CN1804850A - Symptom and sign differentiation, diagnosis and treatment system in traditional Chinese medicine - Google Patents
Symptom and sign differentiation, diagnosis and treatment system in traditional Chinese medicine Download PDFInfo
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Abstract
The invention discloses a Chinese medicine symptoms and signs differentiation medical system, which comprises a human-machine interface, a patient information collecting system and the connected ratiocination medical system, wherein the ratiocination medical system comprises four sub systems: a factor database and its management system, a sharp database and its management system, a treatment database and its management system and a drug database and its management system.
Description
Technical field
The present invention relates to a kind of Chinese traditional medical diagnose system, specifically, relate to a kind of to distinguish that the card element is the Chinese traditional medical diagnose system of core.
Background technology
Late 1970s, having occurred a collection of was the Chinese traditional medical diagnose system of characteristics with the expert system to the beginning of the eighties, belonged to single sick certain expert's of kind diagnosis and treatment experience substantially, was not complete diagnosis and treatment system; " the Lee family's fine jade intelligent diagnosis and treatment computer " in Henan afterwards, " the logical precious traditional Chinese medicine advisory system " in Shanghai, " traditional Chinese medical science area of computer aided diagnosis and therapy system " etc., its essence belongs to retrieval, the consulting of computing machine substantially, not having the decision-making on the artificial intelligence meaning to infer, is not diagnosis and treatment truly.External expert system is limited to single sick the kind or single goal more, does not more see the Chinese traditional medical diagnose system on the pure meaning.
Summary of the invention
The object of the present invention is to provide a kind of dialectical accurately, standard, can be used for the traditional Chinese medical science syndrome elements differentiation diagnosis and therapy system of section's complete sick territory diseases such as interior, woman, youngster.
The objective of the invention is to be achieved through the following technical solutions.
Diagnosis and treatment is the characteristics and the elite of traditional Chinese medicine.To control with dialectical is prerequisite to opinion, dialectical accurately whether, closely related with the Chinese traditional medical diagnose effect.
" card " is that traditional Chinese medicine is summarized the interim pathology essence of animal economy reactiveness in the disease." dialectical " is according to tcm theory, syndrome (symptom, sign etc.) is analyzed, and determined that pathology essence-cards such as its sick position and characteristic of disease are plain, and the thinking process of cognition of the name diagnosis of coming to testify.
" card is plain " is the fundamental that constitutes " card name ", is dialectical core and key.
Therefore, syndrome is carried out comprehensive and accurate scalar quantization, quantitatively portray the diagnosis contribution degree of syndrome, the verification element carries out standard, clearly demonstrate,proving combination principle and concrete combination between element, set the plain discrimination threshold of the card that meets objective reality, is the key element of realizing the object of the invention.
Chinese medical discrimination is not as the basis of judging with indivedual precise informations, target is not to determine sick uniqueness of planting, but emphasize comprehensive collection and analysis-by-synthesis to state of an illness data, embodying " card " in all its bearings is the W-response state of body, be integrated into total pathological condition with a plurality of meticulous inadequately fuzzy messages, by diversity combination, the differentiation of basic pathology situation, constitute complicacy, the accuracy of pathology, demonstrate,prove the plain combination and embody difference from different sick positions, characteristic of disease.This is-kind of seeking differences from similarities, from slightly to the cognitive approach of essence.
Conscience spleen lung kidneys etc. are the sick position ownership of cardinal principle just, is not the accurate change of morphosis, and negative and positive of qi and blood waits characteristic of disease unusually, is the judgement to the animal economy reactiveness.Always have in the disease outside certain syndrome finds expression in, as sensation to fever and chills, diet, stool and urine, mental status have or not symptoms such as pain, dizziness, complexion, tongue picture, pulse condition or the like, these are exactly the main foundation of judging the animal economy reaction condition, thereby dialectical element can not need high-grade, precision and advanced instrument and equipment, as long as certain state of an illness data is arranged, fully uses doctor's knowledge, intelligence, from outside carry in, just can carry out dialectical.
Chinese medical discrimination is on the whole evil positive situation, the pathology essence of sick body to be made differentiation, thereby is suitable for setting up unified dialectical system, and the card type of the traditional Chinese medical science may be tens thousand of, but its card element has guiding principle to be in one's hands then less than 60.The card element is few more, the easy more grasp of doctor, and operability is big more, to embody the general character of pathology; The combination of card element is many more, can embody dialectical dirigibility, the complicated diversity of the reflection state of an illness and the individual difference of each patient's pathology.
The principle of Chinese medical discrimination is " governing exterior to infer interior ", promptly judges that according to syndrome card is plain.With the disease is certificate, dialectical from disease, and which type of syndrome is arranged, and it is plain to discern what card, inalterable principle when this is dialectical thinking.Commonly used in the past lists several common card types to certain disease, therefrom select then, perhaps according to the diagnostic criteria of certain card, apply mechanically and have or not the wherein thoughtcast of certain several symptom, though it is comparatively easy, can dwindle dialectical scope, be convenient to very not know people's application of Chinese medical discrimination, but this method of overlapping disease according to disease cover card, with card, not only do not meet the thinking principle of Chinese medical discrimination, and can not satisfy clinically the various state of an illness are carried out dialectical essence needs, dialectical result also not necessarily comprehensively, accurately.
Chinese medical discrimination is not only diagnosis, antidiastole especially, and diagnosis can be clear and definite by several standards, differentiates that then difficulty is enumerated standard.A clinical traditional Chinese medical science is wanted and can be carried out dialectical and " the logical all kinds of diseases and ailments of examining " to complete sick territory disease, and this just necessary comprehensive collection symptom is analysed in depth each symptom to relevant card diagnostic significance plain, common card type.
Card element is relatively limited, every plain syndrome feature that all has separately of card, as long as can judge accurately that card is plain when clinical, just caught the current pathology essence of pathology, with the unlimited syndrome of the plain system of limited card with demonstrate,prove, just can play and hold letter and drive numerous effect.By by the dialectical element of syndrome, be combined into the card name by the card element, this to demonstrate,prove the dialectical principle that element is a core and the elaboration of method, understand easily during study, be easy to when clinical grasp, can improve dialectical accuracy, standardization and repeatability, just can improve curative effect, and help the survival and development of whole traditional Chinese medical science science.
Syndrome elements differentiation is dialectical applicable to each all kinds of disease of section, can distinguish neatly and handle various clinical pictures.Gather various syndromes (symptom, sign etc.) by the four methods of diagnosis, its purpose all is plain in order to distinguish card, and any card name all is made of the mutual combination that sick position card is plain and the characteristic of disease card is plain, so the card element is dialectical essence and key.Though the state of an illness clinically varies, and among being in dynamically, developing, no matter the performance of syndrome is a complexity how, various, and right in dialectical angle, its essence then is nothing but the plain difference of card.No matter what disease diagnosis is, can demonstrate,prove plain distinguishing, though have clearly be which kind of disease as yet, or even the new disease that did not have originally, a GPRS plain feature and the discriminating conduct of card, still can carry out diagnosis and treatment.Any disease, disease, card (name) are all plain relevant with card, thereby the available limited unlimited syndrome and card name of the plain system of card.So syndrome elements differentiation has extensive applicability.
This according to syndrome, it is plain to differentiate card, be combined into the method for syndrome differentiation of card type, disclosed dialectical universal law, essence and characteristics, can contain the analysing and differentiating of febrile disease in accordance with the theory of the six pair of channels in the past, analysing, differentiating and judging the development of a disease by studying the four conditions of the human body, differentiation of eight principles, syndrome differentiation of zang-fu viscera, the flesh and blood of method of syndrome differentiation such as etiological analysis and differentiation, the thinking principle that more meets clinical syndrome differentiation, grasp easily during study, be convenient to operation when clinical, can distinguish neatly and handle various clinical syndromes, overcome all at all times in the past methods and used with, notion is unclear, the drawback that content is mixed, promotion can be suitable for and instruct clinical syndrome differentiation better, thereby have the six channels of ratio to the traditional Chinese medicine field, the vitality that method of syndrome differentiation such as the eight principal syndromes are stronger.
Under the above-mentioned theory thought guidance, on a large amount of Investigational bases, according to data such as the dialectical experience of document, distinguished veteran doctors of TCM at all times, investigation of clinical epidemiology, modern science and technology such as maintenance data excavation and information processing, from qualitative to quantitative, comprehensive integration has been finished from syndrome and has been distinguished that card is plain, determines the card name, determines according to the card name to cure the syndrome elements differentiation diagnosis and therapy system among the present invention of therapy and formula.
Technical scheme of the present invention is as follows:
(1) the comprehensive collection symptom is selected to determine 700-900 disease name and annotate from various clinical pathology information such as fever and chills, pain, tongue picture, pulse condition, provides the definition of operability; Light and heavy degree to symptom carries out scalar quantization.
(2) card plain determine with standard from the syndrome differential diagnosis of clinical each section, various diseases, extract the plain 45-55 item of card commonly used, comprise disease position card plain as: the heart, god's [brain], lung, spleen, liver, kidney, stomach, courage, small intestine, large intestine, bladder, uterus, chest diaphragm [part of the body cavity above the diaphragm housing the heart and lungs], the part of the body cavity below the umbilicus, housing the bladder, kidneys and bowels [lacking abdomen], table, semi-exterior-interior, channels and collaterals, skin [skin, muscle], muscles and bones [joint] etc.; And characteristic of disease card is plain as: (outward) wind, cold, heat, wet, (outward) dry, fire [heat], phlegm, drink, water stop, malnutrition due to parasitic infestation, dyspepsia, purulence, the stagnation of the circulation of vital energy, close, blood stasis, blood-head, blood are cold, the deficiency of vital energy, qi collapse, gas not consolidate, take off, the deficiency of blood, the deficiency of Yin, the deficiency of yang, yang depletion, essence [marrow] are lost, Tianjin (liquid) hinders, sun is floating, positive high, move [interior] wind, move blood etc.Each card element is carried out standard (intension that clear and definite each card is plain and extension, feature syndrome), clearly demonstrate,prove the combination principle between element, and be combined into 1400-1600 standard card name, 4500-5500 the card name of deducing.
(3) setting of the plain discrimination threshold of card is dialectical in order to realize integral body, multidimensional, multifactorial evaluation, unified discrimination threshold is set, comprise basic threshold value (can be made as 65-75), generic threshold value (can be made as 95-105), floating threshold (state of an illness kicked the beam letter, when overweight mistake is assorted, at every turn to rise or fall 8-12 as discriminant value) so that distribute the diagnosis contribution degree of each syndrome to relevant card element, common card type around the requirement of threshold value.
(4) character, the diagnostic significance of quantitatively portraying the diagnosis contribution degree different symptoms of syndrome has nothing in common with each other; Complexity according to various symptoms shows the relation that each is demonstrate,proved plain or common card type, is divided into feature disease, primary symptom, general disease or sees disease, negative disease etc.; Because a symptom often all has clinical meaning to multinomial card element, it is not man-to-man simple relation, not only each symptom verification diagnostic significance plain, the card type is inequality, and the overall clinical value after each symptom combination is also unequal, the diagnosis plain or common card of each card all needs could be clear and definite according to various clinical symptoms, therefore, must diagnosis contribution degree 700-900 syndrome is plain to 45-55 item card, a 180-220 common card type quantitatively portray, realize dialectical quantification.
(5) select corresponding therapy, master side, medicine according to dialectical result.
(6) information handling system is on the basis of above-mentioned (1)-(a 5) job, set up traditional Chinese medical science syndrome elements differentiation diagnosis and therapy system, this system comprises man-machine interface, patient information collection system and the reasoning diagnosis and therapy system that links to each other with the patient information collection system, described reasoning diagnosis and therapy system comprises four subsystems: syndrome card prime number storehouse and management system thereof, card type database and management system thereof, therapy database and management system, prescription and drug data base and management system thereof.By information handling system, with state of an illness information (syndrome) input of obtaining, by of the diagnostic value respectively weighted sum of each syndrome to relevant card element, common card, differentiate with threshold value again, to determine the card type, according to the diagnosis of card type, select corresponding therapy, master side, medicine etc. then.
Doctor's syndrome elements differentiation diagnosis and therapy system is followed the theory of traditional Chinese medical science and the law of thought among the present invention, integrate the flesh and blood of various method of syndrome differentiation in the past, founded and a kind ofly built the information technology support platform of syndrome elements differentiation and treatment to demonstrate,prove the dialectical new system that element is a core, make dialectical accurately, standard.Can be used for the Chinese medical discrimination diagnosis and the treatment of section's complete sick territory diseases such as interior, woman, youngster.
Description of drawings
Fig. 1 is the formation block scheme of one embodiment of the invention;
Fig. 2 is a diagnosis and treatment workflow diagram embodiment illustrated in fig. 1.
Embodiment
The invention will be further described below in conjunction with drawings and Examples.
With reference to Fig. 1, present embodiment comprises man-machine interface, patient information collection system and the reasoning diagnosis and therapy system that links to each other with the patient information collection system, described reasoning diagnosis and therapy system comprises four subsystems: syndrome is demonstrate,proved plain database and management system thereof, card type database and management system thereof, therapy database and management system, prescription and drug data base and management system thereof.
Comprise column data down in the syndrome card prime number storehouse: (1) 800 disease name and definition thereof; (2) card commonly used is plain 50, plain 19 of promptly sick position card: the heart, god's [brain], lung, spleen, liver, kidney, stomach, courage, small intestine, large intestine, bladder, uterus, chest diaphragm [part of the body cavity above the diaphragm housing the heart and lungs], the part of the body cavity below the umbilicus, housing the bladder, kidneys and bowels [few abdomen], table, semi-exterior-interior, channels and collaterals, skin [skin, muscle], muscles and bones [joint]; Plain 31 of characteristic of disease card: (outward) wind, cold, heat, wet, (outward) dry, fire [heat], phlegm, drink, water stop, malnutrition due to parasitic infestation, dyspepsia, purulence, the stagnation of the circulation of vital energy, close, blood stasis, blood-head, blood are cold, the deficiency of vital energy, qi collapse, gas not consolidate, take off, the deficiency of blood, the deficiency of Yin, the deficiency of yang, yang depletion, essence [marrow] are lost, Tianjin (liquid) hinders, sun is floating, positive high, move [interior] wind, move blood; Intension that each card is plain and extension, feature syndrome; Combination principle between the card element and 1500 standard card names that are combined into, a deduction card name surplus in the of 5000;
Comprise column data down in the card type database: the plain discrimination threshold of (1) card is set at 70, generic threshold value is made as 100, floating threshold (state of an illness kicked the beam letter, when overweight mistake is assorted) is at every turn rising or to fall 10 as discriminant value, so that distribute the diagnosis contribution degree of each syndrome to relevant card element, common card type around the requirement of threshold value; (2) the diagnosis contribution degree data of syndrome comprise the diagnosis contribution degree quantized data of 800 syndromes to 50 card elements, 200 common card types, as:
Dim eyesight | liver 40, kidney 20, the deficiency of Yin 20, moving wind 30, the deficiency of blood 20, semi-exterior-interior 12
Eye is dry and astringent | liver 40, kidney 20, the deficiency of Yin 25, the deficiency of blood 15
Blurred vision | liver 35, kidney 20, the deficiency of Yin 10, the deficiency of blood 20, essence loses 10
The photophobia photophobia | heat 20, liver 40, the deficiency of Yin 5, exogenous wind 25
Tinnitus cerebri | kidney 30, god 25, essence loses 25
Ear rings for a long time | kidney 40, and the deficiency of Yin 10, the deficiency of vital energy 10, essence loses 25
New sick ear is become deaf | wet 15, heat 15, table 20, liver 20, sun high 20
Long-term ear is become deaf | kidney 30, and the deficiency of Yin 10, the deficiency of vital energy 10, essence loses 25
Sneeze | exogenous wind 30, tremble with fear 20, heat 10, table 40
Stuffy nose with watery discharge | exogenous wind 20, tremble with fear 25, table 40
Through the turbid tears of permanent current | wet 5, hot 15
Larynx is itched | exogenous wind 20, tremble with fear 15, heat 10, table 20, dry 20
The foreign body in pharynx sense | phlegm 30, the deficiency of Yin 20, the stagnation of the circulation of vital energy 30, blood stasis 15
The stifled sense of gas stalk | lung 10, the heart 10, the stagnation of the circulation of vital energy 40, chest diaphragm 40
Breast is itched | wet 5, heat 5, exogenous wind 10
Spargosis | liver 40, the stagnation of the circulation of vital energy 40, blood stasis 10
Palpitaition | the heart 50, the deficiency of yang 16, the deficiency of Yin 20, the deficiency of vital energy 15, the deficiency of blood 15, chest diaphragm-30
Nervous | the heart 50, the deficiency of yang 14, the deficiency of vital energy 20, the deficiency of blood 20, refreshing 10
Palpitation | the heart 55, the deficiency of yang 30, the deficiency of vital energy 30, the deficiency of blood 10, refreshing 10
Palpitation with fear | the heart 40, the deficiency of Yin 30, the deficiency of blood 10, refreshing 30
The side of body expands | liver 50, and the stagnation of the circulation of vital energy 50, semi-exterior-interior 16, courage 30
The gastral cavity ruffian expands | stomach 40, the deficiency of vital energy 10, the stagnation of the circulation of vital energy 20, dyspepsia 20, drink 10
Gastric discomfort | stomach 40, the deficiency of Yin 20, the deficiency of vital energy 10
Abdominal distension | wet 15, spleen 20, the deficiency of vital energy 20, the stagnation of the circulation of vital energy 20, small intestine 20, large intestine 20, drink 10
Top-heavy sense | phlegm 20, liver 20, the deficiency of vital energy 10, sun high 20
Lassitude hypodynamia | wet 15, spleen 20, the deficiency of vital energy 25, heat 20, qi collapse 16, malnutrition due to parasitic infestation 10
The gas bearing down | spleen 40, the deficiency of vital energy 25, qi collapse 45
The adverse QI rushing upwards sense | liver 10, the deficiency of vital energy-50, qi collapse-30
Head covers as wraps up in | and phlegm 10, wet 35, the stagnation of the circulation of vital energy 10, table 20
Health acid [being stranded] is heavy | and phlegm 10, wet 35, the stagnation of the circulation of vital energy 15, table 20, spleen 20, heat 10, dry-20
Soreness and weakness of waist and knees | wet 10, kidney 30, the deficiency of Yin 10, the deficiency of vital energy 10, essence loses 20
Spasm of nape and back | wet 15, sun is high 20, and is cold 20, channels and collaterals 50
Dispute is numb | liver 40, and the deficiency of Yin 15, the deficiency of blood 15, moving wind 30, sun is high 5, channels and collaterals 40
Pruitus | liver 15, the deficiency of Yin 10, the deficiency of blood 25, skin 45, exogenous wind 30
Jin Ti Rou Shun | phlegm 10, wet 10, the deficiency of yang 12, moving wind 10 trembles with fear 10, skin 40
The order of severity of each symptom has that heavy in light its dialectical quantitative data is not as the criterion with moderate, if during this severe symptoms, its quantitative Diagnosis is on duty 1.5, if during this mild symptoms, then only takes advantage of 0.7;
The contained dialectical key element of each common card all should 〉=basic threshold value, get the highest common card of diagnostic value wherein as diagnosis, example:
Heart-yang syndrome of qi deficiency (containing the card wish, the deficiency of vital energy, the deficiency of yang): palpitaition 30, palpitation 30, uncomfortable in chest 10, asthma is arranged for a long time or breathe hard 10, spontaneous perspiration 10 often fears cold 20, four limbs cold 20, refreshing tired 10, lassitude hypodynamia 10, pale white complexion 10, dim complexion 10, tongue light fat 10, tongue is pale purple 10, and tongue fur is white thick 5, tongue fur lubricated 5, feeble pulse is unable 10, kank 10, arteries and veins generation 10;
Heart-fire hyperactivity card (containing the card wish, burning hot): heating 20, thirsty 10, vexed 10, insomnia 10, new sick constipation 10, the short Huang 10 of urine, flushed face 10, tongue red 10, tongue is deep red 10, tongue fur Huang 10, and arteries and veins is several 10, and leucocyte is high by 5, the oral cavity is red rots 19, stomatodynia 5, and glossalgia 10, urine is short by yellow 20, it is scorching hot 7 to urinate, the puckery pain 7 of urinating, spitting blood 17, bleeding from the gum 17, nosebleed epistaxis 17, mind is frenzied 14, delirious speech 10, coma 10;
Temper is lost asthenic symptoms (containing the plain spleen of card, the deficiency of vital energy): loss of appetite 20 of a specified duration, abdominal distension 10, food back ruffian expands 5, frequent loose stool 15, refreshing tired 10, lassitude hypodynamia 15 has asthma for a long time or breathes hard 10, and body becomes thin 10, body obesity 10, oedema 10, pale white complexion 10, sallow complexion 10, tongue is light 10, thin white fur of tongue 5, arteries and veins delays 10, feeble pulse unable 10;
Syndrome of upper hyperactivity of liver yang (contain the plain liver of card, sun is high): dizzy 20, ear rings 5 cruelly, headache 10, and distending pain or string pain 10, flushed face 10, being irritable and getting angry easily 10, insomnia 8, dreaminess 7, top-heavy sense 10, soreness and weakness of waist and knees 10, tongue is red 10, tongue fur Huang 10, arteries and veins string 10, arteries and veins really do one's bit inside 10;
Syndrome of dampness-heat of bladder (containing the plain bladder of card, wet, burning hot): new sick frequent micturition 25, urine is short by yellow 15, it is scorching hot 15 to urinate, and the puckery pain 15 of urinating has pyocyte 10, turbid urine 10 in the urine, hematuria 10, urine has sandstone 10, pain in the back 10, the pain of lower abdomen 10, heating 15, thirsty 10, tongue is red 10, tongue fur Huang 10, greasy fur on tongue 5, arteries and veins slides 10, and arteries and veins moistens 10, arteries and veins several 10.
Prescription 670 head commonly used are arranged in prescription and the drug data base, proved recipe 500 head, 720 kinds of conventional Chinese medicines (containing Chinese patent drug), and the prompting of therapy such as acupuncture is arranged.The prescription example:
Yiyin Decoction: the tuber of dwarf lilyturf 10g, root of herbaceous peony 12g, dried rhizome of rehmannia 12g, cultivated land 12g, red sage root 30g, root of bidentate achyranthes 10g, Radix Glycyrrhizae 6g
Sanjia fumai decoction: dried rhizome of rehmannia 12g, the tuber of dwarf lilyturf 10g, root of herbaceous peony 12g, honey-fried licorice root 6g, oyster 15g, turtle shell 12g, pawpaw 10g
Niuhuang Qingxin Wan: cow-bezoar 6g, cinnabar 3g, coptis 8g, root tuber of aromatic turmeric 10g, root of large-flowered skullcap 10g, mountain Cape jasmine 10g
Return the Chinese herbaceous peony Yigong San powder with marveous Effect: Radix Codonopsis 10g, bighead atractylodes rhizome 10g, Poria cocos 10g processs careless 10g, dried orange peel 10g, Radix Angelicae Sinensis 10g, root of herbaceous peony 12g, cultivated land 12g
The grey attached phlegm ball of leading: Rhizoma Pinelliae Preparata 10g, dried orange peel 10g, Poria cocos 10g, Radix Glycyrrhizae 6g, Southern Star 6g, Fructus Aurantii 10g, rhizoma atractylodis 10g, rhizoma cyperi 10g
Influenza proved recipe treatment 1: seal can restrain through proved recipe-removing summer-heat exterior heat root bark of white mulberry 9 in the river, mulberry leaf 9 grams, chrysanthemum 9 grams, the root of large-flowered skullcap 12 grams, subprostrate sophora 30 grams, cordate houttuynia 30 grams, plaster stone (being decocted first) 30 grams, loguat leaf 9 grams, reed rhizome 30 gram proved recipe treatments 2: Liu Huimin is through proved recipe-influenza defervesce soup Chinese ephedra 6 grams, windproof 9 grams, plaster stone 18 grams, rhizoma atractylodis macrocephalae 9 grams, peppermint 9 grams, notopterygium root 9 grams, the root of kudzu vine 12 grams, honey-fried licorice root 6 grams, yncaria stem with hooks 12 grams, ginger 6 grams
The medicine example:
001 Herba Sidae Rhombifoliae granule (the 10g/ bag/time, tid)
096 qingkailing injections (2～4ml/ time, bid)
101 Chinese ephedras, 102 numb suedes, 103 cassia twig, 104 Su Ye, 105 caulis perllaes, 106 schizonepeta, 107 charred schizonepetas, 108 is windproof, 109 notopterygium roots, 110 roots of Dahurain angelica, 111 Jehol Ligusticum Rhizomes, 112 roots of Chinese wild ginger, 113 hot sprouts, 114 gingers, 115 is very light blue
With reference to Fig. 2, with state of an illness information (syndrome) the input computer that obtains, analyze through the illness analysis device, by of the diagnostic value respectively weighted sum of each syndrome to relevant card element, common card, differentiate with threshold value through state of an illness diagnosis and treatment instrument again, to determine the card type, select corresponding therapy, master side, medicine etc. according to the diagnosis of card type then.
Claims (4)
1, a kind of traditional Chinese medical science syndrome elements differentiation diagnosis and therapy system, comprise man-machine interface, the patient information collection system, and the reasoning diagnosis and therapy system that links to each other with the patient information collection system, it is characterized in that described reasoning diagnosis and therapy system comprises four subsystems: syndrome is demonstrate,proved plain database and management system thereof, card type database and management system thereof, therapy database and management system thereof, prescription and drug data base and management system thereof; Described syndrome is demonstrate,proved plain database and is comprised 700-900 disease name and definition thereof, demonstrate,proves plain 45-55 item, and the plain card name 1400-1600 that combines of card, 4500-5500 of the card name of deducing; Comprise column data down in the described card type database: the plain basic threshold value 65-75 of differentiation of card, generic threshold value 95-105, floating threshold 8-12,700-900 disease name demonstrate,proved diagnosis contribution degree quantized data plain, a 180-220 common card type to the 45-55 item; During comprising, prescription and drug data base comprise column data down: master side, drug data.
2, traditional Chinese medical science syndrome elements differentiation diagnosis and therapy system according to claim 1 is characterized in that, described syndrome is demonstrate,proved plain database and comprised 800 disease names and definition thereof, plain 50 of card, 1500 of the plain card names that combines of card, 5000 of the card names of deducing.
3, traditional Chinese medical science syndrome elements differentiation diagnosis and therapy system according to claim 1 and 2, it is characterized in that, comprise column data down in the described card type database: the basic threshold value of the plain differentiation of card is 70, generic threshold value is 100, floating threshold is the diagnosis contribution degree quantized datas of 10,800 disease names to 50 card elements, 200 common card types.
4, traditional Chinese medical science syndrome elements differentiation diagnosis and therapy system according to claim 2, it is characterized in that described 50 card elements comprise plain 19 of disease position card: the heart, god's [brain], lung, spleen, liver, kidney, stomach, courage, small intestine, large intestine, bladder, uterus, chest diaphragm [part of the body cavity above the diaphragm housing the heart and lungs], the part of the body cavity below the umbilicus, housing the bladder, kidneys and bowels [lacking abdomen], table, semi-exterior-interior, channels and collaterals, skin [skin, muscle], muscles and bones [joint]; Plain 31 of characteristic of disease card: (outward) wind, cold, heat, wet, (outward) dry, fire [heat], phlegm, drink, water stop, malnutrition due to parasitic infestation, dyspepsia, purulence, the stagnation of the circulation of vital energy, close, blood stasis, blood-head, blood are cold, the deficiency of vital energy, qi collapse, gas not consolidate, take off, the deficiency of blood, the deficiency of Yin, the deficiency of yang, yang depletion, essence [marrow] are lost, Tianjin (liquid) hinders, sun is floating, positive high, move [interior] wind, move blood.
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