Suggestion to Revise International Diagnostic Criterion of Blood Stasis (abstract)

Li Guoxian Xie Jianxiang Wurui Yanyi

the first affiliated hospital of Jiangxi medical college , Nanchang, China (330006)

special committee of promoting blood circulation to remove blood stasis , Jiangxi Association of the integration of TCM and western medicine ,China .

Research on the syndrome of blood stasis and promoting blood circulation is an outstanding and hot field , which has gotten significant achievements . But recent 20 years, the diagnostic criterion can’t be set up yet , which has influenced the further study of promoting blood circulation. So we suggested to revise international diagnostic criterion of blood stasis to find a better standard.

1 why to revise

1.1 the criterion isn’t overall.

1.2 The criterion can’t fix quantity.

1.3 It can’t diagnose low hemorheology type in modern classification of blood stasis.

1.4 It can’t differ syndrome of blood stasis.

1.5 It isn’t convenient to apply in clinic and can’t differ blood stasis from bleeding .

2 Revise Foundation:

2.1 Criterion of Guang Zhou conference in 1986

2.2 Criterion of Peking conference in 1988

2.3 Modern classification of blood stasis which was presented by academician Chen Keji in 2000.

2.4 The fixed quantity criterion of blood stasis , presented by Wangjie in 1988.

2.5 Criterion of eyes’ syndrome to diagnose blood stasis , presented by Li Guoxian in 1988.

2.6 Hypothesis of blood viscosity syndromes hemorheology , presented by Li Guoxian in 1990.

2.7 Criterion of defective-blood and bleeding ,according to national criterion of GB/T in 1997.

3 Initiative Criterion:

3.1 method and procedure

3.1.1 the syndromes of defective-blood and bleeding is added to international criterion of blood stasis.

3.1.2 Every item in the criterion can be divided into mild, moderate, severe levels, and recorded ±10, ±5, ±2.5 marks.

3.2 Initiative suggested criterion

3.2.1 Dark tongue or tongue with ecchymosis and petechiae:

Purplish tongue with ecchymosis markes 10, purplish dark tongue with petechiae marks 5 , red dark tongue marks 2.4, white tongue marks –10, light white tongue marks –5, light tongue marks –2.5.

3.2.2 uneven pulse or non-pulse

uneven pulse or non-pulse marks 10, thready and uneven pulse marks 5, knotted pulse marks 2.5, thready and small pulse marks –10, thready and weak pulse marks –5, thready pulse marks –2.5.

3.2.3 localization of ache

severe fixed ache marks 10, moderate fixed ache marks 5, mild fixed ache marks 2.5, severe unfixed ache marks –10, moderate unfixed ache marks –5, mild unfixed ache marks –2.5.

3.2.4 abdomen symptoms of blood stasis

severe abdomen symptoms marks 10, moderate abdomen symptoms marks 5, mild abdomen symptoms marks 2.5.

3.2.5 tumour

severe tumour marks 10, moderate tumour marks 5, mild tumour marks 2.5.

3.2.6 blood outside of the vessels

severe blood outside of the vessels marks 10, moderate blood outside of vessels marks 5, mild blood outside of the vessels marks 2.5, serve bleeding marks –10, moderate bleeding marks –5, mild bleeding marks –2.5.

3.2.7 ecchymosis of skin and mucosa , abnormal meridian

ecchymosis of skin and mucosa and bonormal meridian marks 10, abnormal meridian marks 5, ecchymosis of skin and mucosa marks 2.5, light-colored lips , tongue and mail marks –10, light-colored lips and tongue marks –5, light-colored mails marks –2.5.

3.2.8 dysmenorrhen with black and lumpy menstration or amenorrhea

dysmenorrhen with black and lumpy menstration or amenorrhea marks 10, dysmenorrhen with lumpy menstration marks 5, black and lumpy menstration marks 2.5, modicum light-colored ,postpone menstration or amenorrhea marks –10, modicum , postpone menstration marks –5, modicum and light-colored menstration marks –2.5.

3.2.9 squamous and dry skin

squamous and dry skin marks 10, rough and thick skin marks 5, rough skin marks 2.5, dull yellow face marks –10, white yellow face marks –5, light-colored face marks –2.5.

3.2.10 hemiplegia and numbness

severe hemiplegia and numbness marks 10, moderate marks 5, mild marks 2.5, dizzy , eyes blurred , palpitation, insomnia and numbness of extremity marks –10, dizzy, eyes blurred , palpitation and insomnia marks –5, dizzy and eyes blurred marks –2.5.

3.2.11 mania with blood stasis

severe mania with blood stasis marks 10, moderate mania marks 5, mild mania marks 2.5, severe depression marks –10, the moderate marks –5, the mild marks –2.5.

3.2.12 physical and chemical test show stasis of blood circulation .

Every test can be divided into mild, moderate, severe levels, and recorded ±10, ±5, ±2.5 marks. For example , abnormal hemorheology can be divided into:

① Blood hyperviscosity syndrome (it is equal to high hemorheology type ):the severe marks 10, the moderate marks 5, the mild marks 2.5.

② Blood lowviscosity syndrome (it is equal to low hemorhelology type): the severe marks –10, the moderate marks –5, the mild marks –2.5.

③ Blood hyper-lowviscosity syndrome : the severe marks 10, the moderate marks 5, the mild marks 2.5.

④ Blood low-hyperviscosity syndrome : the severe marks –10, the moderate marks –5, the mild marks –2.5.

3.3 Judgement of Iniative Criterion

① 10 ---- 19.75 will be judged as blood stasis (mild).

② 20----29.75 is blood stasis ( moderate).

③ More than or equal to 30 is blood stasis ( severe).

④ —19.75----—10 is defective-blood(mild).

⑤ —29.75----—20 is defective-blood(moderate).

⑥ Less than or equal to –30 is defective-blood(severe).

⑦ Absolute volume of positive marks more than negative will be judged as blood stasis with defective-blood .( for example, the result that positive marks is 25 , negative is -10 can be judged as severe blood stasis and mild defective blood.)

⑧ Absolute volume of positive marks less than negative will be judged as defective-blood with blood stasis .( for example, the result that positive marks is 15 , negative is –35 can be judged as severe defective blood and mild blood stasis.)

⑨ —44.75----—22.5 is syndrome of bleeding (mild).

⑩ —89.75----—45 is syndrome of bleeding (moderate).

⑾ Less than or equal to –90 is syndrome of bleeding (severe).