摘要内窥镜下中医辨证施治体系构建原则，是构建传统四诊辨证施治加内窥镜下延伸辨证施治的五诊辨证体系。构架可分别进行2种模式探讨，模式一是内窥镜下黏膜望诊辨证施治的单纯模式；模式二是将传统四诊辨证构架与内窥镜下望诊辨证合参为五诊辨证体系(望诊、闻诊、问诊、切诊、内窥镜下诊)，称为复合性内窥镜下延伸辨证施治模式。主要关键技术问题包括：①准确进行传统四诊合参与新的五诊合参辨证比较；②如何创建内窥镜下辨证标准和分型；③根据内窥镜下辨证施治的效果进行反馈改进。该体系在实践、理论、应用方面都是创新，将推动非内窥镜器诊的中医辨证研究。

abstractsThe aim of extended Chinese pattern differetiation method by endoscope is to establish the new system of five methods for clinical Chinese pattern differetiation system. There were two modes of the new system: the first mode is a purely Chinese pattern differentiation of inspectioin of the mucosa by endoscope, and the other mode combines the TCM four methods (inspection, listening and smelling, interrogation, pulse feeling and palpation) with endoscopic inspection method to establish the extended Chinese pattern differentiation mode by endoscope. Key technology was that: (1) how to compare the traditional four methods with the new five methods in clinic; (2) how to set up the criteria and classification of extended Chinese pattern differentiation by endoscope mode; (3) How to improve the new system with the feedback of effect of extended Chinese pattern differentiation by endoscope mode. The new system was regarded as innovative in the fields of clinical practice, TCM theory and application, and it was believed that it would promote TCM in the process of modernaization.