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中医表型组学2.0:与数字医学的融合发展

许敏 程海波 段大跃 邵心怡 郭东更 颜晓静 王磊 杨涛 梁昊 彭清华 叶玲玉

数字中医药(英文)2025,Vol.8Issue(3):282-299,18.
数字中医药(英文)2025,Vol.8Issue(3):282-299,18.DOI:10.1016/j.dcmed.2025.09.002

中医表型组学2.0:与数字医学的融合发展

Phenomics of traditional Chinese medicine 2.0:the integration with digital medicine

许敏 1程海波 2段大跃 3邵心怡 1郭东更 4颜晓静 5王磊 5杨涛 6梁昊 7彭清华 7叶玲玉8

作者信息

  • 1. 南京中医药大学中西医结合学院,江苏 南京 210030,中国||南京中医药大学中医药表型组学研究院,江苏 南京 210030,中国
  • 2. 南京中医药大学中医药表型组学研究院,江苏 南京 210030,中国||江苏省中医药防治肿瘤协同创新中心,江苏 南京 210029,中国
  • 3. 南京中医药大学中西医结合学院,江苏 南京 210030,中国||南京中医药大学中医药表型组学研究院,江苏 南京 210030,中国||宁夏自身免疫性疾病精准医学重点实验室,宁夏回族自治区 银川 750002,中国||湖南中医药大学中医证候表型组学研究中心,湖南 长沙 410208,中国
  • 4. 宁夏自身免疫性疾病精准医学重点实验室,宁夏回族自治区 银川 750002,中国
  • 5. 南京中医药大学中医药表型组学研究院,江苏 南京 210030,中国||南京中医药大学附属常州医院,常州市孟河医派人用经验研究与转化重点实验室,江苏 常州 213003,中国
  • 6. 南京中医药大学中医药表型组学研究院,江苏 南京 210030,中国||南京中医药大学人工智能与信息技术学院,江苏 南京 210030,中国
  • 7. 湖南中医药大学中医证候表型组学研究中心,湖南 长沙 410208,中国
  • 8. 南京中医药大学中西医结合学院,江苏 南京 210030,中国||南京中医药大学中医药表型组学研究院,江苏 南京 210030,中国||湖南中医药大学中医证候表型组学研究中心,湖南 长沙 410208,中国
  • 折叠

摘要

Abstract

Modern western medicine typically focuses on treating specific symptoms or diseases,and traditional Chinese medicine(TCM)emphasizes the interconnections of the body's various systems under external environment and takes a holistic approach to preventing and treating diseases.Phenomics was initially introduced to the field of TCM in 2008 as a new discipline that studies the laws of integrated and dynamic changes of human clinical phenomes under the scope of the theories and practices of TCM based on phenomics.While TCM Phenomics 1.0 has initially established a clinical phenomic system centered on Zhenghou(a TCM defini-tion of clinical phenome),bottlenecks remain in data standardization,mechanistic interpre-tation,and precision intervention.Here,we systematically elaborates on the theoretical foun-dations,technical pathways,and future challenges of integrating digital medicine with TCM phenomics under the framework of"TCM phenomics 2.0",which is supported by digital medicine technologies such as artificial intelligence,wearable devices,medical digital twins,and multi-omics integration.This framework aims to construct a closed-loop system of"Zhenghou-Phenome-Mechanism-Intervention"and to enable the digitization,standardiza-tion,and precision of disease diagnosis and treatment.The integration of digital medicine and TCM phenomics not only promotes the modernization and scientific transformation of TCM theory and practice but also offers new paradigms for precision medicine.In practice,digital tools facilitate multi-source clinical data acquisition and standardization,while AI and big data algorithms help reveal the correlations between clinical Zhenghou phenomes and molecular mechanisms,thereby improving scientific rigor in diagnosis,efficacy evaluation,and personalized intervention.Nevertheless,challenges persist,including data quality and standardization issues,shortage of interdisciplinary talents,and insufficiency of ethical and legal regulations.Future development requires establishing national data-sharing platforms,strengthening international collaboration,fostering interdisciplinary professionals,and im-proving ethical and legal frameworks.Ultimately,this approach seeks to build a new disease identification and classification system centered on phenomes and to achieve the inheri-tance,innovation,and modernization of TCM diagnostic and therapeutic patterns.

关键词

数字医学/中医学/表型组学/中医药现代化/人工智能

Key words

Digital medicine/Traditional Chinese medicine/Phenomics/Modernization of traditional Chinese medicine/Artificial intelligence

引用本文复制引用

许敏,程海波,段大跃,邵心怡,郭东更,颜晓静,王磊,杨涛,梁昊,彭清华,叶玲玉..中医表型组学2.0:与数字医学的融合发展[J].数字中医药(英文),2025,8(3):282-299,18.

基金项目

Science and Technology strategic cooperation Programs of Luzhou Municipal People's Government and South-west Medical University(2019LZXNYD-P01DUAN),Na-tional Key R&D Program of China(2024YFC3505400),and Regional Key R&D Program of Ningxia Hui Au-tonomous Region(2024BEG01003). (2019LZXNYD-P01DUAN)

数字中医药(英文)

2096-479X

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