레이아웃 1

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1 OriginalArticle 대한침구의학회지제 32 권제 4 호 (2015 년 12 월 ) : The Acupuncture Vol. 32 No. 4 December 2015 : pissn eissn 세계보건기구국제질병분류 11 판베타버전중한의학고유상병의로마자표기및영문표현검토연구 김진엽 1, 인창식 2, 조희진 1, 김규리 3, 강다현 3, 이종란 4, 김용석 1,* 1 경희대학교강남경희한방병원침구의학과, 경희대학교한의과대학침구의학교실 2 경희대학교한의과대학침구경락융합연구센터 3 경희대학교동서의학대학원 4 한국한의학연구원 [Abstract] ReviewandproposedimprovementsforRomanizationandEnglish expressionsofrubricsinthewhoicd-11betaversiontraditional medicinechapter JinYoupKim 1,ChangShikYin 2,HeeJinJo 1,KyuRiKim 3,DaHyunKang 3, JongRanLee 4 andyongsukkim 1,* 1 GangnamHospitalofKoreanMedicine,DepartmentofAcupuncture,CollegeofKoreanMedicine,KyungHeeUniversity 2 AcupunctureMeridianScienceResearchCenter,CollegeofKoreanMedicineKyung HeeUniversity 3 GraduateSchoolofEast-WestMedicalScience,KyungHeeUniversity 4 KoreainstituteofOrientalMedicine Key words : WHO;ICD-11; KCD-6;KCD-7; Romanization Objectives : The purpose of this study is to review and propose improvements for the Romanization and English expressions in the WHO international classification of diseases 11th revision beta version (ICD-11b)traditional medicine chapter. Methods : ICD-11b as of October 5,2015,was reviewed.romanization and English expressions were analyzed with reference to existing standards such as the Basic Principles of Romanization stipulated by the National Institute of Korean Language,and the Korean Standard Classification of Diseases (KCD),suggested improvements followed. Results : Following the Basic Principles of Romanization,131ICD-11b rubrics need improvement in the Romanization of Korean.When compared to KCD-6comparable rubrics,161icd-11b rubrics are the same and 64are different.when compared to KCD-7comparable rubrics,118 ICD-11b rubrics are the same,and 51are different.in KCD-6,there are 127rubrics that do not match with items in ICD-11b.In KCD-7,there are 123rubrics that do not match with items in ICD-11b. Conclusions : ICD-11b may be improved by correcting the Romanization and consideration of English expressions suggested in this study. Received : Revised : Accepted : On-line : ThisstudywassupportedbyMinistryofHealth&WelfareResearchofHealthInformation Standardization(H12C0566). Correspondingauthor:GangnamHospitalofKoreanMedicne,DepartmentofAcupuncture, CollegeofKoreanMedicine,KyungHeeUniversity225,Yeongdong-daero,Gangnam-gu, Seoul, ,RepublicofKorea Tel: ackys@khu.ac.kr ThisisanOpen-AccessarticledistributedunderthetermsoftheCreativeCommonsAttributionNon-CommercialLicense( TheAcupuncture isthejournalofkoreanacupuncture&moxibustionmedicinesociety.( Copyright 2014KAMMS.KoreanAcupuncture&MoxibustionMedicineSociety.Allrightsreserved. 47

2 TheAcupunctureVol.32No.4December2015 Ⅰ. 서론 전세계적으로전통의학에대한관심과요구가증가함에따라적절한전통의학보건분류체계의필요성이대두되고있다. 그러나현실적으로전통의학은보건분류체계가적절하게구축되어있지못하며, 지역에국한되어국제적조화가이루어지지못하고있는실정이다 1). 이러한이유로세계보건기구에서는국제질병분류 (International Classification of Disease, ICD) 11 판개정과정에전통의학국제분류 (International Classification of Traditional Medicine, ICTM) 의내용을반영해연구, 개발하고있다 년 10월현재 ICD-11 베타버전 (ICD-11b) 단계이며 2018 년출간을목표로지속적인개정이이루어지고있다 2). ICD-11 개정에따라국내에서도 ICD-11 의적용및도입기반이마련될예정이며, ICD- 11 개발에따라국내의견제시, 시스템적검토, 베타버전필드테스트, ICD-11 한글판개발및보급등여러작업들이수행되고있다. ICD-11 베타버전의한의학챕터 (Traditional Medicine chapter, ICD-TM) 는한중일전통의학의표준체계를기초로국제적합의를통해분류하고영문표준용어및정의기술을설정하고향후과학적소통및국제적상호비교가가능하도록하는국제표준체계로, WHO 국제표준아시아 -태평양네트워크회의를중심으로논의가이루어지고있다 3). 또한 ICD-TM 의표준분류에는영문표준용어이외에해당국가별로사용하는언어를기준으로로마자표기가수록되어있다. 이러한의학용어및학술용어와같은고유명사는자료탐색시전통적인도서관목록, 색인, 서지에서는물론이고온라인정보이용환경에서도자주이용되는접근점이된다 4). 특히진료환경에서사용되는질병분류체계의코드의경우검색어를입력하여코딩하는것이대중화되어있다. 때문에새롭게개정되는 ICD-TM 코드의영문표제어의오류가있거나한글발음과영문표현의차이가있는경우코드검색이나국제학술교류에서문제를겪을우려가있다. 때문에 ICD-TM 상병명의검토를통해표기상의통일성을기하고정보검색과전달의정확성, 신속성, 효율성을확보할필요가있다. 또한추후 ICD-11 의국내도입을위해현재의분류체계와세부항목들이적합한지에대해국내전문가들의의견을반영할필요가있다. 이에본연구에서는국립국어원한국어문규정집의규정에따라 ICD-11 베타버전한의학챕터의한국어로마자표기에대해검토하고필요시정정안을제시하고자한다. 또한국내한의학전문가들의합의를거친 KCD-6, KCD -7 의한의고유상병 (U 코드 ) 과 ICD-TM 상병의영문표현과상병명차이를대조해분석하고필요시개선안을제시하고자한다. Ⅱ. 방법 1.ICD-11Traditional Medicine conditions Module I 5) 2015 년 10월 5일 WHO ICD-11 홈페이지에게시된베타버전을기준으로검토를진행하였다. ICD-11b 중 ICD-TM 은한국의경우한의고유상병 (KCD-6 22장 U 코드 ) 에대응하는분류항목이며 3), traditional medicine disorder( 한의병명 ) 와 traditional medicine ( 한의병증 ) 의 2개의대분류와 25개의중분류, 22개의세분류로구성된다. 이하총 414 개의코드들이각분류를구성하여총표제어는 463 개에해당한다. 2. 로마자 표기 검토 한국어를외국어로표기할경우에는 국어의로마자표기법 이적용된다 6). 로마자표기법은 1948 년문교부에서제정고시된 한글을표시하는법 으로마련되었고 1959 년, 1984 년그리고 2000 년의세번의개정과정을거쳐오늘에이르렀다 7). 이를위하여국립국어원한국어문규정집에수록된국어의로마자표기법 8) 을기준으로 ICD-TM 한글표제어의로마자표기를평가하였다. 현행 국어의로마자표기법 의기본골자는다음과같다. 제 1장표기의기본원칙제 2장표기일람제 3장표기상의유의점부칙 이가운데제 2장표기일람의기본원칙은 2개항으로다음과같다. 제 1 항모음은다음각호와같이적는다. 48

3 세계보건기구 국제질병분류 11 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구 1) 단모음 ㅏ ㅓ ㅗ ㅜ ㅡ ㅣ ㅐ ㅔ ㅚ ㅟ a eo o u eu i ae e oe wi 2) 이중 모음 ㅑ ㅕ ㅛ ㅠ ㅒ ㅖ ㅘ ㅙ ya yeo yo yu yae ye wa wae ㅝ ㅞ ㅢ wo we ui 제 2항자음은다음각호와같이적는다. 1) 파열음 ㄱ ㄲ ㅋ ㄷ ㄸ ㅌ g, k kk k d, t tt t ㅂ ㅃ ㅍ b, p pp p 2) 파찰음 ㅈ ㅉ ㅊ j jj ch 없는 ㅇ 은붙임표 (-) 로표기하되어두에서는생략하는것을원칙으로한다. 기타분절의필요가있을때에도붙임표 (-) 를쓴다. 국어로마자표기법은기본적으로우리말에서일어나는모든음운현상들을반영하여표준발음으로음성표기를하는표음법 (phonetic transcription) 을채택한다. 그리고 ICD-TM 상병명의경우학술분야에해당하며한글표기를옮겨복원을전제로표기하는경우에해당하므로음운변화등을반영하지않고표기를대상으로적는것이타당하다 10). 그러므로음절단위로구분하여글자대응은국립국어원로마자표기법제2장을따르되 ㄱ, ㄷ, ㅂ, ㄹ 은 g, d, b, l 로만적는원칙이적용될수있다. 다만 음가없는 ㅇ 은붙임표 (-) 로표기하되어두에서는생략하는것을원칙으로한다. 기타분절의필요가있을때에도붙임표 (-) 를쓴다 라는규정의경우하이픈 (hypen) 등문장부호를사용하여음절을구분하여작성하면용어로써의기능을잃고 11) 전산화된 ICD-11 에서검색편이성에지장이생길수있다. 본연구에서로마자표기법을검토할때에는음절단위로하이픈을표기할수있다는점은위와같은사항을고려하고또한평이한영문표현을준수한다는 ICD-11 의원칙상음절단위로하이픈을표기하는것이평이한영문표현에해당하지않는다는사항을고려하여, 각음절을하이픈없이모두이어서작성하는것을기준으로검토하였다. 3) 마찰음ㅅㅆㅎ s ss h 4) 비음ㄴㅁㅇ n m ng 5) 유음ㄹ r, l 다만제 3장표기상의유의점을보면다음항이있다. 제8항학술연구논문등특수분야에서한글복원을전제로표기할경우에는한글표기를대상으로적는다. 이때글자대응은제2장을따르되 ㄱ, ㄷ, ㅂ, ㄹ 은 g, d, b, l 로만적는다. 음가 3. 한국표준질병사인분류 (KCD) 2015 년 10 월현재우리나라에서는한국표준질병사인분류 KCD-6 를기준으로질병분류를사용한다. 제3차개정한의분류가 2010 년 1월 1일부터시행됨 12) 에따라한 양방분류가통합되어사용된다. KCD-7 의경우 2015 년 7월 1일에고시되었으며 2016 년 1월 1일부터시행될예정이다 13). KCD-7 은개정중인제11 차세계보건기구국제질병분류중한의고유상병분류 (ICD-TM) 와한국표준질병 사인분류 (KCD-6) 을연계 분석하여반영되었으며한의분류의통합이이루어졌다. KCD-7 의경우 KCD-6 U코드의한의고유상병가운데기존상병명과유사한개념의코드를통합시켰으며, 한의고유상병 (U코드 ) 내에서도유사한개념끼리의통합이이루어졌다. 본연구에서는통계청에고시된 KCD 6차개정 12), 7차개정 14) 의 U코드한의고유상병과 ICD-TM 에대해표제어영문표기와표제어일치성을분석했다. 49

4 TheAcupunctureVol.32No.4December2015 Ⅲ. 결과 1.ICD-TM 표제어의 한글 로마자 표기개선안 ICD-TM 표제어의한글로마자표기 463 개가운데 131 개정정안을제시하였다 (Table 1). Table1.SuggestedimprovementsofRomanizedKoreaninICD-TM* ICD-TM code Current Romanized Korean Suggested improvements TA11.1 Cough with dyspnea disorder 咳逆 Haeyeok Haeyeog TA20 Dysphagia occlusion disorder 噎膈 Yeolgyeok Yeolgyeog TA23 Epigastric upset disorder 嘈雜 Jojap jojab TA24 Indigestion disorder 傷食 Sangsik Sangsig TA25 Food retention disorder 食積 Sigjeok Sikjeog TA26 Food counterflow disorder 食逆 Sigyeok Sikyeog TA2C Intestinal toxin disorder 腸毒 Jangdok Jangdog TA30 Hypochondrium pain disorder 脅痛 Hyeoptong Hyeobtong TA40.1 Stony stranguria disorder 石淋 Seongnim seoglim TA45 Turbid urine disorder 尿濁 Yotak Yotag TA47 Block and repulsion disorder 關格 Gwangyeok Gwangyeog TA4B Pudendal contraction disorder 陰縮 Eumchuk Eumchug TA4H Male Infertility disorder 不育 Bulyuk Bulyug TA50 Wry mouth disorder 口僻 Gubyuk Gubyeog TA51.1 Migraine disorder 偏頭風 Pyundutong Pyeondutong TA53 Cerebral tinnitus disorder 腦鳴 Nuaemyung Noemyeong TA60 Lily disorder 百合病 Baekhapbyeong Baeghabbyeong TA71 Eye, ear, nose and throat system disorders Retinopathy pigmentosa disorder 眼, 耳, 鼻和喉系統 高風内障 [ 雀目 ] Ahnibeenhugyethong jilhwan Gopungnaejang [Jakmok] Anibiinhugyetong jilhwan Gopungnaejang [Jagmog] TA73 Pterygium disorder 胬肉攀睛 Noyukbanjeong Noyugbanjeong TA75 Marginal blepharitis disorder 瞼弦赤爛 Geomhyeonjeoglan Geomhyeonjeogran TA7A Deafness disorders 耳聾 Irong Ilong TA7A.1 Sudden deafness disorder 暴聾 Pokrong Poglong TA7A.2 Gradual deafness disorder 漸聾 Jeomnong Jeomlong TA80.3 Fixed movement disorder 着痹 Chakbi Chagbi TA80.7 Crane knee movement disorder 鶴膝風 Hakseulpung Hagseulpung TA80.8 Joint-running wind disorder 歷節風 Yeokjeolpung Yeogjeolpung TA83 Numbness disorder 麻木 Mamok Mamog 50

5 세계보건기구 국제질병분류 11 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구 ICD-TM code Current Romanized Korean Suggested improvements TA84 Limb flaccidity disorder 解㑊證 Haeyeokjeung Haeyeogjeung TA90 Dampness sore disorder 濕瘡 [ 濕瘍 ] Seupchang Seubchang TA93 Bed sore disorder 褥瘡 [ 席瘡 ] Yokchang Yogchang TA97 Tinea pedis disorder 腳濕氣 Gakseupgi Gagseubgi TA9B Wart disorder 疣 Woo U TA9D Erysipelas disorder 丹毒 Dandok Dandog TA9J Fissured anus disorder 肛裂 Yeolhang Hangyeol TB02 Purpura disorder 紫癜病 Jajeonbyung Jajeonbyeong TB12 Cholera-like disorders 霍亂 Gwagran Gwagran TB14 Malaria-like disorder 瘧疾 Hakjil Hagjil TB17.3 Dampness and warmth disorder Female reproductive system disorders(tm) (including childbirth) Menstruation associated disorders 濕温 [ 濕瘟 ] Seupon seubon 女性生殖系統 ( 包括分娩 ) 月經病類 Wolgyeongbyeongnyu Wolgyeongbyeonglyu TB24 Metrorrhagia disorder 崩漏病 Bungrubyung Bunglubyeong TB26 Menopausal disorders 絕經前後諸症 TB43 Pregnancy associated disorders Postpartum lochiorrhea disorder Other female reproductive system associated disorders Yeosungbinyosaengshikgibunmanguanryunjilhwan Yeoseongbinyosaengsiggibunmangwanlyeonjilhwan Pyegyeonggijeonhujejung Pyegyeonggijeonhujejeung 妊娠病類 Imsinbyeongnyu Imsinbyeonglyu ( 產後 ) 惡露不絕 [ 惡露不淨 ] 女性生殖系統, 其他 Orobujeol Yeosung saengsikgigyetong jilhwan Olobujeol Yeoseong saengsiggigyetong jilhwan TB53 Infertility disorder 不孕 Burim Bulim TB54 Stony uterine mass disorder 石瘕 Seokga Seogga TB55 Breast lump disorder 乳癖 Yubyeok Yubyeog Childhood and adolescence associated disorders 兒童期與青少年期 Soah cheongsonyeon jilhwan Soa cheongsonyeon jilhwan TB83 Fright seizure disorder 客忤 Gaeko Gaego Other certain disorders 其他疾患 Gitah jilhwan Gita jilhwan TB90 Consumptive disorder 虛勞 Heoro Heolo TC28 Mixed principle-based s 㚒雜證 Hyeopjapjeung Hyeobjabjeung TC28.A TC28.C Excess-tangled cold and heat Deficiency-tangled cold and heat Body constituents s 寒熱錯雜實證 寒熱錯雜虛證 氣血津液證 Hannyeolchakjapsiljeung Hanyeolchagjabsiljeung Hanyeolhyeopjapeojeung Hanyeolchagjabheojeung Gihyeoljinaekbyeongjeung Gihyeoljinaegbyeongjeung TC32 Qi counterflow s 氣逆證 Giyeokjeung Giyeogjeung Fluid s 津證 ( 包括痰 ) Jinaekseupdamjeung Jinaegseubdamjeung 51

6 TheAcupunctureVol.32No.4December2015 ICD-TM code Current Romanized Korean Suggested improvements TC50 Fluid deficiency 津液虧虛證 Jinaekhyusonjeung Jinaeghyusonjeung TC51 Fluid disturbance s 水毒證 Sudokjeung Sudogjeung TC53 Damp phlegm 濕痰證 Seupdamjeung Seubdamjeung Organ system s 臟腑和經絡證 JangbugyeongnakByeonjeung Jangbugyeonglag- Byeongjeung TC9C Liver-gallbladder dampness-heat 肝膽濕熱證 Gandamseupyeoljeung Gandamseubyeoljeung TC9D Dampness-heat in liver meridian 肝經濕熱證 Gangyeongseupyeoljeung Gangyeongseubyeoljeung TC9E Cold stagnation in liver vessel 寒滯肝脈證 Hancheganmaekjeung Hancheganmaegjeung TD00 Severe heat 火毒證 [ 熱毒證 ][ 火毒熾盛證 ][ 熱毒熾盛證 ] Hwadokjeung Hwadogjeung TD04 Heart vessel obstruction 心脈痹阻證 Simmaekbijojeung Simmaegbijojeung TD08 Heart yang collapse 心陽暴脫證 Simyangpoktaljeung Simyangpogtaljeung TD0C Disquieted heart spirit 心神不甯證 Simsinbulnyungjeung Simsinbulnyeongjeung TD14 TD1B TD1C TD1E TD1F TD1G Spleen deficiency with food retention Dampness and heat accumulating the spleen Spleen deficiency with dampness encumbrance Dampness and heat in the spleen and stomach Dampness encumbering the spleen and stomach Cold and dampness encumbering the spleen 脾虛食積 [ 夾食 ] 證 Biheosikjeokjeung Biheosigjeogjeung 濕熱蘊 [ 困 ] 脾證 Seupyeolgonbijeung Seubyeolgonbijeung 脾虛濕困 [ 蘊 ][ 盛 ][ 泛 ] 證 Biheoseupgonjeung Biheoseubgonjeung 脾胃濕熱證 Biwiseupyeoljeung Biwiseubyeoljeung 濕困脾胃證 Seupgonbiwijeung Seubgonbiwijeung 寒濕困脾證 Hanseupgonbijeung Hanseubgonbijeung TD1J Stomach qi counterflow 胃氣上逆證 Wigisangyeokjeung Wigisangyeogjeung TD1N TD27 TD2C TD2D Dampness building up in the intestinal tract Turbid phlegm building up in the lung Lung heat transmitting into the intestine Wind and cold fettering the lung 濕阻 [ 滯 ][ 蘊 ] 腸道證 Seupchejangdojeung Seubchejangdojeung 痰濁 [ 濕 ] 阻 [ 蘊 ] 肺證 Damseupjopyejeung Damseubjopyejeung 肺熱移腸證 Pyeyeollijangjeung Pyeyeolijangjeung 風寒束肺證 Punghansokpyejeung Punghansogpyejeung TD2H Dampness and heat in the large intestine 腸道 [ 大腸 ] 濕熱證 Daejangseupyeoljeung Daejangseubyeoljeung TD31 TD37 Kidney failing to receive qi Kidney essence insufficiency 腎不納氣證 Sinbulnapgijeung Sinbulnabgijeung 腎精虧虛證 Sinjeongbujokjeung Sinjeongbujogjeung 52

7 세계보건기구 국제질병분류 11 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구 ICD-TM code Current Romanized Korean Suggested improvements TD3D TD3E Dampness and heat in the uterus Dampness and wet obstructing the uterus 胞宮濕熱證 Pogungseupyeoljeung Pogungseubyeoljeung 痰濕阻胞證 Damseupjopojeung Damseubjopojeung TD3K Bladder dampness and heat 膀胱濕熱證 Banggwangseupyeoljeung Banggwangseubyeoljeung TD64 Fire-heat 火熱淫證 Hwayeoreumjeung Hwayeoleumjeung TD65 Summer-heat 暑熱淫證 Seoyeoreumjeung Seoyeoleumjeung TD66 Severe pathogenic 疫疠證 Yeongnyeobyeongjeung Yeoglyeobyeongjeung Meridian s 經絡證 Gyeongrakbyeongjeung Gyeonglagbyeongjeung Main Meridian Patterns 十二經脈病證 Sibijeonggyeongbyeongjeung Sibigyeongmaegbyeongjeung TD73 Spleen meridian 足太陰脾經是動病證 TD76 Bladder meridian 足太陽膀胱經是動病證 TD77 Kidney meridian 足少陰腎經是動病證 TD78 Pericardium meridian 手厥陰心包經是動病證 TD7A Gallbladder meridian 足少陽膽經是動病證 TD7B Liver meridian 足厥陰肝經是動病證 Joktaeeumbigyeongbyeongjeung Jogtaeeumbigyeongbyeongjeung Joktaeyangbanggwanggyeongbyeongjeung Jogtaeyangbanggwanggyeongbyeongjeung Joksoeumsingyeongbyeongjeung Jogsoeumsingyeongbyeongjeung Sugworeumsimpogyeongbyeongjeung Sugwoleumsimpogyeongbyeongjeung Joksoyangdamgyeongbyeongjeung Jogsoyangdamgyeongbyeongjeung Jokgworeumgangyeongbyeongjeung Joggwoleumgangyeongbyeongjeung Extra Meridian Patterns 奇經八脈病證 Gigyeongpalmaekbyeongjeung Gigyeongpalmaegbyeongjeung TD80 Governor vessel 督脈病證 TD81 Conception vessel 任脈病證 Immaekbyeongjeung Immaegbyeongjeung TD82 Yin heel vessel 陰蹻脈病證 TD83 Yang heel vessel 陽蹻脈病證 TD84 Yin link vessel 陰維脈病證 TD85 Yang link vessel 陽維脈病證 TD86 Thoroughfare vessel 衝脈病證 Dongmaekbyeongjeung Dogmaegbyeongjeung Eumgyomaekbyeongjeung Eumgyomaegbyeongjeung Yanggyomaekbyeongjeung Yanggyomaegbyeongjeung Eumnyumaekbyeongjeung Eumyumaegbyeongjeung Yangyumaekbyeongjeung Yangyumaegbyeongjeung Chungmaekbyeongjeung Chungmaegbyeongjeung 53

8 TheAcupunctureVol.32No.4December2015 ICD-TM code Current Romanized Korean TD87 Belt vessel 帶脈病證 Daemaekbyeongjeung Six stage s 六經證 Suggested improvements TE15 Late Yin stage Patterns 證厥陰病 Gwoleumbyeongjeung Gwoleumbyeongjeung TE21 TE22 Dampness and heat in the upper energizer Toxin congesting the upper energizer 上焦濕熱證 Daemaegbyeongjeung Yukgyeongbyeonjeung Yuggyeongbyeongjeung SangchoSeupyeoljeung SangchoSeubyeoljeung 毒壅上焦證 Dokongsangchojeung Dogongsangchojeung TE30 Summerheat and dampness affectiong the middle energizer 暑濕困阻中焦證 Seoseupgonjojungchojeung Seoseubgonjojungchojeung TE31 Dampness and heat in the middle energizer 中焦濕熱證 JungchoSeupyeoljeung JungchoSeubyeoljeung TE32 Phlegm and dampness obstruction in the middle energizer 痰濕中阻證 [ 痰濁中阻證 ][ 痰飲中阻證 ] Damseupjungjojeung[Damtakjungjojeung][Dameumjungjojeung] Damseubjungjojeung[Damtagjungjojeung][Dameumjungjojeung] TE40 TE70.1 TE70.2 TE71.1 TE71.3 TE72.1 TE72.2 TE72.3 TE72.4 TE73.2 TE80 TE81 TE82 TE93 Lower energizer dampness and heat Dampness obstructing the defense yang Heat attacking the lung defense Heat entering the qi phase Dampness obstructing the qi phase Nutrient qi and defense qi disharmony Heat in the nutrient phase Heat entering the nutrient and blood phase Severe heat entering the nutrient phase Heat entering the blood phase Large yang type exterior origin lower back Large yang type interior origin small intestine Large yang type exterior interior combined Small yang type chest heat congested 下焦濕熱證 Hachoseupyeoljeung Hachoseubyeoljeung 濕遏衛陽證 SeupalWiyangjeung SeubalWiyangjeung 溫邪侵襲肺衛證 熱入氣分證 Yeolipgibunjeung Yeolibgibunjeung 濕阻氣分證 Seupjogibunjeung Seubjogibunjeung 營衛不和證 熱入營分證 Yeolipyeongbunjeung Yeolibyeongbunjeung 熱入營血證 Onsachimseuppyewijeung Onsachimseubpyewijeung Yeongbunbulwhajeung Yeongbunbulhwajeung Yeolipyeonghyeoljeung Yeolibyeonghyeoljeung 熱毒入營證 [ 火毒陷營證 ] Yeoldokipyeongjeung Yeoldogibyeongjeung 熱入血分證 Yeoliphyeolbunjeung Yeolibhyeolbunjeung 太陽人外感腰脊病證 太陽人內觸小腸病證 太陽人表裏兼病證 少陽人胸隔熱證 Taeyangino Oegamyocheokbyeongjeung Taeyangin Naechoksojangbyeongjeung Taeyangin Pyorigyeombyeongjeung Soyangin Hyunggyeokyeoljeung Taeyangin Oegamyocheogbyeongjeung Taeyangin Naechogsojangbyeongjeung Taeyangin Pyoligyeombyeongjeung Soyangin Hyunggyeogyeoljeung 54

9 세계보건기구 국제질병분류 11 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구 ICD-TM code Current Romanized Korean Suggested improvements TE95 Small yang type exterior interior combined 少陽人表裏兼病證 Soyangin Pyorigyeombyeongjeung Soyangin Pyoligyeombyeongjeung TF04 Large yin type exterior Interior combined 太陰人表裏兼病證 Taeeumin Pyorigyeombyeongjeung Taeeumin Pyoligyeombyeongjeung TF14 Small yin type exterior interior combined 少陰人表裏兼病證 Soeumin Pyorigyeombyeongjeung Soeumin Pyoligyeombyeongjeung * ICD-TM, International Classification of Diseases 11th revision beta version traditional medicine chapter 정정안설정의기준이된어문규정별로집계해보면 3장 8항의오류 118 회, 1항이중모음 ㅕ 의표기오류 6회, 단모음 ㅏ 의표기오류 2회, 단모음 ㅓ 의표기오류 2회, 단모음 ㅣ 의표기오류, 단모음 ㅚ 의표기오류, 단모음 ㅜ 의표기오류, 단모음 ㅡ 의표기오류, 비음 ㅇ 의표기오류, 마찰음 ㅎ 의표기오류 1회가보였으며글자순서를바꾸어표기하거나알파벳이누락혹은중복된경우도 4회에달하였다 (Table 2). Table2.BasicPrinciplesofRomanizationtobeappliedinICD-TM* Basic Principles of Romanization No. ICD-TM code section 8. When it is necessary to convert Romanized Korean back to Hangeul in special cases such as in academic articles, Romanization is done according to Hangeul spelling and not pronunciation. Each Hangeul letter is Romanized as explained in section 2 except that ㄱ, ㄷ, ㅂ, ㄹ are always written as g, d, b, l. When ㅇ has no sound value, it is replaced by a hyphen may also be used when it is necessary to distinguish between syllables. 118 times TC28.A TA11.1 TA20 TA23 TA24 TA25 TA26 TA2C TA30 TA40.1 TA45 TA47 TA4B TA4H TA60 TA71 TA73 TA75 TA7A TA7A.1 TA7A.2 TA80.3 TA80.7 TA80.8 TA83 TA84 TA90 TA93 TA97 TA9D TB12 TB14 TB17.3 TB53 TB54 TB55 TB83 TB90 TC28 TC32 TC50 TC51 TC53 TC9C TC9D TC9E TD00 TD04 TD08 TD14 TD1B TD1C TD1E TD1F TD1G TD1J TD1N TD27 TD2D TD2H TD31 TD37 TD3D TD3E TD3K TD64 TD65 TD73 TD76 TD77 TD78 TD7A TD7B TD80 TD81 TD82 TD83 TD84 TD85 TD86 TD87 TE21 TE22 TE30 TE31 TE32 TE40 TE70.1 TE70.2 TE71.1 TE71.3 TE72.2 TE72.3 TE72.4 TE73.2 TE80 TE81 TE82 TE93 TE95 TF04 TF14 TE15 TA50 TB43 Menstruation associated disorders, Pregnancy associated disorders, Organ system s, Other female reproductive system associated disorders, Female reproductive system disorders(including childbirth) section 1. diphthongs ㅕ yeo 6 times TA53 TD0C TA51.1 TA50 TB02 TB24 section 1. simple vowels ㅏ a 2 times section 1. simple vowels ㅓ eo 2 times Childhood and adolescence associated disorders, Other certain disorders Other female reproductive system associated disorders, Female reproductive system disorders(including childbirth) section 1. simple vowels ㅣ i 1 times Female reproductive system disorders(including childbirth) section 1. simple vowels ㅚ oe 1 times TA53 section 1. simple vowels ㅜ u 1 times TA9B section 1. simple vowels ㅡ eu 1 times TB26 section 2. nasals ㅇ ng 1 times Organ system s section 2. fricative ㅎ h 1 times TE72.1 Misspelling 4 times TD2C TA9J TC28.C TD66 *ICD-TM, International Classification of Diseases 11th revision beta version traditional medicine chapter 55

10 TheAcupunctureVol.32No.4December ICD-TM 과 KCD-6 표제어 영문표현의차이 ICD-TM 의상병표제어 463 개가운데 KCD-6 와영문표현이일치하는경우 161 개, ICD-TM 에만존재하는 상병표제어 231 개를제외하면, 총 71개의표제어에서 KCD-6 영문표현과의차이를보였다. 이가운데 7개는표제어가다른경우이고, 64개는표제어국한문표현은동일하나영문표현이불일치하였다 (Table 3). Table3.DifferenceofEnglishexpressionsbetweenICD-TMandKCD-6* ICD-TMcode KCD-6 code KCD-6 heading Traditional medicine disorders Disease Name of Oriental Medicine TA00.1 Inducible palpitation disorder U26.2 Fright palpitation TA00.2 Spontaneous palpitation disorder U26.3 Fearful throbbing TA12 Panting disorder U27.0 Dyspnea TA25 Food retention disorder U28.0 Food accumulation TA46 Ischuria disorder U31.0 Dribbling urinary block Brain system disorders U23-U24 Disease of the nervous system Mental and emotional disorders U22 Mental and behavioral disorders Eye, ear, nose and throat system disorders U25 Disease of eye, tongue, throat TA80.4 Nape impediment disorder U30.3 Neck stiffness Skin and mucosa system disorders U29 Diseases of the skin and subcutaneous tissue TA92 Furuncle disorders U29.4 Deep-rooted boil Female reproductive system disorders(tm)(including childbirth) U32 Diseases of the female genitourinary system and related to pregnancy TB24 Metrorrhagia disorder U32.1 Flooding and spotting TB32 Bladder pressure disorder U32.5 Shifted bladder bladder colic TB34 Floating sensation pregnancy disorder U32.4 Pregnancy suspension TB50 Leukorrheal disorder U32.0 Viginal discharge Childhood and adolescence associated disorders U33 Diseases of retardation and development, childhood and adolescence TB80 Developmental delay disorder U33.7 Retardations TD1B Traditional medicine s Disease Pattern/syndrome of Oriental Medicine Qi s U60 Disease Pattern/syndrome of Qi Blood s U61 Disease Pattern/syndrome of Blood Fluid s U63 Disease Pattern/syndrome of Fluid and Humor Liver s U64-U65 Liver disease /syndrome Heart Patterns U66-U67 Heart disease /syndrome Spleen Patterns U68 Spleen disease /syndrome Dampness and heat accumulating the spleen U68.6 Pattern/syndrome of dampness-heat damage to the spleen Lung Patterns U69-U70 Lung disease /syndrome 56

11 세계보건기구 국제질병분류 11 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구 ICD-TMcode KCD-6 code KCD-6 heading TD2D Wind and cold fettering the lung U70.0 Pattern/syndrome of wind-heat invading the lung Kidney Patterns U71 Kidney disease /syndrome Six stage s U51-U57 Disease Pattern/syndrome of Six Meridians TE10 Early yang stage U51-U52 Greater yang disease /syndrome TE11 Middle yang stage U53 Yang brightness disease / syndrome TE12 Late yang stage U54 Lesser yang disease /syndrome TE13 Early yin stage U55 Greater yin disease /syndrome TE14 Middle yin stage Pattern U56 Lesser yin disease /syndrome TE15 Late Yin stage Patterns U57 Reverting yin disease /syndrome Triple energizer stage s U59 Disease Pattern/syndrome of Triple Energizer Four phase s U58 Disease Pattern/syndrome of Defense- Qi-Nutrient-Blood Four constitution medicine s Disease Pattern/syndrome of Four- Constitutional Medicine Large yang type s U98 Taeyangin disease /syndrome TE80 Large yang type exterior origin lower back U98.0 Pattern/syndrome of Taeyangin lumbar vertebrae disease induced by exopathogen TE81 Large yang type interior origin small intestine U98.1 Pattern/syndrome of Taeyangin small intestine disease induced by endopathogen TE82 TE90 Large yang type exterior interior combined U98.2 Pattern/syndrome of Taeyangin exteriorinterior symptom complex Small yang type s U96 Soyangin disease /syndrome Small yang type lesser yang wind damage U96.0 Pattern/syndrome of Soyangin lesser yang wind damage TE92 Small yang type yin depletion U96.1 Pattern/syndrome of Soyangin yin collapse TE93 Small yang type chest heat congested U96.2 Pattern/syndrome of Soyangin chest heat TE94 Small yang type yin deficit U96.3 Pattern/syndrome of Soyangin yin deficiency with aversion to heat TE95 TF00 Small yang type exterior interior combined U96.4 Pattern/syndrome of Soyangin exterior symptom complex Large yin type s U97 Taeumin disease /syndrome Large yin type supraspinal exterior U97.1 Pattern/syndrome of Taeumin exterior symptom of vertebrae TF01 Large yin type esophagus cold U97.0 TF03 Large yin type dryness heat U97.2 Pattern/syndrome of Taeumin stomach duct cold Pattern/syndrome of Taeumin dryness-heat 57

12 TheAcupunctureVol.32No.4December2015 ICD-TMcode KCD-6 code KCD-6 heading TF04 Large yin type exterior Interior combined U97.4 Pattern/syndrome of Taeumin exterior-interior symptom complex TF10 Small yin type s U95 Soeumin disease /symdrome Small yin type congestive hyperpsychotic U95.0 TF11 Small yin type yang depletion U95.1 TF12 Small yin type greater yin U95.2 TF13 Small yin type lesser yin U95.3 TF14 Small yin type exterior interior combined U95.4 Pattern/syndrome of Soeumin depression-manic Pattern/syndrome of Soeumin yang collapse Pattern/syndrome of Soeumin greater yin symptom Pattern/syndrome of Soeumin lesser yin symptom Pattern/syndrome of Soeumin exteriorinterior symptom complex TA80 Rheumatism like disorders U23.8 Impediment disease TB11 Tuberculosis-like disorder U27.3 Fatigue and consumption TD0M Disharmony between the heart and kidney U79.0 Pattern/syndrome of non-interaction between the heart and kidney * ICD-TM, International Classification of Diseases 11th revision beta version traditional medicine chapter KCD, Korean Standard Classification of Diseases 3.ICD-TM 과 KCD-7 표제어 영문표현의차이 ICD-TM 의상병표제어 463 개가운데 KCD-7 과영문표현이일치하는경우 118 개, ICD-TM 에만존재하는 상병표제어 238 개를제외하면, 총 107 개의표제어에서 KCD-7 영문표현과의차이를보였다. 이가운데 4개는표제어가다른경우이고, 52개는표제어와분류가모두다른경우이며, 51개는표제어국한문표현은동일하나영문표현이불일치하였다 (Table 4). Table4.DifferenceofEnglishexpressionsbetweenICD-TMandKCD-7* ICD-TM code KCD-7 code KCD-7 heading Traditional medicine disorders Disease Name of Korean Medicine TA25 Food retention disorder U28.0 Food accumulation TA67 Fire disorder U22.2 Hwabyeong TA80 Rheumatism like disorders U23.8 Impediment disease(moving disease, Painful disease, Fixed disease) TA80.1 Painful movement disorder U23.8 Painful impediment TA80.2 Migrating movement disorder U23.8 Moving impediment TA80.3 Fixed movement disorder U23.8 Fixed impediment TA80.4 Nape impediment disorder U30.3 Neck stiffness TA83 Numbness disorder U24.2 Numbness and insensitivity TB12 Cholera-like disorders U28.4 Vomiting and diarrhea Traditional medicine s Disease Pattern of Korean Medicine 58

13 세계보건기구 국제질병분류 11 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구 ICD-TM code KCD-7 code KCD-7 heading TD0M TD1B Disharmony between the heart and kidney U79.0 Pattern of non-interaction between the heart and kidney Qi s U60 Disease Pattern of Qi Blood s U61 Disease Pattern of Blood Fluid s U63 Disease Pattern of Fluid and Humor Liver s U64-U65 Liver disease Pattern Heart Patterns U66-U67 Heart disease Pattern Spleen Patterns U68 Spleen disease Pattern Dampness and heat accumulating the spleen U68.6 Pattern of dampness-heat damage to the spleen Lung Patterns U69-U70 Lung disease Pattern TD2D Wind and cold fettering the lung U70.0 Pattern of wind-heat invading the lung Kidney Patterns U71 Kidney disease Pattern Six stage s U52-U57 Disease Pattern of Six Meridians TE10 Early yang stage U52 Greater yang disease TE11 Middle yang stage U53 Yang brightness disease Pattern TE12 Late yang stage U54 Lesser yang disease Pattern TE13 Early yin stage U55 Greater yin disease Pattern TE14 Middle yin stage Pattern U56 Lesser yin disease Pattern TE15 Late Yin stage Patterns U57 Reverting yin disease Pattern TE80 TE81 TE82 TE90 Four constitution medicine s Disease Pattern of Four-Constitutional Medicine Large yang type s U98 Taeyangin disease Pattern Large yang type exterior origin lower back Large yang type interior origin small intestine Large yang type exterior interior combined U98.0 U98.1 U98.2 Pattern of Taeyangin lumbar vertebrae disease induced by exopathogen Pattern of Taeyangin small intestine disease induced by endopathogen Pattern of Taeyangin exterior-interior symptom complex Small yang type s U96 Soyangin disease Pattern Small yang type lesser yang wind damage U96.0 Pattern of Soyangin lesser yang wind damage TE92 Small yang type yin depletion U96.1 Pattern of Soyangin yin collapse TE93 Small yang type chest heat congested TE94 Small yang type yin deficit U96.3 TE95 TF00 Small yang type exterior interior combined U96.2 Pattern of Soyangin chest heat U96.4 Pattern of Soyangin yin deficiency with aversion to heat Pattern of Soyangin exterior symptom complex Large yin type s U97 Taeumin disease Pattern Large yin type supraspinal exterior U97.1 Pattern of Taeumin exterior symptom of vertebrae TF01 Large yin type esophagus cold U97.0 Pattern of Taeumin stomach duct cold 59

14 TheAcupunctureVol.32No.4December2015 ICD-TM code KCD-7 code KCD-7 heading TF03 Large yin type dryness heat U97.2 Pattern of Taeumin dryness-heat TF04 TF10 Large yin type exterior Interior combined U97.4 Pattern of Taeumin exterior-interior symptom complex Small yin type s U95 Soeumin disease /symdrome Small yin type congestive hyperpsychotic U95.0 Pattern of Soeumin depression-manic TF11 Small yin type yang depletion U95.1 Pattern of Soeumin yang collapse TF12 Small yin type greater yin U95.2 Pattern of Soeumin greater yin symptom TF13 Small yin type lesser yin U95.3 Pattern of Soeumin lesser yin symptom TF14 Small yin type exterior interior combined U95.4 Pattern of Soeumin exterior-interior symptom complex * ICD-TM, International Classification of Diseases 11th revision beta version traditional medicine chapter KCD, Korean Standard Classification of Diseases 4.ICD-TM 과 KCD-6 표제어 일치성 분석 ICD-TM 과 KCD-6 상병명을비교했을때표제및분류가모두일치하는경우 172 회, 분류의차이를보이는경우 53회, 표제의차이를보이는경우 7회였으며, 표제및 분류가모두차이를보이는경우는없었다. KCD-6 에있으나 ICD-TM 에없는분류개념은 17개 (Table 5), 표제어는 110 개 (Table 6) 였다. ICD-TM 에있으나 KCD-6 한의고유상병에없는표제어는 212 개였다. Table5.ClassificationconceptsofKCD-6thatdonotexistinICD-TM* KCD-6 code KCD-6 heading KCD-6 heading U50 Disease Pattern/syndrome of Six Excesses 六淫病證 A U62 Disease Pattern/syndrome of Qi-Blood-Yin-Yang 氣血陰陽病證 B U64 Liver deficiency /syndrome 肝虛證 B U65 Liver excess /syndrome 肝實證 B U66 Heart deficiency s/syndrome 心虛證 B U67 Heart excess /syndrome 心實證 B U69 Lung deficiency /syndrome 肺虛證 B U70 Lung excess /syndrome 肺實證 B U72 Gallbladder disease /syndrome 膽病證 B U73 Stomach disease /syndrome 胃病證 B U74 Large intestine disease /syndrome 大腸病證 B U75 Small intestinal disease /syndrome 小腸病證 B U76 Bladder disease /syndrome 膀胱病證 B U77 Disease Pattern/syndrome of thoroughfare, conception vessels and uterus 衝任胞宮病證 B U20-U21 General disease B U64-U79 Disease Pattern/syndrome of Viscera and Bowels 臟腑病證 B U78-U79 Combined Disease Pattern/syndrome of Viscera and Bowels 臟腑兼病證 B Type** * ICD-TM, International Classification of Diseases 11th revision beta version traditional medicine chapter ; KCD, Korean Standard Classification of Diseases ** A=there exist similar concepts in ICD-TM, B=there exist broader or narrower concepts in ICD-TM, 60

15 세계보건기구 국제질병분류 11 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구 Table6.ClassificationcodesofKCD-6thatdonotexistinICD-TM* KCD-6 code KCD-6 heading KCD-6 heading U20.1 Yin toxin 陰毒 C U20.2 Yang toxin 陽毒 C U20.3 Summer heat stroke 中暑 A U20.6 Dysentery 注下 A U20.7 Fatigue due to overexertion 勞倦 B U20.8 Bone-steaming fever 骨蒸熱 B U20.9 Heat in the chest, palms and soles 五心熱 B U21.0 Viscera accumulation 臟積 B U23.1 Head-wind syndrome 首風 A U23.2 Head-shaking 風頭旋 C U23.5 Syncope 厥症 C U23.6 Tremor 震顫 C U24.1 Insensitivity 不仁 A U25.4 Entwining throat wind 纏喉風 A U27.7 Shortage of qi 少氣 B U28.7 Stomach reflux 反胃 A U29.0 Sore 瘡證 A U29.3 Furuncle 節證 A U31.2 Bladder impediment 胞痺 A U31.3 Intercourse between rectum and external urinary tract 交腸 C U50.0 Wind-cold /syndrome 風寒證 A U50.1 Wind-heat /syndrome 風熱證 A U50.2 Wind-dampness /syndrome 風濕證 B U50.3 Cold-dampness /syndrome 寒濕證 A U50.4 Dampness-heat /syndrome 濕熱證 B U50.5 Cool-dryness /syndrome 凉燥證 B U50.6 Warm-dryness /syndrome 溫燥證 B U50.7 Heat toxin blazing exuberance /syndrome 熱毒熾盛證 A U50.8 Summer heat flaming upward /syndrome 暑熱上氣證 A U51.0 Pattern/syndrome of greater yang wind stroke 太陽中風證 B U51.1 Pattern/syndrome of greater yang cold damage 太陽傷寒證 B U51.2 Pattern/syndrome of greater yang exterior cold and interior heat 太陽表寒裏熱證 B U51.3 Pattern/syndrome of greater yang exterior stagnation interior heat 太陽表寒裏飮證 B U51.4 Pattern/syndrome of greater yang water-retention 太陽蓄水證 B U51.5 Pattern/syndrome of greater yang blood-amassment 太陽蓄血證 B U51.6 Pattern/syndrome of greater yang stuffiness 太陽痞證 B U51.7 Pattern/syndrome of greater yang chest bind 太陽結胸證 B U51.8 Pattern/syndrome of greater yang-deficiency 太陽陽虛證 B U51.9 Pattern/syndrome of greater yang dual deficiency of yin-yang 太陽陰陽兩虛證 B Type** 61

16 TheAcupunctureVol.32No.4December2015 KCD-6 code KCD-6 heading KCD-6 heading U52.0 Pattern/syndrome of greater yang heat 太陽熱證 B U52.1 Pattern/syndrome of greater yang upper heat and lower cold 太陽上熱下寒證 B U52.2 Pattern/syndrome of heat entering the blood chamber 熱入血室證 B U52.3 Pattern/syndrome of cold entering the blood chamber 寒入血室證 B U53.0 Pattern/syndrome of yang brightness meridian 陽明經證 B U53.1 Pattern/syndrome of yang brightness bowel excess 陽明腑實證 B U53.2 Pattern/syndrome of yang brightness mutual binding of water and heat 陽明水熱互結證 B U53.3 Pattern/syndrome of yang brightness intestinal dryness 陽明津傷腸燥證 B U53.4 Pattern/syndrome of yang brightness jaundice eruption 陽明發黃證 B U53.5 Pattern/syndrome of yang brightness blood stasis 陽明瘀血證 B U54.0 Pattern/syndrome of lesser yang meridian 少陽經證 B U54.1 Pattern/syndrome of lesser yang with exterior symptom 少陽兼表證 B U54.2 Pattern/syndrome of lesser yang with interior excess 少陽兼裏實證 B U54.3 Pattern/syndrome of lesser yang with stomach heat 少陽兼胃熱證 B U54.4 Pattern/syndrome of lesser yang deficiency excess complex 少陽虛實錯雜證 B U54.5 Pattern/syndrome of lesser yang residual fluid retention 少陽水飮未結證 B U55.0 Pattern/syndrome of greater yin deficiency cold 太陰虛寒證 B U55.1 Pattern/syndrome of greater yin cold-wet stagnation bind 太陰寒濕鬱結證 B U55.2 Pattern/syndrome of greater yang symptom with exterior 太陰兼表證 B U56.0 Pattern/syndrome of lesser yin yang deficiency with yin exuberance 少陰陽虛陰盛證 B U56.1 Pattern/syndrome of lesser yin exuberant yin upcast yang 少陰陰盛戴陽證 B U56.2 Pattern/syndrome of lesser yin exuberant yin repelling yang 少陰陰盛格陽證 B U56.3 Pattern/syndrome of lesser yin yang deficiency with congealing cold 少陰陽虛寒凝證 B U56.4 Pattern/syndrome of lesser yin yang deficiency with water flood 少陰陽虛水泛證 B U56.5 Pattern/syndrome of lesser yin yang deficiency with collapse 少陰陽虛滑脫證 B U56.6 Pattern/syndrome of lesser yin yin deficiency with effulgent fire 少陰陰虛火旺證 B U56.7 Pattern/syndrome of lesser yin yin deficiency with mutual binding of water and heat 少陰陰虛水熱互結證 U56.8 Pattern/syndrome of lesser yin symptom with exterior 少陰兼表證 B U56.9 Pattern/syndrome of lesser yin throat pain 少陰咽痛證 B U57.0 Pattern/syndrome of reverting yin ascaris syncope 厥陰蛔厥證 B U57.1 Pattern/syndrome of reverting yin repelling cold 厥陰寒格證 B U57.2 Pattern/syndrome of reverting yin lung heat stomach cold 厥陰肺熱胃寒證 B U57.3 Pattern/syndrome of reverting yin blood deficiency congealing cold 厥陰血虛寒凝證 B U57.4 Pattern/syndrome of reverting yin cold invading the stomach 厥陰寒邪犯胃證 B U57.5 Pattern/syndrome of reverting yin heat attacking the large intestine 厥陰熱迫大腸證 B U58.8 Pattern/syndrome of wet-heat encumbering the triple energizer 濕熱瀰滿三焦證 B U59.3 Pattern/syndrome of triple energizer dampness-heat 三焦濕熱證 B U60.1 Qi fall Qi sinking /syndrome 氣陷證 B U60.2 Qi collapse /syndrome 氣脫證 B Type** B 62

17 세계보건기구 국제질병분류 11 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구 KCD-6 code KCD-6 heading KCD-6 heading U60.5 Qi block /syndrome 氣閉證 A U61.1 Blood collapse /syndrome 血脫證 B U62.0 Yin deficiency /syndrome 陰虛證 B U62.1 Yang deficiency /syndrome 陽虛證 B U62.2 Yin collapse /syndrome 亡陰證 C U62.3 Yang collapse /syndrome 亡陽證 C U62.4 Pattern/syndrome of dual deficiency of qi and blood 氣血兩虛證 B U62.5 Pattern/syndrome of dual deficiency of yin and yang 陰陽兩虛證 B U62.6 Pattern/syndrome of dual deficiency of qi and yin 氣陰兩虛證 B U62.7 Pattern/syndrome of clear yang failing to ascend 淸陽不升證 B U62.8 Pattern/syndrome of turbid yin failing to descend 濁陰不降證 B U63.1 Pattern/syndrome of internal retention of water and fluid 水飮內停證 A U63.2 Pattern/syndrome of water and dampness 水濕泛濫證 B U63.4 Cold-phlegm /syndrome 寒痰證 A U63.5 Heat-phlegm /syndrome 熱痰證 A U63.8 Pattern/syndrome of mutual binding of phlegm and qi 痰氣互結證 A U64.4 Pattern/syndrome of liver deficiency heat 肝虛熱證 A U65.4 Pattern/syndrome of extreme heat engendering wind 熱極生風證 A U65.5 Pattern/syndrome of blood deficiency engendering wind 血虛生風證 A U67.4 Pattern/syndrome of phlegm confounding the orifices of the heart 痰迷心竅證 B U69.4 Pattern/syndrome of lung qi debilitation into expiring 肺氣衰絶證 B U70.5 Pattern/syndrome of water-cold invading the lung 水寒犯肺證 B U73.2 Pattern/syndrome of stomach cold 胃寒證 A U77.0 Pattern/syndrome of deficiency debilitation of the thoroughfare and conception cessels 衝任虛衰證 U77.1 Pattern/syndrome of insecurity of thoroughfare and conception vessels 衝任不固證 B U77.2 Pattern/syndrome of the deficiency cold of the thoroughfare and conception vessels 衝任虛寒證 U77.3 Pattern/syndrome of heat the thoroughfare and conception vessels 衝任熱證 A U77.4 U77.5 Pattern/syndrome of stasis and obstructing the thoroughfare and conception vessels Pattern/syndrome of stasis and wet binding the thoroughfare and conception vessels 衝任瘀阻證 衝任瘀濕凝結證 U77.6 Pattern/syndrome of dampness-wet obstructing the uterus 痰濕阻胞證 A U79.3 Pattern/syndrome of food damage to the spleen-stomach 食傷脾胃證 A U97.3 Pattern/syndrome of Taeumin dual deficiency of yin and blood 太陰人陰血耗竭證 B Type** * ICD-TM, International Classification of Diseases 11th revision beta version traditional medicine chapter; KCD, Korean Standard Classification of Diseases ** A, there exist similar concepts in ICD-TM; B, there exist broader or narrower concepts in ICD-TM; C, there exist no comparable concept in ICD-TM B A B B 63

18 TheAcupunctureVol.32No.4December ICD-TM 과 KCD-7 표제어 일치성 분석 ICD-TM 과 KCD-7 상병명을비교했을때표제및분류가모두일치하는경우 95회, 분류의차이를보이는경우 70회, 표제의차이를보이는경우 4회였으며, 표제및분류가모두차이를보이는경우는 56회였다. KCD-7 에있으나 ICD-TM 에없는분류개념은 14개 (Table 7), 표제어는 24개 (Table 8) 였다. KCD-7 은 KCD-6 에비해한의고유상병표제어의숫자가감소했다. ICD-TM 에있으나 KCD-7 한의고유상병에없는표제어는 208 개였다. Table7.ClassificationconceptsofKCD-7thatdonotexistinICD-TM* KCD-7 code KCD-7 heading KCD-7 heading U50 Disease Pattern of Six Excesses 六淫病證 A U62 Disease Pattern of Qi-Blood-Yin-Yang 氣血陰陽病證 B U64 Liver deficiency Pattern 肝虛證 B U65 Liver excess Pattern 肝實證 B U66 Heart deficiency s/syndrome 心虛證 B U67 Heart excess Pattern 心實證 B U69 Lung deficiency Pattern 肺虛證 B U70 Lung excess Pattern 肺實證 B U72 Gallbladder disease Pattern 膽病證 B U73 Stomach disease Pattern 胃病證 B U74 Large intestine disease Pattern 大腸病證 B U75 Small intestinal disease Pattern 小腸病證 B U76 Bladder disease Pattern 膀胱病證 B U77 Disease Pattern of thoroughfare, conception vessels and uterus 衝任胞宮病證 B Classification * ICD-TM, International Classification of Diseases 11th revision beta version traditional medicine chapter KCD, Korean Standard Classification of Diseases ** A, there exist similar concepts in ICD-TM B, there exist broader or narrower concepts in ICD-TM Table8.ClassificationcodesofKCD-7thatdonotexistinICD-TM KCD-7 code KCD-7 heading KCD-7 heading U50.0 Wind-cold 風寒證 A U50.1 Wind-heat 風熱證 A U50.2 Wind-dampness 風濕證 B U50.3 Cold-dampness 寒濕證 A U50.4 Dampness-heat 濕熱證 B U50.5 Cool-dryness 凉燥證 B U50.6 Warm-dryness 溫燥證 B U50.7 Pattern of extreme heat engendering wind 熱毒熾盛證 A U50.8 Summer heat stroke 暑熱上氣證 A U62.0 Yin deficiency Pattern 陰虛證 B U62.1 Yang deficiency Pattern 陽虛證 B Classification 64

19 세계보건기구 국제질병분류 11 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구 KCD-7 code KCD-7 heading KCD-7 heading U62.2 Yin collapse Pattern 亡陰證 C U62.3 Yang collapse Pattern 亡陽證 C U62.4 Pattern of dual deficiency of qi and blood 氣血兩虛證 B U62.5 Pattern of dual deficiency of yin and yang 陰陽兩虛證 B U62.6 Pattern of dual deficiency of qi and yin 氣陰兩虛證 B U63.1 Pattern of internal retention of water and fluid 水飮內停證 A U63.2 Pattern of water and dampness 水濕泛濫證 B U67.4 Pattern of phlegm confounding the orifices of the heart 痰迷心竅證 B U77.0 U77.2 Pattern of deficiency debilitation of the thoroughfare and conception cessels Pattern of the deficiency cold of the thoroughfare and conception vessels 衝任虛衰證 衝任虛寒證 U77.3 Pattern of heat the thoroughfare and conception vessels 衝任熱證 A U77.4 Pattern of stasis and obstructing the thoroughfare and conception vessels 衝任瘀阻證 U97.3 Pattern of Taeumin dual deficiency of yin and blood 太陰人陰血耗竭證 B Classification * ICD-TM, International Classification of Diseases 11th revision beta version traditional medicine chapter KCD, Korean Standard Classification of Diseases ** A, there exist similar concepts in ICD-TM B, there exist broader or narrower concepts in ICD-TM C, there exist no comparable concept in ICD-TM B A B IV. 고찰 현재 ICD-11 베타버전이개발되었으며, 그가운데전통의학국제분류 (ICTM) 가포함되어있다. 이에대한지속적인개정작업이이루어지고있다. 이러한과정에서 ICD-11 베타버전개정에대한국내의견제시, 시스템적검토, 베타버전의필드테스트, 한글판개발및보급등이이루어져야한다. 본연구는 ICD-11 베타버전한의학챕터 (ICD-TM) 의개선방안을모색하기위해수행되었다. 이를위하여 2015 년 10월 5일자버전을기준으로영문로마자표기검토가이루어졌으며, 국내표준이거나표준으로활용될예정으로고시된 KCD-6 와 KCD-7 과비교해영문표현및표제어일치성을분석했다. ICD-TM 표제어한글발음의로마자표기의경우국립국어원로마자표기법을근거로 131 개의정정안을제시하였으며이는 Table 1. 에정리하였다. ICD-TM 과 KCD-6 표제어영문표현비교검토에서총 64개의표현을비교할수있었다. 비교시기존의국제 적으로통용되는 WHO 국제한의학표준용어 (International Standard Terminologies on Traditional Medicine, IST) 를기준으로하였다. WHO IST 는전통의학에대하여표준화및근거중심이라는 2가지원칙에따라개발되었으며 15) 2007 년출간되었다. 영문표현비교결과대부분은단어선택의차이에해당하였으나이외에도한의학용어를옮기는과정에서아래와같은몇가지차이점이보였다. 첫번째는 병증 용어의표현차이였다. ICD-TM 의경우 병증 이란용어를 Patterns 라표현하였으나 KCD-6 의경우 Disease /syndrome 으로표현하였다. 예를들어, 간병증 의경우 ICD-TM 은 Liver s 로, KCD-6 의경우 Liver disease /syndrome 으로표현하였다. WHO IST 를보면 16) 병증 ( 病證 ) 을 disease 으로표현했다. KCD-7 에서도 ICD-TM 과일치되도록 병증 이라는용어를 Patterns 라표현했다. 단일개념에대해둘이상의표현즉, syndrome 의표현을허용하거나 / 와같은특수문자를이용해표현하면의사소통의정확성과검색편리성, 효율성이떨어질수있다. 65

20 TheAcupunctureVol.32No.4December2015 두번째는 육경병증 표현의차이였다. ICD-TM 의경우 육경병증 을 Six stage 로표현하였으며태양, 소양, 양명, 태음, 소음, 궐음의경우 Early yang, Middle yang, Late yang, Early yin, Middle yin, Late yin 으로표현하였으나 KCD-6 의경우각각 Six Meridians 및 Greater yang, Yang brightness, Lesser yang, Greater yin, Lesser yin, Reverting yin 으로표현하였다. WHO IST 에서는육경변증을 Six-meridian identification/syndrome differentiation 으로표현했다. 또한 태양, 소양, 양명, 태음, 소음, 궐음 의경우 Greater yang, Yang brightness, Lesser yang, Greater yin, Lesser yin, Reverting yin 으로표현했다. KCD-6 는 WHO IST 의표현을따랐다. WHO IST 의영문표현이기존에광범위하게쓰이던표현임을감안하면 ICD-TM 에서는상병의진행단계를강조하는새로운영문표현을채택한것인데, 일반적이지않은새로운표현을채택하면원활한의사소통에지장을초래할수있으므로충분히재검토해보는것이바람직할것으로사료된다. 세번째로는 위기영혈병증 표현의차이였다. ICD- TM의경우위기영혈을 Four phase 로표현한반면 KCD -6의경우 Defense-Qi-Nutrient-Blood 로표현했다. WHO IST 에서는 위기영혈변증 을 Defense, Qi, Nutrient and Blood Pattern Identification/Syndrome Differentiation 으로표현했다. 마찬가지로 ICD-TM 에서는상병의진행단계를강조하는새로운영문표현을채택한것인데, 일반적이지않은새로운표현을채택하면원활한의사소통에지장을초래할수있으므로충분히재검토해보는것이바람직할것으로사료된다. 또한 KCD-6 의표현은특수문자 - 이들어가있어정보검색시어려움을겪을우려가있다. 네번째는사상체질병증가운데사상인의표현이었다. ICD-TM 의경우태양인, 소양인, 태음인, 소음인을각각 Large yang type, Small yang type, Large yin type, Small yin type 으로표현하였으나 KCD-6 의경우한글발음의로마자표기그대로 Taeyangin, Soyangin, Taeumin, Soeumin 으로표현하였다. 사상체질변증의경우언어표현은동일하나한국한의학고유변증개념으로써육경변증개념과상이하다. KCD-6 에서한글발음의로마자표기방법을택한것은이것때문으로생각된다. WHO IST 를보면태양인, 소양인, 태음인, 소음인을각각 greater yang person, lesser yang person, greater yin person, lesser yin person 으로표현했다. ICD- TM의경우 ICD 의일반원칙에따라, qi, yin, yang 등일반영문표현으로간주되는예외적인몇개의사례를제외 하고는각국언어발음의로마자표기방식을지양하고국제적통용어로서보통영어로표현하는원칙아래개발되었다. ICD-TM 의일반원칙및기존의표준영문표현인 WHO IST 를고려하면현재의 ICD-TM 영문표현이적절한표현으로사료된다. 마지막으로 ICD-TM 은표제어영문표현에유사한증상및징후병명을그대로사용했으나 KCD-6 는영문표현에해당상병의특징을거론한사례가있다. TA46( 융폐 ), TA92( 정창 ), TB24( 붕루 ) 에서는 -disorder 라고표현했고, TA80( 비증 ), TB11( 노채 ) 등에서는 -like disorder 라고표현했다. 예를들면, TB11( 노채 ) 의경우 ICD-TM 은 Tuberculosis-like disorder 로, KCD-6 는 Fatigue and consumption 으로표현하였다. 이처럼 ICD-TM 에서 like-disorder 로기존상병명을반영하여한의고유상병을표현한경우는 12회 (TA33, TA62, TA63, TA66, TA72, TA7C, TB10, TB11, TB12, TB13, TB14, TB33) 에해당한다. 그러나기존상병명을그대로쓰게된다면한의고유상병과의개념차이가드러나지않아혼동가능성이높다. 이것은바람직한표현이라할수없다. ICD-11 은개념중심의접근을지향하고있으므로 KCD-6 의사례처럼개념차이가잘드러나도록상병의주된특징을반영하여표현하는것이바람직하다. ICD-TM 과 KCD-7 표제어의영문표현검토에서는총51 개의표현을비교할수있었다. 불일치한부분을분석해보면 KCD-6 과의비교에서처럼단어선택및한의학용어의영문표현에서차이점이보였다. KCD-7 에서는 병증 용어의표현을 Disease Pattern/syndrome 에서 Patterns 로변경했다. ICD-TM 을반영한것으로보인다. 또한 TA67( 화병 ) 의경우 ICD-TM 에서는 Fire disorder, KCD-6 에서는 Fire disease 로영문표현의일치를보였으나 KCD-7 에서는 Hwabyeong 으로한글발음의로마자표기방식을채택했다. ICD-TM 과 KCD-6, KCD-7 한의고유상병표제어의영문표현비교과정에서 ICD-TM 과 KCD-6, KCD- 7 사이에상응하는개념이공통적으로존재하는지여부도파악할수있었다. 이는국내표준분류인 KCD 내의개념이향후국제표준분류로사용되기위해개발되는 ICD 내의개념과얼마나일치되는지파악하고, 향후 ICD-11 개발완료후국내도입과정에서고려해야할사항을준비하는면에서의미가있다고생각된다. 우선 KCD-6 에만존재하고 ICD-TM 에는없는분류개념은 17개로분석되었다 (Table 5). 이가운데육음병증의경우 ICD-TM 의환경증과개념이유사하다. 간, 심, 폐병증의경우 KCD-6 은실증과허증으로더욱세분화하였 66

21 세계보건기구 국제질병분류 11 판 베타버전 중 한의학 고유 상병의 로마자 표기 및 영문표현 검토연구 고부 ( 腑 ) 병증및장부겸병증을별도로분류해놓았으나 ICD-TM 의경우장 ( 臟 ) 병증에이를포함시켜동일한개념을나타내고있었다. 또한전신질환의경우세부상병들이 ICD-TM 의기혈진액병, 감염성질환, 기타질환등에포함되어있어특이할만한차이라볼수없었다. 기혈음양병증, 충임포궁병증의경우 ICD-TM 에는기혈진액, 신병증등관련상위개념밑에분류되었다. KCD-6 에만존재하고 ICD-TM 에는없는코드의경우 110 개로분석되었다 (Table 6). 이가운데 27개코드는 ICD-TM 내에유사한개념의코드가존재하며, 75개코드는상하위개념의코드가존재한다. 나머지 8개코드의경우 KCD-6 에비해미반영된한의고유상병이라할수있다. KCD-7 에만존재하고 ICD-TM 에는없는분류개념은 14개였다 (Table 7). 이는 KCD-6 에비해기존의전신질환, 장부병증의분류체계가통합, 삭제되었기때문이다. KCD-7 에만존재하고 ICD-TM 에는없는코드의경우 24개로분석되었다 (Table 8). KCD-6 대비 KCD-7 에만있는코드의개수가줄어든것은한의고유상병코드의개수가감소한것과관련있다. 이가운데 8개코드는 ICD-TM 내에유사한개념의코드가존재하며, 14개코드는 ICD-TM 내에상하위개념의코드가존재한다. 나머지 2개코드의경우 KCD-7 에비해미반영된한의고유상병이라할수있다. 본연구는 ICD-TM 의검토과정에서개선방안을모색하기위하여수행된연구로서한국어발음로마자표기의개선안, KCD 와의표제어영문표현의차이분석, 개념의공통존재여부등을살펴보았다. 이러한분석은향후 ICD- TM의개선방향모색에유용하게활용될수있을것으로생각된다. V. 결론 ICD-TM 의검토및개선을위해국립국어원한국어문규정집의규정에따라 ICD-TM 영문로마자표기를검토하였으며, KCD 를기준으로 ICD-11 베타버전 TM chapter 용어와의비교및코드분류에미반영된부분을분석하여다음과같은결론을얻었다. 1. 국립국어원한국어문규정집의규정에따라 ICD- TM에서한국어발음의로마자표기를검토한결과 131 개의정정안을제시하였다. 2. ICD-TM 과 KCD-6 표제어의영문표현을비교한결과총 71개의표제어에서영문표현의차이를확인했고, 표제어가동일해직접비교가가능한것은 64 개였다. 3. ICD-TM 과 KCD-7 표제어의영문표현을비교한결과총 105 개의표제어에서영문표현의차이를확인했고, 표제어가동일해직접비교가가능한것은 51개였다. 4. KCD-6 한의고유상병코드중 ICD-TM 에미반영된코드는 8개로분석되었다. 5. KCD-7 한의고유상병코드중 ICD-TM 에미반영된코드는 2개로분석되었다. Ⅵ. References 1. Kim JY. Analysis of coding result in International Classification of Traditional Medicine (ICTM) to assess reliability : Pilot test [disertation]. Seoul : Kyung Hee Univ Korean. 2. WHO. ICD-11 Project Plan [Internet]. ICD-11 Joint Linearization for Mortality and Morbidity Statistics: Project Plan [updated 2015 July][cited 2015 Oct 5]. available from : 3. Kim JY. International trends in health care information terminology standard. The Magazine of the IEEK ; 40(1) : Yu KS. Standardizing Korean transliteration of foreign proper names and loan words in headings and notes in the 4th edition of KDC. Journal of Korean Library and Information Science Society ; 30(4) : WHO. ICD-11 Beta Draft [Internet]. Geneva : World Health Organization [cited 2014 October 28]. available from : 6. Kim JW. Korean Orthography of Loanwords and Romanization of Korean From the Viewpoint of Translation. The Journal of translation 67

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