现行中医疾病分类标准比较研究

Comparative study on the current classification standards of diseases in traditional Chinese medicine

目的:比较4本现行的中医疾病分类标准《中医病证分类与代码》《中医临床诊疗术语-疾病部分》《国际疾病分类第十一次修订本》传统医学章节及《中医病证分类与代码(修订版)》与《中医临床诊疗术语-第1部分:疾病(修订版)》(以下简称《2020修订版》)的差异,对中医疾病的分类体系进行初步探析。方法:编制新旧国家标准的中医疾病名术语映射关系表,通过文本比对、数据统计、文献分析等方法,从术语收录范围、疾病分类方法、疾病分类层级、疾病分类相互映射等方面进行分析和比较。结果:《2020修订版》收录的疾病术语最多,疾病分类体系更丰富,且基本涵盖了新旧国家标准疾病分类体系,疾病分类层级更精细。结论:不同标准收录的术语量有显著差异,在疾病分类方法与分类层级方面是基本涵盖或相互映射的关系。《2020修订版》为中医疾病分类体系的建立提供借鉴依据,可在此基础上进行多属性、多维度的整合。

Objective: To compare the differences among the four existing classification standards of Chinese medicine diseases, Classification and Codes of Disease and Patterns of Traditional Chinese Medicine, Clinical Terminology of Traditional Chinese Medical Diagnosis and Treatment: Disease Part, Eleventh Revision of International Classification of Diseases the traditional medicine chapter and Classification and codes of Disease and Patterns of Traditional Chinese Medicine(Revision) and ‘Clinical Terminology of Traditional Chinese Medical Diagnosis and Treatment Part 1: Disease(Revision)’(‘2020 Revision’).To make a preliminary analysis of the classification system of Chinese medicine diseases. Methods: To compile a list of TCM disease name mapping relationship between new and old national standards, and to analyze and compare the scope of terminology collection, disease classification method, disease classification level, disease classification mapping through text comparison, data statistics, literature analysis and other methods. Results: The 2020 Revision contains the most disease terms, the disease classification system is more abundant, and basically covers the old and new national standard disease classification system, disease classification level is more fine. Conclusion: There are significant differences in the amount of terminology included in different standards, and the relationship between disease classification methods and classification levels is basically covered or mapped to each other. The 2020 Revision provides a reference basis for the establishment of the classification system of Chinese medicine diseases, on which the integration of multi-attribute and multi-dimensional can be carried out.