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Journal of Chinese Integrative Medicine ›› 2007, Vol. 5 ›› Issue (2): 115-121.doi: 10.3736/jcim20070202

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Study of standardization of syndrome diagnosis: an analysis of current status

Hua-feng Wei, Guang Ji, Pei-yong Zheng   

  1. Center of Effect Assessment, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
  • Online:2007-03-31 Published:2007-03-15

It is one of the key problems for the development of Chinese medicine to standardize the diagnosis of syndromes. The authors mainly discuss the ideas and methods of the study of standardization of syndrome diagnosis by retrospective analysis, also put forward the following suggestions: (1) the main ideas of this study should be based on the comparison of the diseases and their relevant syndromes and the predictive diagnosis of syndromes by the effects of herbal prescription treatment; (2) they are important ways to carry out multicenter, large sample and perspective clinical trials on the basis of the investigation and study of literature, consultation of experts and retrospective case review, and following the principles of clinical epidemiology, and to use the methods of evidence based medicine to do systemic evaluation on the criteria of syndrome diagnosis; (3) they are important sectors of the study of standardization of syndrome diagnosis to enhance the objective studies on the four diagnostic methods of traditional Chinese medicine, and to do the functional studies under the conduction of systems biology; (4) Both data excavation technology and computer intelligence are the important technique supporting this study.

Key words: traditional Chinese medicine, syndrome diagnosis, standardization

CLC Number: 

  • R241
[1] 邓铁涛 . 中医证候规范[M]. 广州: 广东科学技术出版社,1990. 9
Deng TT.Standardization of traditional Chinese medicine syndromes[M].Guangzhou: Guangdong Scientific and Technical Publishers , 1990. 9
[2] 王庆国 . 以血瘀证为切入点进行中医证候规范及其生物学基础的研究[J]. 江西中医学院学报, 2004,16(5):5-10
Wang QG . Study of standardization and biological foundation of traditional Chinese medicine syndromes from blood stasis syndrome[J]. Jiangxi Zhong Yi Xue Yuan Xue Bao, 2004,16(5):5-10
[3] 刘平, 胡义杨, 倪力强 . 从辨证论治的思维特征探索证候分类研究的比较参照体系[J]. 中国中西医结合杂志, 2006,26(5):451-454
Liu P, Hu YY, Ni LQ . On establishing comparative reference system for syndrome classification study from the thinking characteristics of syndrome differentiation dependent therapy[J]. Zhongguo Zhong Xi Yi Jie He Za Zhi, 2006,26(5):451-454
[4] 沈自尹 ,. 勤求古训,博采众长广开新路——进一步提高中医水平的若干途径[J]. 上海中医药杂志, 1981,( 6):2-5
Shen ZY . Some ways to improve the research of traditional Chinese medicine[J]. Shanghai Zhong Yi Yao Za Zhi, 1981,( 6):2-5
[5] 王玉川 . 关于“有是证用是方”的反思[J]. 北京中医药大学学报, 1982,21(6):2-4, 72
Wang YC . Rethinking on the doctrine that treating a traditional Chinese medicine syndrome by using a specific formula traditionally established for the syndrome[J]. Beijing Zhong Yi Yao Da Xue Xue Bao, 1982,21(6):2-4, 72
[6] 陈凯先 . 中医药发展的思考与探索[M]. 上海: 上海中医药大学出版社,2006. 115
Chen KX. Thinking and exploration of the development of traditional Chinese medicine[M]. Shanghai: Publishing House of Shanghai University of Traditional Chinese Medicine,2006. 115
[7] 赖世隆 . 中医药临床疗效评价若干关键环节的思考[J]. 广州中医药大学学报, 2002,19(4):245-250
Lai SL . Key points about clinical effectiveness assessment of traditional Chinese medicine[J]. Guangzhou Zhong Yi Yao Da Xue Xue Bao, 2002,19(4):245-250
[8] 朱泉, 郭新峰, 赖世隆 . 中医证候诊断标准的循证评价[J]. 天津中医药, 2006,23(2):105-107
Zhu Q, Guo XF, Lai SL . Evaluation of along syndrome on TCM syndrome diagnosis standards[J]. Tianjin Zhong Yi Yao, 2006,23(2):105-107
[9] 陈家旭 . 中医证候与辨证体系研究现状与展望[J]. 北京中医药大学学报, 2001,24(4):3-8
Chen JX . The study of traditional Chinese medicine syndromes and syndrome differentiation system: current status and future prospects[J]. Beijing Zhong Yi Yao Da Xue Xue Bao, 2001,24(4):3-8
[10] 王阶, 姚魁武 . 中医学证候量化诊断研究现状与思考[J]. 世界科学技术——中医药现代化, 2003,5(5):10-13, 78
Wang J, Yao KW . Present situation of study on quantized diagnosis of syndromes in TCM and consideration caused thereby[J]. Shi Jie Ke Xue Ji Shu Zhong Yi Yao Xian Dai Hua, 2003,5(5):10-13, 78
[11] Weston AD, Hood L . Systems biology, proteomics, and the future of health care: toward predictive, preventative, and personalized medicine[J]. J Proteome Res, 2004,3(2):179-196
[12] 沈自尹 . 系统生物学和中医证的研究[J]. 中国中西医结合杂志, 2005,25(3):255-258
Shen ZY . Study on systematic biology and syndrome of traditional Chinese medicine[J]. Zhongguo Zhong Xi Yi Jie He Za Zhi, 2005,25(3):255-258
[13] 张志斌, 王永炎, 封静 . 现代证候规范研究述评[J]. 中国中医基础医学杂志, 2005,11(9):641-644, 649
Zhang ZB, Wang YY, Feng J . Modern study of standardization of syndromes: a review[J]. Zhongguo Zhong Yi Ji Chu Yi Xue Za Zhi, 2005,11(9):641-644, 649
[14] 国家中医药管理局脑病急症科研组. 中风病辨证诊断标准(试行)[J]. 北京中医药大学学报, 1994,17(3):64-66
The Scientific Research Group of Encephalopathy Emergency of State Administration of Traditional Chinese Medicine. A draft for the syndrome differentiation and diagnosis criteria of stroke[J]. Beijing Zhong Yi Yao Da Xue Xue Bao, 1994,17(3):64-66
[15] 蒋力生 . 中医“证”研究的思路与方法(续)[J]. 云南中医杂志, 1991,12(2):1-5
Jiang LS . The ideas and methods in studying the syndromes of traditional Chinese medicine[J]. Yunnan Zhong Yi Za Zhi, 1991,12(2):1-5
[16] 蒋力生 . 中医“证”研究的思路与方法(续)[J]. 云南中医杂志, 1991,12(3):1-8
Jiang LS . The ideas and methods in studying the syndromes of traditional Chinese medicine(Continuation)[J]. Yunnan Zhong Yi Za Zhi, 1991,12(3):1-8
[17] 秦中广, 毛宗源, 邓兆智 . 粗糙集在中医类风湿证候诊断中的应用[J]. 中国生物医学工程学报, 2001,20(4):357-363
Qing ZG, Mao ZY, Deng ZZ . The application of rough set in the Chinese medicine rheumatic arthritis diagnosis[J]. Zhongguo Sheng Wu Yi Xue Gong Cheng Xue Bao, 2001,20(4):357-363
[18] 李建生, 胡金亮, 余学庆 , 等. 基于聚类分析的径向基神经网络用于证候诊断的研究[J]. 中国中医基础医学杂志, 2005,11(9):685-687
Li JS, Hu JL, Yu XQ , et al. A research on RBF neural network based on clustering analysis in the application of syndrome diagnosis[J]. Zhongguo Zhong Yi Ji Chu Yi Xue Za Zhi, 2005,11(9):685-687
[19] 孟庆刚, 王永炎, 戴汝为 . 系统复杂性的中医证候规范化研究探析[J]. 中医药学刊, 2003,21(12):2015-2025
Meng QG, Wang YY, Dai RW.Dai RW . Exploring the study of standardization of systematic and complicated syndromes of traditional Chinese med[J]. Zhong Yi Yao Xue Kan, 2003,21(12):2015-2025
[20] 徐涛, 吴承玉 . 中医脾系证候的规范化研究思路与设想[J]. 南京中医药大学学报(自然科学版), 2002,18(5):264-265, 269
Xu T, Wu CY . Speculations on standardization of TCM spleen system syndromes[J]. Nanjing Zhong Yi Yao Da Xue Xue Bao Zi Ran Ke Xue Ban, 2002,18(5):264-265, 269
[21] 朱崇田, 吴承玉 . 中医肾系基本证规范的原则与研究思路[J]. 南京中医药大学学报, 2005,21(1):8-10
Zhu CT, Wu CY . Principles and research ideas for study of standardization of traditional Chinese medicine kidney system syndromes[J]. Nanjing Zhong Yi Yao Da Xue Xue Bao, 2005,21(1):8-10
[22] 沈自尹 . 对中医基础理论研究的思路[J]. 中国中西医结合杂志, 1997,17(11):643-644
Shen ZY . The study ideas of the basic theory of traditional Chinese medicine[J]. Zhongguo Zhong Xi Yi Jie He Za Zhi, 1997,17(11):643-644
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