基于医案数据的中医经方传承与转化方法研究  

Research on inheritance and transformation methods of famous classical prescriptions based on medical records data

作　　者：方雨萱 邵明义[1] 张容容 赵瑞霞[1] 刘亚楠[1] 崔鸿雁 FANG Yuxuan;SHAO Mingyi*;ZHANG Rongrong;ZHAO Ruixia;LIU Yanan;CUI Hongyan(The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China;The First Clinical Medical College of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院,郑州450000 [2]河南中医药大学第一临床医学院,郑州450000

出　　处：《科技导报》2024年第21期66-72,共7页Science & Technology Review

基　　金：国家自然科学基金项目(82174529);河南省卫生健康委员会国家中医临床研究基地科研专项(2022JDZX059)。

摘　　要：通过分析经方医案在传承中的发展情况,发现存在重视个人经验总结、缺乏系统整理,现有研究模式适配低、缺乏高质量证据,显性知识传承多、隐性知识挖掘不足等问题,限制了经方的传承与发展。在真实世界研究范式下,提出以大数据技术与经方的传承相结合,通过人脑认知层次模式“数据-信息-知识-智慧”,即数据结构化、信息化,医案评价,隐性知识发掘与知识图谱呈现,最终实现经方医案的重塑与辅助决策的转化。The famous classical formulas(FCF)is a widely used prescription with definite curative effect and obvious characteristics and advantages recorded in ancient Chinese medicine books,which were accumulated with extensive human experience in clinical practice and were mostly presented in case form.By analyzing the development of FCF cases in inheritance,it was found that there were problems such as excessive emphasis on individual experience summarization,lack of systematic sorting,inappropriate matching of the current research model,lack of high-quality evidence,and insufficient exploration of tacit knowledge,which limited the inheritance and development of FCF.In the framework of real world study,the team proposed combining big data technology with the inheritance of FCF through the cognitive hierarchy model of the human brain,"data-information-knowledge-wisdom,"that is,structuring data,information,evaluating case records,uncovering tacit knowledge,and presenting knowledge maps,ultimately realizing the reconstruction of classical prescription case records and the transformation of assisted decision-making.

关 键 词：中医药 真实世界研究 大数据 经典名方 

分 类 号：TP311.13[自动化与计算机技术—计算机软件与理论] R249[自动化与计算机技术—计算机科学与技术]