中醫(yī)病證分類與代碼

中醫(yī)病證分類與代碼1范圍本標(biāo)準(zhǔn)規(guī)定了中醫(yī)病證的分類與代碼。本標(biāo)準(zhǔn)適用于中醫(yī)醫(yī)療、衛(wèi)生統(tǒng)計(jì)、中醫(yī)病案管理、中醫(yī)臨床醫(yī)療質(zhì)量評(píng)定、科研、教學(xué)、出版及國內(nèi)外學(xué)術(shù)交流等領(lǐng)域。2引用標(biāo)準(zhǔn)下列標(biāo)準(zhǔn)所包含的條文,通過本標(biāo)準(zhǔn)中引用而構(gòu)成本標(biāo)準(zhǔn)的條文。本標(biāo)準(zhǔn)出版時(shí),所列示版本均為有效。使用本標(biāo)準(zhǔn)的各方應(yīng)同時(shí)探討使用下列標(biāo)準(zhǔn)最新版本的可能性。ZY/T 001.1-001.9-94 中醫(yī)病證診斷療效標(biāo)準(zhǔn)GB/T 16751.1-1997 中醫(yī)臨床診療術(shù)語疾病部分GB/T 16751.2-1997 中醫(yī)臨床診療術(shù)語證候部分3術(shù)語、符號(hào)術(shù)語中醫(yī)病證分類中醫(yī)病證分類是將中醫(yī)各種病、證按照某些既定原則歸入類目及系統(tǒng)的方法。符號(hào)2.1圓括號(hào)“（）”圓括號(hào)中的詞與圓括號(hào)前的詞屬于同一類別，采用同一類別代碼。2.2破折號(hào)“——"破折號(hào)后內(nèi)容是對(duì)破折號(hào)前內(nèi)容的進(jìn)ー步解釋。3.2.3方括號(hào)’‘口"方括號(hào)中的詞可以代替部分前面的詞，采用同一類別代碼。4編制原則4.1中醫(yī)病證分類中醫(yī)的臨床診斷要求在明確病名診斷后還需確定其證候,以指導(dǎo)臨床治療。因此,中醫(yī)的病、證是中醫(yī)診斷不可分割的二個(gè)重要組成部分。據(jù)此，本標(biāo)準(zhǔn)規(guī)定對(duì)病名和證候分別予以分類。4.1.1病名分類原則本標(biāo)準(zhǔn)規(guī)定病名的分類以該病所屬的臨床科別和專科系統(tǒng)進(jìn)行類目和分類目分類?？苿e類目本標(biāo)準(zhǔn)規(guī)定病名的科屬類別為內(nèi)科、外科、男科、婦科、兒科、眼科、耳鼻咽喉口齒科、骨傷科,共計(jì)八個(gè)類目（參見表1）。專科系統(tǒng)分類目本標(biāo)準(zhǔn)規(guī)定病名的?？葡到y(tǒng)分類目以病名科屬中的二級(jí)專科劃分為依據(jù)進(jìn)行分類（參見表2）。

?？葡到y(tǒng)細(xì)類目本標(biāo)準(zhǔn)規(guī)定病名的專科系統(tǒng)細(xì)類目以病名科屬中的三級(jí)?？苿澐譃橐罁?jù)進(jìn)行分類（參見表3）。4.1.2證候分類原則本標(biāo)準(zhǔn)規(guī)定證候分類以中醫(yī)學(xué)辨證系統(tǒng)歸劃類目;以各類目中的證候?qū)傩詾橐罁?jù)對(duì)分類目、細(xì)類目進(jìn)行分類。證候類目本標(biāo)準(zhǔn)將證候類目分為風(fēng)寒暑濕燥熱火毒邪證候、情志飲食蟲外傷證候、陰陽氣血精髓津液證候、瘀痰飲濁水石證候、臟腑經(jīng)絡(luò)證候、肌膚筋骨證候、六經(jīng)病證候、衛(wèi)氣營血證候、其他證候、期度型十大類（參見表5）,并規(guī)定將某些屬性不明確而暫無法歸類的證候均歸入“其他證候類”中。2證候分類目1本標(biāo)準(zhǔn)規(guī)定證候的分類目1以該證候的第一個(gè)證候?qū)傩裕▍⒁姳?）為據(jù)分類。3證候分類目2本標(biāo)準(zhǔn)規(guī)定證候的分類目2以該證候的第二個(gè)證候?qū)傩裕▍⒁姳?）為據(jù)分類。4.1.2.4證候分類目關(guān)系本標(biāo)準(zhǔn)規(guī)定證候分類目關(guān)系以復(fù)合型證候類目中兩種證候?qū)傩灾g的關(guān)系為據(jù)分類。4.2中醫(yī)病證分類編碼4.2.1病名分類編碼方法XXXXXXX本標(biāo)準(zhǔn)規(guī)定病名分類編碼采用漢語拼音字母和阿拉伯?dāng)?shù)字符混合編碼方式,其編碼結(jié)構(gòu)如下:病名尾碼位XXXXXXX病名序號(hào)位3病名序號(hào)位2病名序號(hào)位1?？葡到y(tǒng)細(xì)類目位?？葡到y(tǒng)分類目位科別類目位病名標(biāo)識(shí)位病名標(biāo)識(shí)位:以漢字“病"的拼音首字母“B”作為病名標(biāo)識(shí)符,為1位字母代碼。科別類目位:以各科科別名稱的第一個(gè)漢字的拼音首字母為科別類目標(biāo)識(shí)符（參見表1）,為1位字母代碼。專科系統(tǒng)分類目位:以其?？葡到y(tǒng)名稱的第一個(gè)漢字的拼音首字母為?？葡到y(tǒng)分類目標(biāo)識(shí)符（參見表2）,為1位字母代碼。?？葡到y(tǒng)細(xì)類目位:以其?？葡到y(tǒng)細(xì)類名稱的第一個(gè)漢字的拼音首字母為專科系統(tǒng)分類目標(biāo)識(shí)符（參見表3）,為1位字母代碼。病名序號(hào)位1:在同一個(gè)科別類目、?？葡到y(tǒng)分類目、?？葡到y(tǒng)細(xì)類目中的多種病名序號(hào)位,為2位數(shù)字代碼。病名序號(hào)位2：當(dāng)某ー個(gè)病名需要在病名序號(hào)位1基礎(chǔ)上細(xì)分，在這ー病名序號(hào)位2進(jìn)行標(biāo)識(shí),其標(biāo)識(shí)符為2位數(shù)字O病名序號(hào)位3：當(dāng)某ー個(gè)病名需要在病名序號(hào)位2基礎(chǔ)上進(jìn)一步細(xì)分，在這ー病名序號(hào)位3進(jìn)行標(biāo)識(shí)，其標(biāo)識(shí)符為2位數(shù)字。病名尾碼位:病名最后1位分級(jí),在這一尾碼進(jìn)行標(biāo)識(shí),其標(biāo)識(shí)符為1位數(shù)字。

碼長(zhǎng)為11位,不足11位的,字母代碼用V代替,數(shù)字代碼用〇代替。4.2.2證候分類編碼方法本標(biāo)準(zhǔn)中證候分類編碼采用漢語拼音字母和阿拉伯?dāng)?shù)字符混合編碼方式，其代碼結(jié)構(gòu)如下:證候尾碼位證候序號(hào)位證候分類目關(guān)系位證候分類目位2證候分類目位1證候類目位證候尾碼位證候序號(hào)位證候分類目關(guān)系位證候分類目位2證候分類目位1證候類目位證候標(biāo)識(shí)位證候標(biāo)識(shí)位:在證候分類代碼中，以漢字“證”的拼音首字母“Z”為證候標(biāo)識(shí)符。證候類目位：以該證候類目名稱的第一個(gè)漢字的拼音首字母作為該證候類目的標(biāo)識(shí)符（參見表5）。證候分類目位1：以該證候的第一個(gè)證候?qū)傩悦Q（參見表6）漢字拼音的首字母，外加1位重復(fù)位，共2位字母代碼作為該證候分類目標(biāo)識(shí)符。證候分類目位2：以該證候的第二個(gè)證候?qū)傩悦Q（參見表6）漢字拼音的首字母，外加1位重復(fù)位,共2位字母代碼作為該證候分類目標(biāo)識(shí)符。證候分類目關(guān)系位:以A、B、C分別代表復(fù)合型證類中兩種證候?qū)傩灾g相兼、因果、并列三種關(guān)系。其中相兼關(guān)系表示密不可分的因果或結(jié)構(gòu)關(guān)系等,而并列關(guān)系表示相互獨(dú)立的事物之間的并存關(guān)系等。以D代表兩種證候?qū)傩灾g的等級(jí)關(guān)系。證候序號(hào)位：在ー個(gè)證候分類目中，相同證候?qū)傩缘末`組證候的順序號(hào)位,為2位數(shù)字代碼。證候尾碼位：當(dāng)ー個(gè)證候需要進(jìn)ー步細(xì)分或幾個(gè)證候意義相似時(shí)，在本尾碼位進(jìn)行標(biāo)識(shí)，其標(biāo)識(shí)符為2位數(shù)字代碼。碼長(zhǎng)為11位，不足11位的，字母代碼用V代替,數(shù)字代碼用〇代替。中醫(yī)病證分類特殊代碼本標(biāo)準(zhǔn)規(guī)定在同一類類目（或分類目）代碼中，當(dāng)分類代碼出現(xiàn)重復(fù)時(shí)，依序?qū)⒌谝粋€(gè)類目（或分類目）名稱中的第一個(gè)漢字漢語拼音的首字母定為該類目（或分類目）的代碼;將第二個(gè)類目（或分類目）名稱中第一個(gè)漢字漢語拼音的第二個(gè)字母定為該類目（或分類目）的代碼，余類推。中醫(yī)病證分類編目方法本標(biāo)準(zhǔn)采用病名分類代碼及證候分類代碼并列編目。每ー個(gè)病證分類代碼皆由它的病名分類代碼和它的證候分類代碼組成,其結(jié)構(gòu)為:病證分類代碼=病名代碼+證候代碼。5分類代碼表5.I中醫(yī)病名分類代碼表病名標(biāo)識(shí)符、科別類目名稱和代碼表表1一病名標(biāo)識(shí)符、科別類目名稱和代碼表 病名標(biāo)識(shí)符 科別類目名稱 類目代碼B內(nèi)科 |N

外科W男科A婦科F兒科E眼科Y耳鼻咽喉口齒科R骨傷科G5.1.2科別類目名稱、?？葡到y(tǒng)分類目名稱和代碼表表2科別類目名稱、?？葡到y(tǒng)分類目名稱和代碼表科別類目名稱?？葡到y(tǒng)分類目名稱代碼內(nèi)科N外感時(shí)行、傳染、疫病類W臟腑病及相關(guān)病類Z其他內(nèi)傷雜病類Q肢體病類H蟲病類C中毒及意外傷病類0內(nèi)科瘤、癌病類L外科W瘡瘍病類C皮膚病類P乳房病類R肛腸病類G外科瘤、癌病類L外科其他病類Q男科A男性前陰病類N生殖功能及精液病類S男科瘤、癌病類L婦科F月經(jīng)病類Y帶下病類D胎孕病類T產(chǎn)病類C婦科瘤、癌病類L婦科其他病類Q兒科E新生兒病類X兒科時(shí)行病類S兒科雜病類Z兒科蟲病類C兒科瘤、癌病類L眼科Y內(nèi)障病類N外障病類W胞瞼病類B眥病類Z白睛病類I黑睛病類H瞳神病類T外傷眼病類A眼科瘤、癌病類L眼科其他病類Q耳鼻咽喉口齒科R耳病類E鼻病類B咽喉病類Yロ齒病類K耳鼻咽喉口齒瘤、癌病類L骨傷科G骨折病類G骨折、脫位類T脫位病類U傷筋及其他損傷外證病類S損傷內(nèi)證病類N創(chuàng)傷病類C骨傷科瘤、癌病類L5.1.3?？葡到y(tǒng)分類目名稱、專科系統(tǒng)細(xì)類目名稱和代碼表表3?？葡到y(tǒng)分類目名稱、?？葡到y(tǒng)細(xì)類目名稱和代碼表?？葡到y(tǒng)分類目名稱?？葡到y(tǒng)細(xì)類目名稱代碼臟腑病及相關(guān)病類Z肺系病類F心系病類X脾系病類P肝系病類G腎系病類S5.1.4中醫(yī)疾病名稱與分類代碼表BNVVOOOOOOO內(nèi)科病diseasesininternaImedicineBNVVOOOOOOOBNWVOOOOOOO外感時(shí)行、傳染、疫病類exogenousseasaonIdiseases,epidemicdiseasesBNWV0100000BNWV0101000BNWV0102000andpestilence傷寒coldattack太陽病taiyangdisease少陽病shaoyangdiseaseBNWV01BNWV0103000yangmingdiseaseBNWVOBNWVO104000BNWV0105000BNWV0106000BNWV0200000BNWV0201000BNWV0202000BNWV0300000BNWV0400000BNWV0500000BNWV0501000BNWV0600000BNWV0700000BNWV0800000BNWV0900000BNWV0901000BNWV0902000BNWV0903000BNWV1000000BNWV1100000BNWV1200000BNWV1300000BNWV1400000BNWV1401000BNWV1402000BNWV1500000BNWV1600000BNWV1700000BNWV1800000BNWV1900000BNWV2000000BNWV2100000BNWV2200000BNWV2201000BNWV2202000BNWV2203000BNWV2204000BNWV2300000BNWV2301000BNWV2400000BNWV2500000BNWV2600000BNWV2700000太陰病taiyindisease少陰病shaoyindisease厥陰病jueyindisease感HcommoncoId傷風(fēng)windattack時(shí)行感冒influenza風(fēng)疹［痣］windrubeIla水痘chickenpox;variceIla風(fēng)溫病windwarmdisease風(fēng)溫肺熱病windwarmIungheatdisease春溫［瘟」病springwarmdisease濕阻［冒濕］［仿濕］dampnessobstruction［dampnessattack］［dampnessinjury］ラ主夏summerconsumptivedisease中暑sunstroke暑脫summer-heatprostration暑厥［暑閉］summer-heatsyncope暑風(fēng)［暑痙］summerheatconvuIsion暑穢summerfiIthydisease暑溫［瘟］病summerwarmdisease濕溫［瘟］病dampnesswarmdisease伏書|atentsummerdisease秋燥病autumndrynessdisease溫爍病warmdrynessdisease涼爍病cooIdrynessdisease冬溫［瘟］病winterwarmdisease溫［瘟］毒［溫毒發(fā)斑］［瘟毒發(fā)斑］warmtoxin［macuIaeduetowarmtoxin］［macuIaeduetopestilenttoxin］大頭瘟swollenheadduetoinfection軟腳瘟pestilentflaccidityoffoot肝熱病liverheatdisease肝瘟［瘟黃］［疫黃］liverwarmdisease［warmjaundice］［pestilentjaundice］疹病1秒氣］［疹脹］eruptivedisease［eruptivedistension］痢疾dysentery暴跑fulminantdysentery疫毒痢pestientdysentery休息刷recurrentdysentery奇恒痢stubbornfulminantdysentery瘧疾malaria瘴瘧［疫瘧］miasmamalaria鼠疫plague時(shí)疫霍亂［疫霍亂］seasonaIepidemiccholera麻疹measles爛喉丹莎［丹莎］［喉痂］［爛喉痣］［疫喉痛］scarletfeverinvolvingthroat

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