中醫(yī)病證分類與代碼

PAGEPAGE34PAGEPAGE33中醫(yī)病證分類與代碼范圍本標(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)量評定、科研、教學(xué)、出版及國內(nèi)外學(xué)術(shù)交流等領(lǐng)域。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/T001.1~001.9－94中醫(yī)病證診斷療效標(biāo)準(zhǔn)GB/T16751.1－1997中醫(yī)臨床診療術(shù)語疾病部分GB/T16751.2－1997中醫(yī)臨床診療術(shù)語證候部分術(shù)語、符號3.1術(shù)語3.1.1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。3.2符號3.2.1圓括號“（）”圓括號中的詞與圓括號前的詞屬于同一類別，采用同一類別代碼。3.2.2破折號“――”破折號后內(nèi)容是對破折號前內(nèi)容的進(jìn)一步解釋。3.2.3方括號“[]”方括號中的詞可以代替部分前面的詞，采用同一類別代碼。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?？葡到y(tǒng)進(jìn)行類目和分類目分類。4.1.1.1科別類目本標(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）。4.1.1.2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?？苿澐譃橐罁?jù)進(jìn)行分類（參見表2）。4.1.1.3?？葡到y(tǒng)細(xì)類目本標(biāo)準(zhǔn)規(guī)定病名的?？葡到y(tǒng)細(xì)類目以病名科屬中的三級?？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)對分類目、細(xì)類目進(jìn)行分類。4.1.2.1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。4.1.2.2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。4.1.2.3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：病名標(biāo)識位：以漢字“病”的拼音首字母“B”作為病名標(biāo)識符，為1位字母代碼?？苿e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)識符（參見表1），為1位字母代碼。?？葡到y(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專科系統(tǒng)分類目標(biāo)識符（參見表2），為1位字母代碼。?？葡到y(tǒng)細(xì)類目位：以其專科系統(tǒng)細(xì)類名稱的第一個(gè)漢字的拼音首字母為?？葡到y(tǒng)分類目標(biāo)識符（參見表3），為1位字母代碼。病名序號位1：在同一個(gè)科別類目、專科系統(tǒng)分類目、專科系統(tǒng)細(xì)類目中的多種病名序號位，為2位數(shù)字代碼。病名序號位2：當(dāng)某一個(gè)病名需要在病名序號位1基礎(chǔ)上細(xì)分，在這一病名序號位2進(jìn)行標(biāo)識，其標(biāo)識符為2位數(shù)字。病名序號位3：當(dāng)某一個(gè)病名需要在病名序號位2基礎(chǔ)上進(jìn)一步細(xì)分，在這一病名序號位3進(jìn)行標(biāo)識，其標(biāo)識符為2位數(shù)字。病名尾碼位：病名最后1位分級，在這一尾碼進(jìn)行標(biāo)識，其標(biāo)識符為1位數(shù)字。碼長為11位，不足11位的，字母代碼用V代替，數(shù)字代碼用0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：證候標(biāo)識位：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的等級關(guān)系。證候序號位：在一個(gè)證候分類目中，相同證候?qū)傩缘囊唤M證候的順序號位，為2位數(shù)字代碼。證候尾碼位：當(dāng)一個(gè)證候需要進(jìn)一步細(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，其標(biāo)識符為2位數(shù)字代碼。碼長為11位，不足11位的，字母代碼用V代替，數(shù)字代碼用0代替。4.3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。4.4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。每一個(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。分類代碼表5.l中醫(yī)病名分類代碼表5.1.1病名標(biāo)識符、科別類目名稱和代碼表表1病名標(biāo)識符、科別類目名稱和代碼表病名標(biāo)識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、專科系統(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專科系統(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O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兒科新生兒病類兒科時(shí)行病類兒科雜病類兒科蟲病類兒科瘤、癌病類EXSZCL眼科內(nèi)障病類外障病類胞瞼病類眥病類白睛病類黑睛病類瞳神病類外傷眼病類眼科瘤、癌病類眼科其他病類YNWBZIHTALQ耳鼻咽喉口齒科耳病類鼻病類咽喉病類口齒病類耳鼻咽喉口齒瘤、癌病類REBYKL骨傷科骨折病類骨折、脫位類脫位病類傷筋及其他損傷外證病類損傷內(nèi)證病類創(chuàng)傷病類骨傷科瘤、癌病類GGTUSNCL5.1.3?？葡到y(tǒng)分類目名稱、?？葡到y(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BNVV0000000內(nèi)科病diseasesininternalmedicineBNWV0000000外感時(shí)行、傳染、疫病類exogenousseasaonldiseases，epidemicdiseasesandpestilenceBNWV0100000傷寒coldattackBNWV0101000太陽病taiyangdiseaseBNWV0102000少陽病shaoyangdiseaseBNWV0103000陽明病yangmingdiseaseBNWV0104000太陰病taiyindiseaseBNWV0105000少陰病shaoyindiseaseBNWV0106000厥陰病jueyindiseaseBNWV0200000感冒commoncoldBNWV0201000傷風(fēng)windattackBNWV0202000時(shí)行感冒influenzaBNWV0300000風(fēng)疹[痧]windrubellaBNWV0400000水痘chickenpox;varicellaBNWV0500000風(fēng)溫病windwarmdiseaseBNWV0501000風(fēng)溫肺熱病windwarmlungheatdiseaseBNWV0600000春溫[瘟]病springwarmdiseaseBNWV0700000濕阻[冒濕][傷濕]dampnessobstru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templegangreneBWCV0401040顴疽buccalcellulitisBWCV0401050腦疽napegangreneBWCV0401051對口疽rightnapegangreneBWCV0401052偏對口obliquenapegangreneBWCV0401060夭疽neckcarbuncleBWCV0401070XX疽carbuncleoncervicalvertebraeBWCV0401080背疽[發(fā)背疽][發(fā)背]backgangreneBWCV0401090肩疽shouldergangreneBWCV0401100對臍發(fā)疽gangreneagainsttheumbilicusBWCV0401110膻中疽carbunclebetweenbreastsBWCV0401120臍上疽supra-umbilicalcarbuncleBWCV0401130少腹疽abdominalcarbuncleBWCV0401140石榴疽elbowabscessBWCV0401150厲疽seriousabscessBWCV0401160疽毒內(nèi)陷internalsinkingofgangrenetoxinBWCV0402000無頭疽headlessgangreneBWCV0402010附[多][咬][朽]骨疽suppurativeosteomyelitisBWCV0402011急性附骨疽acutesuppurativeosteomyelitisBWCV0402012慢性附骨疽chronicsuppurativeosteomyelitisBWCV0402020環(huán)跳疽osteomyelitisaroundhuantiaoBWCV0402030尾閭發(fā)coccygealcarbuncleBWCV0402040井疽[潰心冷漏][穿心冷漏]gangreneonxiphoidprocessregionBWCV0402050脛疽leggangreneBWCV0402060腓踹疽[驢眼瘡]calfgangreneBWCV0402070足踝疽anklecarbuncleBWCV0403000流痰[骨癆][穿骨流注]pyogenouschronicarthrosisBWCV0403010附骨痰pyorrheaoflumbarvertebraeBWCV0403020龜背痰vertebraltuberculosisBWCV0403030腎俞虛痰spinaltuberculosisatshenshuBWCV0403040腎俞漏shenshufistulaBWCV0403050蜣螂蛀interphalangealtuberculosisiBWCV0403060腕疽carpalcarbuncleBWCV0403070鶴膝風(fēng)[痰]cranekneetuberculosis[wind]BWCV0403080穿拐痰tuberculatearthritisofanklejointBWCV0403090足跟疽heelcarbuncleBWCV0500000丹毒[火丹][丹熛]erysipelasBWCV0501000內(nèi)發(fā)丹毒endogenouserysipelasBWCV0502000抱頭火丹[大頭瘟]headerysipelasBWCV0600000流火[腿游風(fēng)]legerysipelasBWCV0700000發(fā)頤mumpsBWCV0800000流注multipleabscessBWCV0801000暑濕流注multipleabscessduetosummer-dampnessBWCV0802000余毒流注multipleabscesswithremanenttoxinBWCV0803000瘀血流注deepabscessduetobloodstasisBWCV0804000髂窩流注abscessiniliacfossaBWCV0900000無名腫毒innominateswellingpainBWCV1000000痰核phlegmnoduleBWCV1100000瘰疬scrofulaBWCV1101000馬刀挾癭axillaryandcervicalscrofulaeBWCV1102000鼠瘺scrofulaBWCV1103000蟠蛇疬[鎖頸疬]pericervicalscrofulaBWCV1104000缺盆疽supraclavicularabscessBWCV1105000脅疽hypochondriaccarbuncleBWCV1106000肋疽costalcarbuncleBWCV1107000淵疽armpitcarbuncleBWCV1200000癭癰goiteredcarbuncleBWCV1300000臁瘡ecthymaBWCV1301000內(nèi)臁瘡medialecthymaBWCV1302000外臁瘡lateralecthymaBWCV1400000脫疽phalangealcarbuncleBWCV1500000股腫swellingofthighBWCV1600000青蛇毒[惡脈病]acutethrombophlebitisBWCV1700000青筋腿prominentveinBWCV1800000瘺管fistulaBWCV1900000竇道sinusBWCV2000000褥瘡[席瘡]bedsoreBWCV2100000下疳chancreBWCV2200000橫痃buboBWCV2300000楊梅瘡[疹]syphiliticskinlesionBWCV2400000楊梅結(jié)毒latesyphilisBWPV0000000皮膚病類skindiseaseBWPV0100000熱（氣）瘡[火燎瘡]heatsoreBWPV0200000蛇串瘡[蛇丹][纏腰火丹]herpeszosteraroundthewaistandhypochondriaBWPV0300000疣病wartBWPV0301000疣目[千日疣][枯筋箭]verrucavulgarisBWPV0302000扁瘊flatwartBWPV0303000鼠乳[水瘊]infectivesoftwartBWPV0304000線瘊threadywartBWPV0400000臊疣[瘙瘊]verrucaacuminataBWPV0401000肛門臊疣analverrucaacuminataBWPV0402000外陰臊疣vulvalverrucaacuminataBWPV0500000黃水瘡[浸淫瘡][滴膿瘡][膿窩瘡]impetigoBWPV0600000癬病tineaBWPV0601000白禿瘡tineacapitisBWPV0602000肥瘡[癩頭瘡]tineafavosaBWPV0603000鵝掌風(fēng)goose-webwind;tineamanuumBWPV0604000腳濕氣[臭田螺]fooddampnessqi;tineapedisBWPV0605000灰指（趾）甲o(hù)nychomycosisBWPV0606000田螺皰riversnail-shapedathlete'sfootBWPV0607000腳蚓earthworm-shapedtineapedisBWPV0608000腳氣瘡footsoreBWPV0609000圓癬[錢癬][金錢癬]tineacircinateBWPV0610000陰癬inguinaltineaBWPV0611000攝領(lǐng)瘡[牛皮癬][頑癬]cervicalneurodermatitisBWPV0612000紫白癜風(fēng)[汗斑]tineaversicolor[sweatstrain]BWPV0700000濕瘡[濕瘍]eczemaBWPV0701000眉瘡[戀眉瘡][眉lian瘡]infraorbitalsoreBWPV0702000旋耳瘡[月蝕瘡]eareczemaBWPV0703000瘑瘡[窩瘡]roundeczemaBWPV0704000臍瘡navelsoreBWPV0705000四彎風(fēng)atopiceczemaorneurodermatitisintheantecubitalandpoplitealfossaeBWPV0800000汗淅瘡erythemaintertrigoBWPV0900000癮疹[風(fēng)疹塊]urticariaBWPV1000000土風(fēng)瘡[風(fēng)土瘡]soresduetonon-acclimatizationBWPV1100000風(fēng)瘙癢prurituscutisBWPV1200000頑濕聚結(jié)[馬疥]accumulationofobstinatedampnessBWPV1300000血風(fēng)瘡pruriticdermatosisBWPV1400000蛇皮癬ichthyosisBWPV1500000風(fēng)熱瘡[風(fēng)癢][血疳瘡]pityriasisroseaBWPV1600000白疕[白殼瘡]psoriasisBWPV1700000油風(fēng)脫發(fā)[油風(fēng)][斑禿]alopeciaareataBWPV1800000發(fā)蛀脫發(fā)atrophicalopeciaBWPV1900000白屑風(fēng)seborrheicdermatitisBWPV2000000面游風(fēng)facialseborrheiceczemaBWPV2100000粉刺[胖風(fēng)粉刺]acneBWPV2200000痤瘡[黑頭粉刺]acneBWPV2300000酒糟鼻rosaceaBWPV2400000雀斑freckleBWPV2500000黧黑斑chloasmaBWPV2600000粉花瘡acnevulgarisBWPV2700000日曬瘡solardermatitisBWPV2800000水漬瘡paddy-fielddermatitisBWPV2900000火斑瘡erythemacaloricumBWPV3000000溻皮瘡infantileexfoliativedermatitisBWPV3100000痱癳[痱子]pricklyheatBWPV3200000紫癜風(fēng)tineaversicolorBWPV3300000天皰瘡lingeringpemphigusBWPV3400000火赤瘡lingeringpemphigusBWPV3500000松皮癬pinebark-shapedpsoriasisBWPV3600000貓眼瘡[雁瘡]cateye-shapederythemamultiformeBWPV3700000瓜藤纏melonvine-shapedvasculitisnodularisBWPV3800000紅蝴蝶瘡[蝶斑瘡]redbitterfly-shapedlupuserythematosusBWPV3900000蝶瘡流注butterfly-shapedmultipleabscessBWPV4000000流皮漏cutaneousnecroticulcerationBWPV4100000白駁風(fēng)vitiligoBWPV4200000烏白癩blackandwhiteleprosyBWPV4300000蝣蜒瘡earthworm-shapedherpesBWPV4400000蟹足腫crabfoot-shapedkeloidBWPV4500000登豆瘡clusteredcorn-shapedsoresBWPV4600000狐惑erosionofthroat，anusandgenitaliaBWPV4700000雞眼[肉刺]cornBWPV4800000胼胝[腳墊][牛程蹇]callosityBWPV4900000手足逆臚[倒刺]agnailBWPV5000000手足皸裂[皴裂瘡]handandfootrhagasBWPV5100000狐臭armpitodorBWPV5200000漆瘡[毒]lacquersore[toxin]BWPV5300000藥毒[藥疹]drugrashBWPV5400000膏藥風(fēng)plasterdermatitisBWPV5500000麻風(fēng)病leprosyBWPV5600000疥瘡病scabiesBWRV0000000乳房病類breastdiseasesBWRV0100000乳癰[乳吹]breastabscessBWRV0200000乳疽breastgangreneBWRV0300000乳發(fā)[脫殼乳癰]suppurativemastitisBWRV0400000粉刺性乳癰mammaryabscesswithacneBWRV0500000乳癆mammaryphthisisBWRV0600000乳漏[乳瘺]breastfistulaBWRV0700000乳癖mammaryhyperplasiaBWRV0800000乳核breastnoduleBWRV0900000乳疬gynecomastiaBWRV1000000乳頭濕疹eczemaofnippleBWRV1100000乳頭風(fēng)[乳頭破碎]chappednippleBWRV1200000乳衄thelorrhagiaBWRV1300000乳泣lactorrheaBWRV1400000乳懸mastoptosisBWRV1500000乳疳erosivemammaryulcerationBWGV0000000肛腸病類analandintestinaldiseasesBWGV0100000痔病[痔瘡]hemorrhoidsBWGV0101000內(nèi)痔[里痔]internalhemorrhoidsBWGV0102000翻花痔[嵌頓痔]prolapseofhemorrhoidsBWGV0103000外痔externalhemoroidsBWGV0103010皮痔skinhemorrhoidsBWGV0103020氣痔[脈痔]qihemorrhoidsBWGV0103030葡萄痔grapehemorrhoidsBWGV0104000混合痔mixedhemorrhoidsBWGV0105000懸珠痔