1.上海中医药大学中医方证信息研究中心(上海 201203)
2.上海中医药大学交叉科学研究院(上海 201203)
3.上海岐黄信息技术有限公司(上海 201203)
4.上海中医药大学科技人文研究院(上海 201203)
李明,男,博士,副研究员,硕士研究生导师,主要从事中医标准、中医方证、数据挖掘等的研究工作
朱邦贤,教授,博士研究生导师;E-mail:zbx5100@hotmail.com。
严世芸,上海中医药大学终身教授,全国名中医,博士研究生导师;E-mail:yansy514@126.com
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李明, 周强, 董全伟, 等. 形制之变(二)——新旧中医国家标准证候部分异同解读[J]. 上海中医药杂志, 2021,55(3):1-7.
Ming LI, Qiang ZHOU, Quanwei DONG, et al. Changes in form and system (Ⅱ): an interpretation on new and old editions of TCM National Standards of syndrome part[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(3):1-7.
李明, 周强, 董全伟, 等. 形制之变(二)——新旧中医国家标准证候部分异同解读[J]. 上海中医药杂志, 2021,55(3):1-7. DOI: 10.16305/j.1007-1334.2021.2012065.
Ming LI, Qiang ZHOU, Quanwei DONG, et al. Changes in form and system (Ⅱ): an interpretation on new and old editions of TCM National Standards of syndrome part[J]. Shanghai Journal of Traditional Chinese Medicine, 2021,55(3):1-7. DOI: 10.16305/j.1007-1334.2021.2012065.
目的,2,解读新旧版本中医国家标准(简称“国标”)中的证候部分在编制方法及内容上的差异,推动新版中医国标的应用。,方法,2,编制新旧国标中医证候名术语映射关系表,通过数据统计、文本比对等方法,从其编码方式、命名规范、编写体例、收录范围、分类体系、定义格式方面进行分析和比较。,结果,2,①编码方式方面,新版国标将旧版国标最长6位编码的方式更改为不定长度,扩大了代码的容量,使得新版国标的层级关系更加明显,并用代码末尾的点对证候的类目属性进行了标识。②在命名规范方面,新版国标彻底弃用了旧版国标中证候名术语带有标点符号的命名方式,统一采用一词一义。③在编写体例方面,新版国标新增了可选用词项,兼顾了不同地域对证候名术语的使用习惯。④在收录范围方面,新版国标整合统一了《中医病证分类与代码:GB/T 15657—1995》与《中医临床诊疗术语 证候部分:GB/T 16751.2—1997》中的证候名术语,对相同术语进行合并,对于不同的术语根据新版国标的分类体系调整其所属类别,并补充定义;同时,弃用、新增了若干术语,最终收录证候名术语2 060条。⑤在分类体系方面,新版国标很好衔接了世界卫生组织《国际疾病分类第十一次修订本》传统医学章节的证候名术语分类体系,同时也进一步整合了旧版国标的相应分类体系。⑥在定义格式方面,新版国标制定了详细、统一的中医证候名术语定义格式与规范,并按照定义规范对所收录证候名术语的内涵及其应用场景做出了界定。,结论,2,新版中医国标相较旧版国标,在证候名术语的编码方式、命名规范、编写体例、收录范围、分类体系、定义格式方面,更加合乎我国当代中医医学信息管理标准化、国际化的要求。
Objective,2,To interpret the differences in the compilation methods and content of the part of syndromes between the old and new editions of Traditional Chinese Medicine (TCM) National Standards for the purpose of promoting the application of the new editions of TCM National Standards.,Methods,2,Relational mappings of TCM syndrome terms in the new and old TCM National Standards were compiled for the statistical analysis and text comparison of the coding mode, naming standard, compilation style, inclusion scope, classification system and definition format.,Results,2,①In terms of coding mode, the old editions of TCM National Standards had 6 digits at maximum while the new editions expanded the coding capacity by changing the coding system into no definite length in digits which made the hierarchical order in the new editions more obvious, and with the dot at the end of the code the categories of syndromes were clearly identified. ②In terms of naming standard, the new editions of TCM National Standards completely abandoned the naming method of syndromes with punctuations used in the old editions and uniformly adopted the rule of one term corresponding to one meaning. ③In terms of compilation style, the new editions of TCM National Standards added optional words, taking into account the usage conventions of syndrome terms in different regions. ④In terms of collection scope, the new editions of TCM National Standards integrated ,Classification and Codes of Diseases and Patterns of Traditional Chinese Medicine, (GB/T 15657—1995) and ,Clinic Terminology of Traditional Chinese Medical Diagnosis and Treatment,-,Part, 2: ,Syndromes,/,Patterns, (GB/T 16751.2—1997) by merging the same terms, adjusting the categories of terms according to the classification system in the new editions, supplementing definitions, and removing or adding new terms. Finally, 2,060 syndrome terms were included.⑤In terms of classification system, the new editions of TCM National Standards referred to the classification system in the 11th revision of ,International Statistical Classification of Diseases and Related Health Problems, (ICD-11) issued by World Health Organization and further integrated the corresponding classification system in the old editions. ⑥In terms of definition format, the new editions of TCM National Standards formulated a detailed and unified definition format and specifications for TCM syndrome terms, and defined the connotation and application scenarios of the included syndrome terms according to the definition specifications.,Conclusion,2,Compared with the old editions, the new editions of TCM National Standards can better satisfy the contemporary demands for the standardization and internationalization of medical informatics in China in terms of coding method, naming standard, compilation style, inclusion scope, classification system and definition format of syndrome terms.
中医国家标准《中医病证分类与代码》《中医临床诊疗术语》中医证候名术语中医证候分类体系中医诊断辨证论治中医标准化
TCM National StandardsClassification and Codes of Diseases and Patterns of Traditional Chinese MedicineClinic Terminology of Traditional Chinese Medical Diagnosis and TreatmentTCM syndrome termTCM syndrome classification systemTCM diagnosissyndrome differentiation and treatmentTCM standardization
国家技术监督局. 中医病证分类与代码:GB/T 15657—1995[S]. 北京:中国标准出版社,1995.
国家技术监督局. 中医临床诊疗术语 疾病部分:GB/T 16751.1—1997[S]. 北京:中国标准出版社,1997.
国家技术监督局. 中医临床诊疗术语 证候部分:GB/T 16751.2—1997[S]. 北京:中国标准出版社,1997.
李明,周强,董全伟,等. 形制之变(一)——新旧中医国家标准疾病部分异同解读[J].上海中医药杂志,2021, 55(2): 1-8.
中华中医药学会. 中医内科常见病诊疗指南·中医病证部分[M].北京:中国中医药出版社,2008.
中医药学名词审定委员会. 中医药学名词[M].北京:科学出版社,2005.
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