1.上海中医药大学中医方证信息研究中心(上海 201203)
2.上海中医药大学科技人文研究院(上海 201203)
3.上海中医药大学交叉科学研究院(上海 201203)
4.上海岐黄信息技术有限公司(上海 201203)
朱邦贤,男,教授,博士研究生导师,主要从事中医方证、中医文献、中医标准化等研究工作
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朱邦贤,严世芸,周强等.神魂之铸——论新版中医国家标准“病证理法相贯”规则体系的建立[J].上海中医药杂志,2023,57(01):1-7.
ZHU Bangxian,YAN Shiyun,ZHOU Qiang,et al.Soul recasting: on the establishment of “disease⁃syndrome⁃pathogenesis⁃method coherence” rule system in the new edition of Traditional Chinese Medicine National Standards[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(01):1-7.
朱邦贤,严世芸,周强等.神魂之铸——论新版中医国家标准“病证理法相贯”规则体系的建立[J].上海中医药杂志,2023,57(01):1-7. DOI: 10.16305/j.1007-1334.2021.2109103.
ZHU Bangxian,YAN Shiyun,ZHOU Qiang,et al.Soul recasting: on the establishment of “disease⁃syndrome⁃pathogenesis⁃method coherence” rule system in the new edition of Traditional Chinese Medicine National Standards[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(01):1-7. DOI: 10.16305/j.1007-1334.2021.2109103.
目的,2,阐释《中医病证分类与代码》《中医临床诊疗术语》修订版(以下合而简称“新版国标”)内寓的“病证理法相贯”法则及其逻辑关系,以促使当代中医临床再铸神魂,重新回归中医学术本体及其临床路径。,方法,2,采用中医学、术语学、标准学文献的回顾性研究及计算机本体技术、人工智能等方法,通过对标准的源起,标准知识体系与规则体系、中医疾病分类体系的溯源,“病”“证”“理”“法”等概念的梳理,以及“治病求本”“辨病本、守病机”等相关学术理念的剖析,并借助于“中医国家标准应用服务平台”(以下简称“标准平台”),呈现新版国标“病证理法相贯”的内在逻辑关系。,结果,2,新版国标界定了中医“病”“证”“理”“法”等术语的内涵与外延,明确“治病求本,病证相贯,理法相契,方药以贯”是中医临床诊疗活动中必须遵循的基本法则,将之作为中医临床思维和诊疗规范的“根”与“魂”,贯穿于中医国家标准修订的全过程,并将“病证理法相贯”理念与法则纳入了新版国标的知识体系与规则体系。,结论,2,新版国标内寓“病证理法相贯”的诊疗法则,可通过标准平台得以充分展示及应用,并能够引领中医临床按照自身的学术与临床轨迹开展医疗活动,规范其医疗行为。
Objective,2,To explain the “disease-syndrome-pathogenesis-method coherence” rule system and its logical relationships in the revised editions of ,Classification and Codes of Diseases and Patterns of Traditional Chinese Medicine, and ,Clinic Terminology of Traditional Chinese Medical Diagnosis and Treatment, (hereinafter referred to as “the new edition of TCM National Standards”) for the purpose of promoting the soul recasting of contemporary TCM clinics and its return to the academic noumenon and clinical path.,Methods,2,Based on the retrospective literature review of traditional Chinese medicine, terminology and standardology, we adopted computer ontology technology and artificial intelligence to trace the origin of standards, standard knowledge system, standard rule system and TCM disease classification system, organize the concepts of “disease”, “syndrome”, “pathogenesis” and “method”, analyze the academic concepts of “seeking the root of the disease” and “identifying the root of the disease and observing the pathogenesis of the disease”, and present the internal logical relationships of the “disease-syndrome-pathogenesis-method coherence” in the new edition of TCM National Standards with the help of the “TCM National Standard Application Service Platform” (hereinafter referred to as “Standard Platform”).,Results,2,The new edition of TCM National Standards has defined the connotation and extension of TCM terms such as “disease”, “syndrome”, “pathogenesis” and “method”, etc., determined the basic rule that must be followed in the TCM clinical diagnosis and treatment to be “seeking the root of the disease, connecting disease differentiation with syndrome differentiation, matching pathogenesis with the syndrome, and prescribing in accordance with the method”. Being the “root” and “soul” of TCM clinical thinking and diagnosis and treatment standard, it is this basic rule that runs through the whole revising process of TCM National Standards. The concept and rule of “disease-syndrome-pathogenesis-method coherence” have also been incorporated into the knowledge system and rule system of the new edition of TCM National Standards.,Conclusion,2,The diagnosis and treatment rule of “disease-syndrome-pathogenesis-method coherence” contained in the new edition of TCM National Standards can be fully demonstrated and widely applied through the Standard Platform. Meanwhile, it can guide TCM clinic practice to follow its own academic and clinical path and standardize its medical activities.
中医国家标准中医术语研究《中医病证分类与代码》《中医临床诊疗术语》病证理法相贯标准知识体系标准规则体系
TCM National StandardsTCM terminology researchClassification and Codes of Diseases and Patterns of Traditional Chinese MedicineClinic Terminology of Traditional Chinese Medical Diagnosis and Treatmentdisease-syndrome-pathogenesis-method coherencestandard knowledge systemstandard rule system
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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.
李明,周强,董全伟,等. 形制之变(三)——新旧中医国家标准治法部分异同解读[J]. 上海中医药杂志,2021, 55(4): 1-5.
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