医用红外热成像技术在中医辨证中的应用概述  

Overview of the Applications of Infrared Thermal Imaging Technology in TCM Syndrome Differentiation

作　　者：张慧 ZHANG Hui(Xi′an International University,Xi′an,Shaanxi,China,710077)

机构地区：[1]西安外事学院,陕西西安710077

出　　处：《河南中医》2024年第12期1926-1931,共6页Henan Traditional Chinese Medicine

摘　　要：医用红外热成像技术在中医临床辨证方面具有强大的应用潜能,具体体现在八纲辨证、脏腑辨证、经络辨证、六经辨证及证素辨证等方面,但目前的研究良莠不齐,仍存在以下问题:(1)红外热像仪操作规范性、图像分析方法、系统参数等尚无统一标准,且缺乏图谱和数据库;(2)医用红外热成像技术在中医辨证中的研究多集中在八纲辨证、脏腑辨证方面,而经络辨证、六经辨证、证素辨证等方面的研究甚少,且基于红外热成像技术的中医辨证研究都是以鉴别要点的某一物理参数进行测量比对,缺乏多参量信息群研究;(3)目前的研究都以小样本量进行测量,缺乏大样本、多中心的系统化临床研究。今后,应增加样本量,统一各项标准,拓宽研究深度,创新和完善研究方案,提高研究结果的准确性,以期阐明医用红外热成像技术在中医辨证中应用的作用机理,加强中医药可视化、可量化及客观化,促进中医药现代化发展。Infrared thermal imaging technology(IRT)holds significant potential for applications in TCM clinical syndrome differentiation,specifically in areas such as eight-principle syndrome differentiation,zang-fu organ syndrome differentiation,meridian syndrome differentiation,six-meridian syndrome differentiation,and syndrome element differentiation.However,there are still the following current challenges:(1)There is a lack of standardized protocols for operating infrared thermal imaging devices,image analysis methods,and system parameters,along with an absence of standardized image atlases and databases;(2)Most studies using IRT in TCM focus on eight-principle and zang-fu organ syndrome differentiation,with minimal studies addressing meridian,six-meridian,and syndrome element differentiation.Current research primarily measures and compares single physical parameters,rather than utilizing multi-parameter information sets;(3)Most studies rely on small sample sizes,with a lack of large-sample,multicenter systematic clinical studies.Future efforts should aim to increase sample sizes,standardize protocols,expand research depth,innovate and improve research methodologies to enhance accuracy.This approach seeks to elucidate the mechanisms of IRT in TCM syndrome differentiation,enhance the visualization,quantification,and objectivity of TCM diagnostics,and promote the modernization of TCM practices.

关 键 词：医用红外热成像技术 中医辨证 八纲辨证 脏腑辨证 经络辨证 六经辨证 证素辨证 

分 类 号：R2-03[医药卫生—中医学]