论中医“症”描述的准确性与规范化

Discussion on the accuracy and standardization of traditional Chinese medicine “symptom” description

关键词:  症状术语规范化  症名规范化  中医理论  症名准确性

Key words:  standardization of symptom term  standardization of disease name  theory of traditional Chinese medicine  accuracy of disease name

摘要:

“症”是中医诊断体系中最具体的要素，症状信息规范化其关键在于明确“症”的认识和理解，文章系统分析中医“症”的内涵，分析目前“症”规范化中存在的主要问题，如缺乏统一标准、各家之言迥异、中西医“症”的混杂等，这些一定程度上阻碍了中医临床与科研，不利于中医学术的交流及中医诊断学的现代化研究。因此提出从明确症名定义、统一规范症名、拆分复合症名、区分症状轻重、避免诊断性症名、纳入客观指征等几个方面对中医“症”的描述进行规范，通过建立系统标准体系，进行“症”的量化分级，规范信息采集过程，借助微观指标辨证等开展中医“症”的规范化研究。

Abstract:

“Symptom” is the most specific element in the diagnosis system of traditional Chinese medicine(TCM). The key to standardizing symptom information lies in the clear understanding of “symptom”. This article systematically analyzes the connotation of “symptom in traditional Chinese medicine,and discusses the main problems existing in the standardization of “symptom,such as the lack of a unified standard,different opinions from different families,and the confusion of Chinese and Western medicine. The irregularity of TCM symptom information hinders clinical and scientific research of TCM to a certain extent,and is not conducive to the exchange of TCM techniques and the modernization of TCM diagnostics. Therefore,it is proposed to standardize the description of traditional Chinese medicine “symptom from the aspects of clear definition of disease names,unified standardized disease names,division of complex disease names,differentiation of symptoms severity,avoidance of diagnostic symptoms,and inclusion of objective indications. Through the establishment of a system standard system,the quantitative classification of “symptom,the standardization of the information collection process,and the use of microscopic indicators to carry out standardized research on TCM “symptom.