面向智能诊断探讨中医证素知识框架体系的构建  

Establishment of TCM Syndrome Elements Knowledge Framework System for Intelligent Diagnosis

作　　者：王瑞[1] 潘志强[1] 陈杰[1] 王瑜 许家佗[1] WANG Rui;PAN Zhiqiang;CHEN Jie;WANG Yu;XU Jiatuo(School of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai,201203)

机构地区：[1]上海中医药大学中医学院,上海市201203

出　　处：《中医杂志》2024年第4期341-346,共6页Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划(2017YFC1703301);上海市科委地方院校能力提升项目(21010504400)。

摘　　要：辨证论治是中医学特色诊疗概念和方法,未来实现中医智能诊断同样也需要结合辨证论治。目前中医智能诊断逐渐从单纯数据驱动的初级智能向着融合专业知识的以知识驱动为主的高级智能转变。证素辨证虽然分解了中医诊断知识要素形成证素,使原先模糊的知识信息更加具体,但是证素之间的关系并没有得到很好的分类和梳理,导致证素之间缺乏层次关系和联系,给智能技术的应用造成了一定阻碍。从中医学对发病和病机的认识,具象化中医辨证论治中病因、病位、病性的证素集合,初步形成一个逻辑关系清楚、层次明确、解释性好的证素知识框架体系,可为未来实现知识驱动的高级智能辨证提供借鉴。Syndrome differentiation and treatment is a traditional Chinese medicine(TCM)-featured concept and method in diagnosis and treatment,which needs to be combined with the intelligent diagnosis of TCM in the future.At present,the intelligent diagnosis of TCM has gradually changed from the simple data-driven primary intelligence to the knowledge-driven advanced intelligence that integrates professional knowledge.Although syndrome element differ⁃entiation breaks down the elements of TCM diagnostic knowledge to form syndrome elements,which makes the origi⁃nal vague knowledge information more specific,the relationship between syndrome elements is not well classified and sorted out,resulting in the lack of hierarchical relationship and connection between syndrome elements,and thereby causing obstacles to the application of intelligent technology.Based on the understanding of etiology and pathogenesis from TCM,this paper concretized the syndrome element set of etiology,disease location and disease nature in TCM syndrome differentiation and treatment,and formed a knowledge framework system of syndrome elements with clear logical relationship,clear hierarchy and good explanation,thereby providing certain reference for realizing knowledgedriven advanced intelligence syndrome differentiation in the future.

关 键 词：智能辨证 证素 知识框架 知识表达 病因 病位 病性 

分 类 号：R241[医药卫生—中医诊断学]