中国中医药图书情报杂志2026，Vol.50Issue(3)：47-51,5.DOI:10.3969/j.issn.2095-5707.202510055
基于案例-规则推理的中医群体证据与个体化诊疗融合决策模式构建
Construction of Decision-making Model of Integration of TCM Collective Evidence and Individualized Diagnosis and Treatment Based on Case-rule Reasoning
摘要
Abstract
Objective To construct a TCM clinical decision-making model integrating collective evidence and individualized characteristics based on a case-rule reasoning model.Method Evidence-based guidelines for TCM treatment of ischemic stroke and case literature from renowned senior TCM practitioners were retrieved.Cases included in these sources were used to construct case reasoning and rule reasoning protocols.A hybrid weighted cosine similarity algorithm was employed for case retrieval to generate a candidate pool of similar base prescriptions.Symptom-drug association analysis was conducted based on symptom and drug data,and rule-based reasoning was applied for formula modification.Following validation via intelligent review rules and clinical expert assessment,individualized TCM treatment plans were generated.Results A total of six guidelines(containing 31 cases)and 98 articles(containing 121 cases)were included,and 27 strong symptom-drug association rules were extracted.Case-rule inference was performed on extracted medical records.The results demonstrated that this model could enable the matching of base prescriptions and provide decision support for drug modification,facilitating the generation of clinical treatment plans based on the experiences of renowned senior TCM practitioners.Conclusion The case-rule integrated decision-making model can effectively enrich the theoretical framework of TCM clinical decision-making.It provides a novel pathway for systematizing the inheritance of renowned senior TCM practitioners'experience and serves as an effective tool for delivering precise clinical treatment plans tailored to individual patient characteristics.关键词
案例-规则推理/群体证据/个体化诊疗/名老中医经验Key words
case-rule reasoning/collective evidence/individualized diagnosis and treatment/experience of renowned TCM practitioners分类
医药卫生引用本文复制引用
崔唐明,周崇云,秦苏杨,白逸晨,李海燕..基于案例-规则推理的中医群体证据与个体化诊疗融合决策模式构建[J].中国中医药图书情报杂志,2026,50(3):47-51,5.基金项目
中国中医科学院科技创新工程(CI2021B002) （CI2021B002）
中国中医科学院中医药信息研究所培育中医药语言与认知人工智能重点实验室项目(ZZSYS-1901-CZ) （ZZSYS-1901-CZ）
