中医杂志2024,Vol.65Issue(15) :1555-1558,1564.DOI:10.13288/j.11-2166/r.2024.15.006

从"模糊性与精确性"探讨中医辨证诊断的智能化思路

Intelligentization of Syndrome Differentiation and Diagnosis in Traditional Chinese Medicine from the Perspective of"Ambiguity and Accuracy"

李新龙 王世华 赵欣然 张瑜 刘岩
中医杂志2024,Vol.65Issue(15) :1555-1558,1564.DOI:10.13288/j.11-2166/r.2024.15.006

从"模糊性与精确性"探讨中医辨证诊断的智能化思路

Intelligentization of Syndrome Differentiation and Diagnosis in Traditional Chinese Medicine from the Perspective of"Ambiguity and Accuracy"

李新龙 1王世华 2赵欣然 3张瑜 3刘岩1
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作者信息

  • 1. 北京中医药大学东直门医院,北京市东城区海运仓5号,100700
  • 2. 中国中医科学院中医临床基础医学研究所
  • 3. 北京中医药大学东方医院
  • 折叠

摘要

从中医诊断过程入手,对中医辨证诊断的"非标准化"现象进行剖析,提出中医通过望、闻、问、切四诊采集的症状体征信息天然地存在一定模糊性,这种模糊性可以通过对大量、多维临床数据的分析比对和综合凝练(四诊合参)得以消减,从而实现中医从模糊性四诊数据到精确性诊断结论的升华.基于上述假设,进一步提出中医辨证智能化的研究思路,即以中医师临床思维能力为核心,借助以知识图谱可视化技术为基础的人工智能技术,融合以病机为纽带的"症状-病机-证候"复杂网络关联和推理方法,通过对大量、多维、模糊性临床数据的自动分析和推理过程,从而实现中医辨证诊断的智能化.

Abstract

This paper analyzed the"non-standardization"phenomenon of syndrome differentiation in traditional Chinese medicine(TCM)from the diagnosis process.It is proposed that the symptoms and signs collected by the four examinations of inspection,listening/smelling,inquiry,and palpation naturally have a certain"ambiguity",which can be reduced by the comparison and comprehensive condensation(comprehensive analysis of the four examina-tions)of a large amount of multi-dimensional clinical data,thereby realizing the sublimation of TCM diagnosis from"ambiguity"of four examinations to"accuracy"of diagnostic conclusion.Based on the above assumptions,this paper further proposed a research idea of intelligent syndrome differentiation in TCM,that is,by taking the clinical thinking ability of TCM physicians as the core,adopting artificial intelligence technology based on knowledge graph visualiza-tion,integrating the complex network association and reasoning method of"symptom-pathogenesis-syndrome"linked by pathogenesis,and through the automatic analysis and reasoning process of a large amount of multi-dimensional and ambiguous clinical data,the intelligent TCM diagnosis based on syndrome differentiation can be realized.

关键词

中医诊断/辨证论治/人工智能/模糊性/精确性

Key words

traditional Chinese medicine diagnosis/treatment based on syndrome differentiation/artificial intelli-gence/ambiguity/accuracy

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基金项目

国家自然科学基金(82305058)

中央高校基本科研业务费专项资金项目(2024-JYB-JBZD-044)

北京中医药大学东直门医院青年后备人才计划项目(DZMG-QNHB0007)

北京中医药大学东直门医院科技创新专项(DZMKJCX-2024-010)

出版年

2024
中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
参考文献量4
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