摘要
望诊作为中医四诊之首,通过观察人体整体和局部特征推断病情,在中医临床诊断体系中占据重要地位。但受到医师个人经验与技术手段制约,望诊结果往往主观性强、稳定性不足。随着科技进步,数智中医广义望诊技术应运而生,其将中医望诊经典理论与数智化技术深度融合,实现对人体神、色、形、态信息的精准采集和智能分析。基于该技术的发展构建数智中医广义望诊系统,对推进中医诊疗的客观化、精准化和智能化发展至关重要。本文提出,数智中医广义望诊系统的核心特点是以中医经典理论为根基的分析逻辑,该系统的框架设计可分为数据采集、数据处理、知识图谱与推理、报告生成和报告分析五大模块,并探讨了其在数据标注标准化、中医理论与算法融合等方面的局限性及未来发展趋势,旨在为中医精准诊断提供新范式,促进数智中医广义望诊的研究与实践。
Inspection,the foremost of the four diagnostic methods in traditional Chinese medicine(TCM),refers to a clinical approach involving observation of the body′s overall condition and specific regions to assess pathological conditions.This method holds an important position in the clinical diagnostic system of TCM.However,traditional inspection is limited by the subjectivity of physician experience and technological means,often resulting in inconsistent and subjective outcomes.With the advancement of science and technology,the generalized inspection diagnosis technology of smart TCM has emerged.This innovative approach integrates classical TCM diagnostic theories with digital-intelligent technologies,enabling accurate collection and intelligent analysis of physiological indicators related to spirit,complexion,physique,and postures.The development of a generalized inspection diagnosis system of smart TCM based on this technology is crucial for promoting the objectivity,precision intelligence of TCM diagnosis and treatment.This article proposes that the core feature of the generalized inspection diagnosis system of smart TCM is the analytical logic based on the classic theory of TCM.The framework design of the system can be divided into five modules:data acquisition,data processing,knowledge graph and reasoning,report generation,and report analysis.The limitations and future development trends in data annotation standardization,integration of TCM theory and algorithms are also discussed.The aim is to provide a new paradigm for precise diagnosis in TCM,and advance research and practical implementation of smart TCM generalized inspection.
作者
张玫
钟瑞
蒋寅
伍洲游
张晓雨
赵晨
商洪才
ZHANG Mei;ZHONG Rui;JIANG Yin;WU Zhouyou;ZHANG Xiaoyu;ZHAO Chen;SHANG Hongcai(School of Chinese Materia Medica,Beijing University of Chinese Medicine,Beijing 102488,China;Key Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing,Beijing University of Chinese Medicine,Beijing 100700,China;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China)
出处
《北京中医药大学学报》
北大核心
2025年第8期1037-1043,共7页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家重点研发计划项目(No.2022YFC3502300,No.2022YFC3502305)。
关键词
望诊
广义望诊
神色形态
数智中医
inspection
generalized inspection
spirit,complexion,physique,and postures
smart traditional Chinese medicine
