中医四诊技术在无症状性脾胃病中的拓展应用  

Expanded Applications of Traditional Chinese Medicine Four Examination Techniques in Asymptomatic Spleen-Stomach Diseases

作　　者：于靖文 卢泰成 李萌[1] 丁媛 秦珂馨 王少丽[1] 刘震[1] YU Jingwen;LU Taicheng;LI Meng;DING Yuan;QIN Kexin;WANG Shaoli;LIU Zhen(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,100053,Beijing;Graduate School,Beijing University of Chinese Medicine)

机构地区：[1]中国中医科学院广安门医院,北京市100053 [2]北京中医药大学研究生院

出　　处：《中医杂志》2023年第24期2511-2515,共5页Journal of Traditional Chinese Medicine

基　　金：中国中医科学院科技创新工程(CI2021A01010);首都卫生发展科研专项(首发2020-2-4152);吴阶平医学基金会临床科研专项(320.6750.2021-04-31)。

摘　　要：无症状性脾胃病是指患者无腹痛、腹胀、腹泻等相关消化道症状和体征,但经内镜、CT、MRI等现代医学技术手段发现病灶或病理改变的疾病。传统的中医四诊技术立足于患者症状与体征,既是中医学的优势也存在一定局限性。基于中医辨证论治技术愈发现代化的背景下,提出从微观辨证、数据共享、人工智能三个角度拓展四诊技术在无症状性脾胃病中的应用,以期达到动态观察疾病进程、多维度收集疾病资料、智能化处理疾病数据的目标,强化早诊断、早治疗的现代中医学的要求,扩大中医学“治于未发,先证而治”的优势。Asymptomatic spleen-stomach diseases refer to diseases without related symptoms and signs of abdominal pain,bloating,diarrhea an others in patients,but showing lesions or pathological changes discovered by modern medical techniques such as endoscopy,CT,MRI.The four examination techniques of traditional Chinese medicine(TCM)are based on symptoms and signs of patients,which are the advantage of TCM but also have certain limita⁃tions.In the context of the increasingly modernized diagnosis and treatment in TCM,it is proposed to expand the application of the four examination techniques from three aspects including microcosmic syndrome differentiation,data sharing,and artificial intelligence in asymptomatic spleen-stomach diseases,in order to achieve the goals of dynamically observing the disease process,collecting disease data in multiple dimensions,and intelligently pro⁃cessing disease data.This will strengthen the modern requirements of early diagnosis and treatment in TCM,and highlight the advantages of TCM in“treating disease before it arises and treating the symptoms beforehand”.

关 键 词：无症状性脾胃病 中医四诊 微观辨证 人工智能 数据共享 

分 类 号：R259[医药卫生—中西医结合]