基于推理修正的中医舌诊重要性研究思路  

Research idea on the importance of traditional Chinese medicine tongue inspection based on inference correction

作　　者：窦嘉乐 黄慧雯 吴彤 贾春华 DOU Jiale;HUANG Huiwen;WU Tong;JIA Chunhua(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;School of Basic Medical Sciences,Zhejiang Chinese Medical University,Hangzhou 310053,China;School of Basic Medical Sciences,Shaanxi University of Chinese Medicine,Xianyang 712046,China)

机构地区：[1]北京中医药大学中医学院,北京100029 [2]浙江中医药大学基础医学院 [3]陕西中医药大学基础医学院

出　　处：《北京中医药大学学报》2024年第9期1223-1228,共6页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.82074582)。

摘　　要：以往中医舌诊研究多聚焦于发展源流、临床应用及其客观化,未能重视“舌诊在中医诊断中为何重要”这一基本问题,忽略了中医诊断过程中医家大脑思维活动的主导地位。因此,应用现代认知神经科学技术,从实证研究视角探讨舌诊信息对中医诊断思维的影响,可能为未来舌诊研究开辟一条新的路径。本文提出联合应用眼动追踪和事件相关电位技术,借鉴认知心理学中文本阅读推理修正的实验范式,采集被试在中医病案阅读过程中因舌象信息变化而诱发推理修正产生的眼动及脑电波数据。该方法可以实现同步观测被试阅读过程中的关注区域及脑电波信号,经数据统计分析,为“舌诊在中医诊断中为何重要”提供认知科学证据。该研究思路融合了中医学与认知科学的理论、技术与方法,对中医认知思维研究的发展具有重要意义。Previous research on traditional Chinese medicine tongue inspection has mainly focused on its development,clinical application,and objectification,ignoring the fundamental question of"why tongue inspection is important in traditional Chinese medicine diagnosis"and neglecting the dominant role of traditional Chinese medicine brain thinking activities during diagnosis.Therefore,applying modern cognitive neuroscience technology to explore the impact of tongue inspection information on traditional Chinese medicine diagnostic thinking from an empirical research perspective may open up a new path for future tongue inspection research.This article proposes the combined application of eye tracking and event-related potential technology,drawing on the experimental paradigm of text reading inference correction in cognitive psychology,to collect eye movement and electroencephalogram data of participants induced by changes in tongue information during the reading process of traditional Chinese medicine medical records.This method can achieve synchronous observation of the focus areas and electroencephalogram signals of the subjects during the reading process,and provide cognitive scientific evidence for"why tongue inspection is important in traditional Chinese medicine diagnosis"through statistical data analysis.This research approach integrates the theories,techniques,and methods of traditional Chinese medicine and cognitive science,and is of great significance for developing cognitive thinking research in traditional Chinese medicine.

关 键 词：舌诊 推理修正 眼动追踪 事件相关电位 

分 类 号：R241.25[医药卫生—中医诊断学]