中医病证分类与代码

中医病证分类与代码1范围本标准规定了中医病证的分类与代码。本标准适用于中医医疗、卫生统计、中医病案管理、中医临床医疗质量评定、科研、教学、出版及国内外学术交流等领域。2引用标准下列标准所包含的条文,通过本标准中引用而构成本标准的条文。本标准出版时,所列示版本均为有效。使用本标准的各方应同时探讨使用下列标准最新版本的可能性。ZY/T 001.1-001.9-94 中医病证诊断疗效标准GB/T 16751.1-1997 中医临床诊疗术语疾病部分GB/T 16751.2-1997 中医临床诊疗术语证候部分3术语、符号术语中医病证分类中医病证分类是将中医各种病、证按照某些既定原则归入类目及系统的方法。符号2.1圆括号“（）”圆括号中的词与圆括号前的词属于同一类别，采用同一类别代码。2.2破折号“——"破折号后内容是对破折号前内容的进ー步解释。3.2.3方括号’‘口"方括号中的词可以代替部分前面的词，采用同一类别代码。4编制原则4.1中医病证分类中医的临床诊断要求在明确病名诊断后还需确定其证候,以指导临床治疗。因此,中医的病、证是中医诊断不可分割的二个重要组成部分。据此，本标准规定对病名和证候分别予以分类。4.1.1病名分类原则本标准规定病名的分类以该病所属的临床科别和专科系统进行类目和分类目分类。科别类目本标准规定病名的科属类别为内科、外科、男科、妇科、儿科、眼科、耳鼻咽喉口齿科、骨伤科,共计八个类目（参见表1）。专科系统分类目本标准规定病名的专科系统分类目以病名科属中的二级专科划分为依据进行分类（参见表2）。

专科系统细类目本标准规定病名的专科系统细类目以病名科属中的三级专科划分为依据进行分类（参见表3）。4.1.2证候分类原则本标准规定证候分类以中医学辨证系统归划类目;以各类目中的证候属性为依据对分类目、细类目进行分类。证候类目本标准将证候类目分为风寒暑湿燥热火毒邪证候、情志饮食虫外伤证候、阴阳气血精髓津液证候、瘀痰饮浊水石证候、脏腑经络证候、肌肤筋骨证候、六经病证候、卫气营血证候、其他证候、期度型十大类（参见表5）,并规定将某些属性不明确而暂无法归类的证候均归入“其他证候类”中。2证候分类目1本标准规定证候的分类目1以该证候的第一个证候属性（参见表6）为据分类。3证候分类目2本标准规定证候的分类目2以该证候的第二个证候属性（参见表6）为据分类。4.1.2.4证候分类目关系本标准规定证候分类目关系以复合型证候类目中两种证候属性之间的关系为据分类。4.2中医病证分类编码4.2.1病名分类编码方法XXXXXXX本标准规定病名分类编码采用汉语拼音字母和阿拉伯数字符混合编码方式,其编码结构如下:病名尾码位XXXXXXX病名序号位3病名序号位2病名序号位1专科系统细类目位专科系统分类目位科别类目位病名标识位病名标识位:以汉字“病"的拼音首字母“B”作为病名标识符,为1位字母代码。科别类目位:以各科科别名称的第一个汉字的拼音首字母为科别类目标识符（参见表1）,为1位字母代码。专科系统分类目位:以其专科系统名称的第一个汉字的拼音首字母为专科系统分类目标识符（参见表2）,为1位字母代码。专科系统细类目位:以其专科系统细类名称的第一个汉字的拼音首字母为专科系统分类目标识符（参见表3）,为1位字母代码。病名序号位1:在同一个科别类目、专科系统分类目、专科系统细类目中的多种病名序号位,为2位数字代码。病名序号位2：当某ー个病名需要在病名序号位1基础上细分，在这ー病名序号位2进行标识,其标识符为2位数字O病名序号位3：当某ー个病名需要在病名序号位2基础上进一步细分，在这ー病名序号位3进行标识，其标识符为2位数字。病名尾码位:病名最后1位分级,在这一尾码进行标识,其标识符为1位数字。

码长为11位,不足11位的,字母代码用V代替,数字代码用〇代替。4.2.2证候分类编码方法本标准中证候分类编码采用汉语拼音字母和阿拉伯数字符混合编码方式，其代码结构如下:证候尾码位证候序号位证候分类目关系位证候分类目位2证候分类目位1证候类目位证候尾码位证候序号位证候分类目关系位证候分类目位2证候分类目位1证候类目位证候标识位证候标识位:在证候分类代码中，以汉字“证”的拼音首字母“Z”为证候标识符。证候类目位：以该证候类目名称的第一个汉字的拼音首字母作为该证候类目的标识符（参见表5）。证候分类目位1：以该证候的第一个证候属性名称（参见表6）汉字拼音的首字母，外加1位重复位，共2位字母代码作为该证候分类目标识符。证候分类目位2：以该证候的第二个证候属性名称（参见表6）汉字拼音的首字母，外加1位重复位,共2位字母代码作为该证候分类目标识符。证候分类目关系位:以A、B、C分别代表复合型证类中两种证候属性之间相兼、因果、并列三种关系。其中相兼关系表示密不可分的因果或结构关系等,而并列关系表示相互独立的事物之间的并存关系等。以D代表两种证候属性之间的等级关系。证候序号位：在ー个证候分类目中，相同证候属性的ー组证候的顺序号位,为2位数字代码。证候尾码位：当ー个证候需要进ー步细分或几个证候意义相似时，在本尾码位进行标识，其标识符为2位数字代码。码长为11位，不足11位的，字母代码用V代替,数字代码用〇代替。中医病证分类特殊代码本标准规定在同一类类目（或分类目）代码中，当分类代码出现重复时，依序将第一个类目（或分类目）名称中的第一个汉字汉语拼音的首字母定为该类目（或分类目）的代码;将第二个类目（或分类目）名称中第一个汉字汉语拼音的第二个字母定为该类目（或分类目）的代码，余类推。中医病证分类编目方法本标准采用病名分类代码及证候分类代码并列编目。每ー个病证分类代码皆由它的病名分类代码和它的证候分类代码组成,其结构为:病证分类代码=病名代码+证候代码。5分类代码表5.I中医病名分类代码表病名标识符、科别类目名称和代码表表1一病名标识符、科别类目名称和代码表 病名标识符 科别类目名称 类目代码B内科 |N

外科W男科A妇科F儿科E眼科Y耳鼻咽喉口齿科R骨伤科G5.1.2科别类目名称、专科系统分类目名称和代码表表2科别类目名称、专科系统分类目名称和代码表科别类目名称专科系统分类目名称代码内科N外感时行、传染、疫病类W脏腑病及相关病类Z其他内伤杂病类Q肢体病类H虫病类C中毒及意外伤病类0内科瘤、癌病类L外科W疮疡病类C皮肤病类P乳房病类R肛肠病类G外科瘤、癌病类L外科其他病类Q男科A男性前阴病类N生殖功能及精液病类S男科瘤、癌病类L妇科F月经病类Y带下病类D胎孕病类T产病类C妇科瘤、癌病类L妇科其他病类Q儿科E新生儿病类X儿科时行病类S儿科杂病类Z儿科虫病类C儿科瘤、癌病类L眼科Y内障病类N外障病类W胞睑病类B眦病类Z白睛病类I黑睛病类H瞳神病类T外伤眼病类A眼科瘤、癌病类L眼科其他病类Q耳鼻咽喉口齿科R耳病类E鼻病类B咽喉病类Yロ齿病类K耳鼻咽喉口齿瘤、癌病类L骨伤科G骨折病类G骨折、脱位类T脱位病类U伤筋及其他损伤外证病类S损伤内证病类N创伤病类C骨伤科瘤、癌病类L5.1.3专科系统分类目名称、专科系统细类目名称和代码表表3专科系统分类目名称、专科系统细类目名称和代码表专科系统分类目名称专科系统细类目名称代码脏腑病及相关病类Z肺系病类F心系病类X脾系病类P肝系病类G肾系病类S5.1.4中医疾病名称与分类代码表BNVVOOOOOOO内科病diseasesininternaImedicineBNVVOOOOOOOBNWVOOOOOOO外感时行、传染、疫病类exogenousseasaonIdiseases,epidemicdiseasesBNWV0100000BNWV0101000BNWV0102000andpestilence伤寒coldattack太阳病taiyangdisease少阳病shaoyangdiseaseBNWV01BNWV0103000yangmingdiseaseBNWVOBNWVO104000BNWV0105000BNWV0106000BNWV0200000BNWV0201000BNWV0202000BNWV0300000BNWV0400000BNWV0500000BNWV0501000BNWV0600000BNWV0700000BNWV0800000BNWV0900000BNWV0901000BNWV0902000BNWV0903000BNWV1000000BNWV1100000BNWV1200000BNWV1300000BNWV1400000BNWV1401000BNWV1402000BNWV1500000BNWV1600000BNWV1700000BNWV1800000BNWV1900000BNWV2000000BNWV2100000BNWV2200000BNWV2201000BNWV2202000BNWV2203000BNWV2204000BNWV2300000BNWV2301000BNWV2400000BNWV2500000BNWV2600000BNWV2700000太阴病taiyindisease少阴病shaoyindisease厥阴病jueyindisease感HcommoncoId伤风windattack时行感冒influenza风疹［痣］windrubeIla水痘chickenpox;variceIla风温病windwarmdisease风温肺热病windwarmIungheatdisease春温［瘟」病springwarmdisease湿阻［冒湿］［仿湿］dampnessobstruction［dampnessattack］［dampnessinjury］ラ主夏summerconsumptivedisease中暑sunstroke暑脱summer-heatprostration暑厥［暑闭］summer-heatsyncope暑风［暑痉］summerheatconvuIsion暑秽summerfiIthydisease暑温［瘟］病summerwarmdisease湿温［瘟］病dampnesswarmdisease伏書|atentsummerdisease秋燥病autumndrynessdisease温爍病warmdrynessdisease凉爍病cooIdrynessdisease冬温［瘟］病winterwarmdisease温［瘟］毒［温毒发斑］［瘟毒发斑］warmtoxin［macuIaeduetowarmtoxin］［macuIaeduetopestilenttoxin］大头瘟swollenheadduetoinfection软脚瘟pestilentflaccidityoffoot肝热病liverheatdisease肝瘟［瘟黄］［疫黄］liverwarmdisease［warmjaundice］［pestilentjaundice］疹病1秒气］［疹胀］eruptivedisease［eruptivedistension］痢疾dysentery暴跑fulminantdysentery疫毒痢pestientdysentery休息刷recurrentdysentery奇恒痢stubbornfulminantdysentery疟疾malaria瘴疟［疫疟］miasmamalaria鼠疫plague时疫霍乱［疫霍乱］seasonaIepidemiccholera麻疹measles烂喉丹莎［丹莎］［喉痂］［烂喉痣］［疫喉痛］scarletfeverinvolvingthroat

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