基于多层网络的系统辨证脉学诊断模式探析  

Analysis of Diagnosis Model of Systematic Sphygmology for Syndrome Differentiation from Perspective of Multi-Layer Network

作　　者：王元耕 李春林[2] 王翠英 齐向华[2] WANG Yuangeng;LI Chunlin;WANG Cuiying;QI Xianghua(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shan-dong University of Traditional Chinese Medicine,Jinan 250011,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250011

出　　处：《山东中医药大学学报》2024年第5期530-535,共6页Journal of Shandong University of Traditional Chinese Medicine

基　　金：山东省重点研发计划(重大科技创新工程)项目(编号:2021LCZX06);山东省文化和旅游厅课题项目[批文号:22WL(Y)170]。

摘　　要：中医脉诊能够较为客观、全面地反映人体常变概况,但需要建立一个客观化、逻辑化的诊断模式。将多层网络的概念迁移至脉象与疾病的关系中,通过输入提取25对脉象要素节点构建时空脉象网络,在中医学知识体系指导下对节点建立连边,提取出病因层、体质个性层、心理状态层、功能失调层及结构紊乱层,最终输出对患者一般情况、病因病机及疾病演化过程的认识,从而指导临证辨治,形成以系统辨证脉学脉象要素网络为主导的疾病诊断模式。Pulse diagnosis of traditional Chinese medicine(TCM)can reflect the normal and change of human body objectively and comprehensively,but it is necessary to establish an objective and logical diagnosis model.We transferred the concept of multi-layer network to the relationship between pulse and disease.Total 25 pairs of pulse element nodes were extracted to construct the spatio-temporal pulse network.Under the guidance of the knowledge system of TCM,joints were linked up to establish relationships.Then,the etiology layer,physical personality layer,psychological state layer,dysfunction layer and structural disorder layer were extracted.Finally,the understanding of the general situation of patients,etiology and pathogenesis and disease evolution process was output,so as to guide the clinical syndrome differentiation and treatment.So the disease diagnosis model dominated by the network of pulse elements of systematic sphygmology for syndrome differentiation has been formed.

关 键 词：系统辨证脉学 时空脉象网络 脉象要素 证型 病因层 体质个性层 心理状态层 功能失调层 结构紊乱层 

分 类 号：R241.1[医药卫生—中医诊断学]