形制之变(三)——新旧中医国家标准治法部分异同解读  

Changes in form and system (Ⅲ): an interpretation on new and old editions of TCM National Standards of therapeutic methods part

作　　者：李明 周强 董全伟 程磐基 包来发 娄月丽 蒋小贝 鲍颖洁 杨丽娜 朱邦贤 严世芸 LI Ming;ZHOU Qiang;DONG Quanwei;CHENG Panji;BAO Laifa;LOU Yueli;JIANG Xiaobei;BAO Yingjie;YANG Lina;ZHU Bangxian;YAN Shiyun(Formula and Pattern Information Research Center of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Institute of Interdisciplinary Integrative Medicine Research,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shanghai Qihuang Information Technology Co.,Ltd.,Shanghai 201203,China;Institute of Science,Technology and Humanities,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[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

出　　处：《上海中医药杂志》2021年第4期1-5,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药标准化专项(G2YFJS201728);国家社会科学基金重大项目(19ZDA301);国家重点研发计划项目(2019YFC1709203);上海市科委软科学重点项目(20692116700);上海市科委研发平台专项(18DZ2293900)。

摘　　要：目的解读新旧版本中医国家标准(简称"国标")中的治法部分在编制方法及内容上的差异,推动新版中医国标的使用。方法编制新旧版本国标治法部分的术语映射关系表及治法名与证候名对应关系表,通过数理统计、文本比对等方法,从命名规范、证候名与治法名对应关系、编写体例、分类体系、收录范围、定义格式方面进行分析和比较。结果新版国标的治法部分(简称"新标准")在命名规范方面弃用了旧版标准中术语名称带括号的方法;在证候名与治法名关联程度方面,新标准对治法名定义涉及的证候名术语进行修订和完善,使病证与治则治法的匹配度更高;在编写体例方面,新标准新增了英文翻译、可选用词项等;在收录范围方面,新标准新增了"治未病法""急下存阴""小针刀疗法"等94条术语;在分类体系方面,新标准解决了旧版标准中治则类、治法类、疗法类术语混搭的问题,改为治则、治法、疗法3大类术语分列;定义格式方面,新标准制定了统一、规范的术语定义格式。结论新版中医国标相较旧版国标,在治法部分的命名规范、证候名与治法名对应关系、编写体例、分类体系、收录范围、定义格式等方面更加合乎中医医学信息管理标准化、国际化的要求。Objective To interpret the differences in the compilation methods and content of the therapeutic methods part 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. Method Relational mappings of terms of TCM therapeutic methods and the correspondence tables between terms of therapeutic methods and terms of syndromes in the new and old TCM National Standards were compiled for the statistical analysis and text comparison in respect of the naming standard, the correspondence between terms of therapeutic methods and terms of syndromes, compilation style, classification system, inclusion scope,and definition format. Results In respect of naming standard,the therapeutic methods part of the new editions of TCM National Standards stopped using brackets in terms once used in the old editions. In respect of the correspondence between terms of syndromes and terms of therapeutic methods,the therapeutic methods part of the new editions of TCM National Standards amended and improved terms of syndromes involved in the definition of terms of therapeutic methods,so that the terms of diseases and syndromes matched better with the terms of therapeutic methods. In respect of compilation style,English translation and optional lexical items were added to the therapeutic methods part of the new editions. In respect of inclusion scope,94 terms were added to the therapeutic methods part of the new editions of TCM National Standards,such as"therapy for preventive treatment of disease","emergent purgation to preserve yin-fluid"and"small needle knife therapy",etc. In respect of classification system,the therapeutic methods part of the new editions of TCM National Standards solved the mix-and-match problem of terms of therapeutic principles,therapeutic methods and therapies in the old editions,and classified them into three separate categories: therapeutic principles,therapeutic methods and therapies. In respect of de

关 键 词：中医国家标准 中医治法名术语 中医证候名术语 《中医病证分类与代码》 《中医临床诊疗术语》 中医治法分类体系 中医标准化 

分 类 号：R2-03[医药卫生—中医学]