中医辨证定量化的思路  

A Train of Thought for the Quantification of Syndrome Differentiation in Traditional Chinese Medicine(TCM)

作　　者：梁俊雄[1] 

机构地区：[1]中山医科大学孙逸仙纪念医院

出　　处：《广州中医药大学学报》1997年第1期5-8,共4页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：中医辨证的过程就是以中医理论为基础，根据临床的证候表现，推断出某证。这个过程用数学方法进行模拟，就是建立相应的数学模型，代入自变量（证候），求出函数，根据函数的值而得出辨证的结果。用信息分析方法可以评价各证候的诊断贡献率，对变量进行精简，并以此为基础对各证候进行赋权，参考粟氏的症状赋权法建立辨证的隶属函数，根据实际情况确立一阈值，根据函数值的大小确认辨证的结果。可以使用计算机数据库管理技术整理、分析获得的原始资料。The process of syndrome differentiation in TCM is to establish a diagnosis in accordance with clinical manifestations analyzed by TCM principle. This process can be simulated by means of mathematical approach, i.e. to establish the corresponding mathematical model. The result of syndrome differentiation can be obtained from the value of functions which are desired from the substitution of arguments with clinical manifestations. The diagnosis contribution rate of each symptom and sign can be evaluated and analyzed by the message analysis method, and the variat es can be simplified according to the diagnosis contribution rate. Each sympton and sign can be assigned a weight on the basis of its diagnosis contribution rate. The attaching function of syndrome diferentiation can be established with the weight-assigned method, and a threshold value can be set correspondingly. The result of syndrome differentiation can be confirmed according to the attaching functional value. The primary data can be sorted out and analyzed and the mathematical model eatablished with the computer data base management system.

关 键 词：中医现代化 辨证 标准 

分 类 号：R2－03[医药卫生—中医学]