中医辨证规范所要解决的基本问题

本文认为在依托西医疾病的前提下,中医辨证规范应着重解决两方面的问题:一是病证所属症状、体征的规范,其中包括症状术语的规范、症状间逻辑关系规范、症状体征分级规范、症状体征测量方法规范;二是疾病所属各证的规范,具体完成疾病所属各证基本构成规范、疾病所属各证构成比确定、疾病所属各证的症状构成规范、疾病所属中医各证临床诊断规范、疾病所属中医各证基本演变规律的确认、西医疾病分期、分类、分型等与所属中医各证对应关系的确认等。规范方法应兼顾逻辑分析、数理统计和数据挖掘等。

Basic Problems to Be Solved in Dialectical Normalization of Traditional Chinese Medicine

This article maintains that problems existing in two aspects in the dialectical normalization of traditional Chinese medicine under the prerequisite of relying on the diseases in Western medicine should be solved: One is the normalization of the symptoms of diseases and the signs induced by diseases, including the normalization of terms of symptoms, the normalization of logic relationship between symptoms, the normalization of gradation of signs induced by diseases and the normalization of measuring methods for signs, and the other includes the normalization of the syndromes of diseases; the normalization of how to specifically clear up the basic constitution of syndromes of diseases; the definition of the component ratio of syndromes of diseases; the normalization of the constitution of symptoms of the syndromes of diseases; the normalization of clinical diagnosis of the syndromes of diseases in TCM; the confirmation of the basic evolutionary laws of the syndromes of diseases in TCM; the identification of the division of stages, the classification and the division of types of diseases in Western medicine and their corresponding relationship with those of diseases in traditional Chinese medicine and so on. In the methods of normalization consideration must be given to logic analysis, mathematical statistics and data digging.