中医杂志2026，Vol.67Issue(1)：10-15,6.DOI:10.13288/j.11-2166/r.2026.01.002
基于程序化与流程化探讨中医"方-症"辨证思维模型的构建
Exploration on the Construction of Traditional Chinese Medicine"Formula-Symptom"Syndrome Differen-tiation Thinking Model Based on Programmatization and Proceduralization
摘要
Abstract
Based on the thinking of programmatization and proceduralization,this study integrated traditional Chinese medicine(TCM)classic theories with modern knowledge expression technologies to construct a"formula-symptom"syndrome differentiation thinking model centered on"symptom clustering-main syndrome screening-formula adaptation",and explored the standardization and intelligentization path of TCM syndrome differentiation and treat-ment.By establishing the mapping relationship model between formulas and syndromes including quantitative weight analysis of chief,deputy,assistant and envoy medicines,designing the logical hierarchical structure of formula-syndrome decision tree(application of three-level decision tree and fuzzy logic),and formulating the procedural design of four diagnostic methods(structured collection,correlation model,and dynamic correction mechanism),the stan-dardization and visualization of the syndrome differentiation process are realized.This model can be transformed into the core data set for artificial intelligence training.Through ternary knowledge graph and machine learning algo-rithms,it can improve the repeatability of syndrome differentiation and the efficiency of diagnosis and treatment,and implement the strategy of"group model+individual modification"to balance the conflict between quantification and individualization.The core value of this model lies in promoting the objectification and precision development of TCM syndrome differentiation and treatment through the integration of traditional syndrome differentiation thinking and modern system science.关键词
辨证思维模型/"方-症"辨证/主症/智能中医辅助系统Key words
syndrome differentiation thinking model/"formula-symptom"differentiation/primary symptom/intelligent traditional Chinese medicine auxiliary system引用本文复制引用
姚渊,李昕潼,马晓北..基于程序化与流程化探讨中医"方-症"辨证思维模型的构建[J].中医杂志,2026,67(1):10-15,6.基金项目
中国中医科学院基本科研业务费(ZZ18-XRZ-086) （ZZ18-XRZ-086）
