北京中医药大学学报2026，Vol.49Issue(6)：763-769,7.DOI:10.3969/j.issn.1006-2157.2026.06.004
证候特征诠释视角下证候标准化的思路探讨与实践
Exploring concepts and practices of syndrome standardization from the perspective of syndrome feature interpretation
摘要
Abstract
Standardization research on traditional Chinese medicine(TCM)syndrome must follow the specific principles of the discipline.It should adopt systems theories and thinking modes that are compatible with the complex holism of the TCM syndrome as well as the high-dimensional and high-order characteristics,to grasp the overall features of the syndrome and restore the cognitive pathways of treatment based on syndrome differentiation.The proposal of the basic features of syndrome,including"internal excess and external deficiency,dynamic time and space,and multi-dimension interfaces,"interprets the connotation of syndromology described by the field of informatics and lays an intellectual foundation for syndrome standardization.On this basis,this paper proposes the relationship between the basic features of the TCM syndrome and the standardization.From the perspective of interpretation of the characteristics of the TCM syndrome,the paper explores the guiding significance of the aforementioned three features for standardization practice and provides a preliminary exploration of practical approaches.The paper proposes that by applying a research approach that combines disease and syndrome to account for the feature of internal excess and external deficiency,the idea of syndrome differentiation of disease trend will thus reflect the features of dynamic time and space,while adopting dimension reduction and hierarchy elevation method to explore the analytical pathway of the multi-dimension interfaces.Based on the above rationale,considering the research process of the development of the diagnostic criteria for phlegm-stasis-toxin interjunction syndrome in acute ischemic stroke as an example,the corresponding practical pathway and key steps can be preliminarily summarized,with the aim of providing ideas and strategies for the standardization of research investigating TCM syndrome.关键词
证候/标准化/辨证论治/诠释/特征Key words
syndrome/standardization/treatment based on syndrome differentiation/interpretation/features分类
医药卫生引用本文复制引用
张云帆,赵迪,魏竞竞,梁晓,刘悦,申伟,迟显苏,张琦,张允岭..证候特征诠释视角下证候标准化的思路探讨与实践[J].北京中医药大学学报,2026,49(6):763-769,7.基金项目
重大疑难疾病中西医临床协作项目(No.ZDYN-2024-A-008) （No.ZDYN-2024-A-008）
国家中医药管理局高水平中医药重点学科建设项目中医脑病学(No.ZYYZDXK-2023224) （No.ZYYZDXK-2023224）
中国中医科学院西苑医院能力提升项目(No.XYZXRC01-01,No.XYZX0101-21) （No.XYZXRC01-01,No.XYZX0101-21）
中国中医科学院科技创新工程创新团队(No.CI2021B006) Clinical Collaboration Project of Traditional Chinese and Western Medicine for Major and Difficult Diseases(No.ZDYN-2024-A-008) （No.CI2021B006）
