ZT：中醫首次被WHO納入《國際疾病分類》

中日韓三國專家聯手為傳統醫學立傳，將中醫診斷規範化、糸統化。以後有了查找“陰虛”、“肝氣鬱結”等中醫診斷詞匯外文譯名的官方網站。

在此之前，中國於1995年製定了《中華人民共和國國家標準-中醫病證分類與代碼（GB/T 15657-1995 ）》。

 

中文報道 https://tech.sina.com.cn/d/f/2019-06-09/doc-ihvhiews7582906.shtml

摘要如下：

5月25日，第72屆世界衛生大會審議通過了《國際疾病分類第11次修訂本》（ICD-11），首次將“起源於古代中國，且目前在中國、日本、韓國等地普遍使用”的傳統醫學納入其中。…………

此前百年間，ICD已經進行了10次修訂。而在今年5月正式通過的第11次修訂中，首次出現“傳統醫學病證”的補充章節，將起源於古代中國，且目前在中國、日本、韓國等地普遍使用的傳統醫學病證納入其中。ICD-11將於2022年在WHO成員國中實施。屆時，來自傳統醫學的150條疾病和196條證候條目將在臨床診斷中正式進入疾病分類，“陰虛”、“肝氣鬱結”等中醫術語將被采納。

 

另一篇中文報道：中醫走向世界迎來裏程碑

http://www.xinhuanet.com/tech/2019-05/26/c_1210143941.htm 

正在瑞士日內瓦召開的第72屆世界衛生大會25日審議通過了《國際疾病分類第11次修訂本》，首次將起源於中醫藥的傳統醫學納入其中，這一成果離不開各國醫學界人士長期不懈的努力，體現出中醫乃至中國傳統文化中的“和合之道”。國內外多位專家表示，這將是中醫走向世界的“裏程碑”。………

專家認為，這一成果對於中醫本身的規範化發展也有助益。上海中醫藥大學教授竇丹波說，鑒於中醫服務人群廣泛，這將有利於中醫等傳統醫學的監管，有利於中醫藥的安全性，也有利於中醫藥的療效對比等。

 

附：

ICD-11 - Mortality and Morbidity Statistics

https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f718687701

26 Supplementary Chapter Traditional Medicine Conditions - Module I

Description

This supplementary chapter is a subclassification for optional use. This chapter is not intended for mortality reporting. Coding should always include also a category from the chapters 1-24 of ICD.

This supplementary chapter refers to disorders and patterns which originated in ancient Chinese Medicine and are commonly used in China, Japan, Korea, and elsewhere around the world. This list represents a union set of harmonized traditional medicine conditions of the Chinese, Japanese, and Korean classifications. For an extended list of traditional medicine conditions, please refer to the International Classification of Traditional Medicine (ICTM).

Definitions:

A disorder in traditional medicine, disorder (TM1)[1], refers to a set of dysfunctions in any of the body systems which presents with associated manifestations, i.e. a single or a group of specified signs, symptoms, or findings. Each disorder (TM1) may be defined by its symptomatology, etiology, course and outcome, or treatment response.

1. Symptomatology: signs, symptoms or unique findings by traditional medicine diagnostic methods, including inspection such as tongue examination, history taking (inquiry), listening and smelling examination, palpation such as pulse taking, abdominal examination, and other methods.

2. TM Etiology: the underlying traditional medicine explanatory style, such as environmental factors (historically known in TM translations as the external contractions), emotional factors (historically known in TM translations as the seven emotions), or other pathological factors, processes, and products.

3. Course and outcome: a unique path of development of the disorder (TM1) over time. 4 Treatment response: known response to traditional medicine interventions. In defining a disorder (TM1), symptomology and etiology are required. Course and outcome, and treatment response are optional.

A pattern in traditional medicine, pattern (TM1), refers to the complete clinical presentation of the patient at a given moment in time including all findings. Findings may include symptomology or patient constitution, among other things.

1. Symptomatology (as above).
2. Constitution: the characteristics of an individual, including structural and functional characteristics, temperament, ability to adapt to environmental changes, or susceptibility to various health conditions. This is relatively stable, being in part genetically determined while partially acquired.

[1]:'TM1' refers to Traditional Medicine conditions - Module I. The (TM1) designation is used throughout this chapter for every traditional medicine diagnostic category in order to be clearly distinguishable from conventional medicine concepts.