世界中医药Issue(11)：1463-1470,8.DOI:10.3969/j.issn.1673-7202.2014.11.015
基于认知心理学的中医辨证研究
Research of the TCM Syndrome Differentiation Based on the Cognitive Psychology
摘要
Abstract
Objective:To discuss the characteristics and the dynamic cognitive process of TCM syndrome differentiation from the per-spective of cognitive psychology.To bring to light the differences and diversities of syndrome representation among individual TCMpro-fessionals,between TCMspecialist and beginners.Methods:Questionnaire survey in cognitive psychology was used to conduct descrip-tive study on different levels of TCMprofessionals.125 subjects with different levels of TCMknowledge completed questionnaires.They were grouped in order to conduct descriptive statistics and chi-square test.Use cognitive psychology and cognitive linguistics to analyze the results.Results:1)People constantly revised their choices with the addition of the symptoms.2)The Eight Principle Pattern Identi-fication and the Differentiation of Six Channels were most widely used.3)Experts paid more attention to the diagnostic symptoms.4) Symptoms were more reference than tongue manifestation.5)The main symptoms of one pattern are more often included in the cognitive schema.6)The grouped samples has statistically significant differences (P <0.05)in 9 questions.Conclusion:Problem representation very subjective to individual TCMprofessionals,and these variations come from the accumulated knowledge and experience before.In the diagnostic process,doctors will continually amend their conclusions and assumptions with the addition of symptoms.And the more comprehensive the collection of symptoms is,the more helpful to the most accurate diagnosis.Experts draw the accurate conclusions fas-ter,but they are still relatively cautious.Actually they need to collect more comprehensive symptoms to make a conclusion.When facing with a series of symptoms,experts also tend to be more willing to focus on the symptoms which are more helpful to the diagnosis.Promi-nent words or new information are paid more attention to and will have an impact on the final conclusions.关键词
模式识别/问卷调查/问题表征/认知心理学/中医辨证Key words
Pattern Recognition/Questionnaire Survey/Problem Representation/Cognitive Psychology/TCM Syndrome Differentia-tion分类
医药卫生引用本文复制引用
朱丽颖,贾春华..基于认知心理学的中医辨证研究[J].世界中医药,2014,(11):1463-1470,8.基金项目
国家自然科学基金项目（编号81173464／H2903）“观其脉证，知犯何逆，随证治之”的认知心理学研究与动态认知逻辑刻画 （）
