or petechiae or purple and dilated sublingual veins，greasy coating on the tongue，slippery or rough pulse，and abnormal blood lipids；secondary symptoms：dark complexion，excessive sleepiness，fatigue，expectoration of phlegm or sticky sensation in the mouth，thick coating on the tongue，wiry pulse，increased plasma viscosity and increased intima-media thickness of the carotid artery or carotid plaques.
Conclusion The 20 diagnostic items for the syndrome of of intermingled phlegm and blood stasis in hypertension screened out in this study integrate the macroscopic syndrome differentiation of traditional Chinese medicine with the microscopic syndrome differentiation based on modern biochemical indicators，providing a basis and reference for subsequent research on quantitative assignment of this syndrome and the construction of diagnostic scales.
, authors=Tianyue JING, Liangyu CUI, Yukun LI, Zina LIN, Zihao LI, Xuejie HAN, Liying WANG, authorsList=Tianyue JING, Liangyu CUI, Yukun LI, Zina LIN, Zihao LI, Xuejie HAN, Liying WANG, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1317133229040189542, articleId=1317133228096471139, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=基于德尔菲法的高血压病痰瘀互结证诊断条目专家共识, columnId=1256183449291993160, journalTitle=中华中医药学刊, columnName=专家共识指南, runingTitle=null, highlight=null, articleAbstract=
目的 运用德尔菲法筛选高血压病痰瘀互结证宏观和微观角度相结合的临床诊断条目，为该证候诊断量表的研发提供证据参考。
方法 基于德尔菲法，结合工作组前期文献研究结果，通过两轮专家咨询，从均数、变异系数以及协调系数等多个角度，对专家咨询结果进行评价，并结合专家临床经验对条目进行修改，形成高血压病痰瘀互结证诊断条目专家共识。
结果 共选取国内30名专家进行问卷调查，两轮问卷回收率均为86.67%，两轮专家权威系数分别为0.914和0.925。根据各条目均值以及变异系数，结合专家临床经验，对条目进行适当删减后，最终确定20个核心诊断条目，其中主症条目：头重如裹、头部或胸部刺痛、痛有定处、口唇爪甲紫黯、胸闷、形体肥胖、肢体沉重、舌体胖、边有齿痕、舌质紫或舌质黯或舌有瘀斑瘀点或舌下脉络曲张青紫、苔腻、脉滑、脉涩、血脂异常；次症条目：面色黧黑、嗜睡、乏力、咳痰或口黏腻、苔厚、脉弦、血浆黏度升高、颈动脉内膜中层厚度增厚或颈动脉斑块。
结论 研究所筛选出的20个高血压病痰瘀互结证诊断条目，融合了传统中医宏观辨证与现代生化指标微观辨证，可为后期该证候的量化赋值研究与诊断量表的构建提供依据与参考。
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