中华中医药学刊2026，Vol.44Issue(8)：19-22,4.DOI:10.13193/j.issn.1673-7717.2026.08.004
基于机器学习的中医个体化辨证模式及智慧诊疗模型构建思路
Construction Strategy of Machine Learning-Based Individualized Syndrome Differentiation Model and Intelligent Diagnosis-Treatment Framework in Traditional Chinese Medicine
摘要
Abstract
Macroscopic syndrome differentiation is the foundation of the traditional Chinese medicine(TCM)diagnosis and treatment system.Through the four diagnostic methods of observation,auscultation and olfaction,inquiry and palpation,it in-tegrates and analyzes the overall state of the patient and the characteristics of the disease,"understanding the interior from the ex-terior"and"diagnosing the interior from the exterior",thus forming an overall understanding of the pathogenesis.Microscopic syndrome differentiation,by detecting microscopic indicators such as the tissue,cell,molecular and genetic levels of the patients,revealed the deep mechanism and material basis of syndromes.It is a supplement to macroscopic syndrome differentiation and al-so an important direction for the precision of traditional Chinese medicine.This paper reviewed the current research status of the objectification of TCM syndromes from the perspectives of macro and micro syndrome differentiation respectively.It proposed to establish a"macro-micro"feature correlation model through machine learning,systematically drew the knowledge graph of TCM"syndromes"and on this basis,sequentially collected disease characteristic information,accurately grasped the changes and de-velopment trends of syndromes and form clinical sequential diagnosis and treatment auxiliary decision-making.It is an effective path for traditional Chinese medicine to move towards precision medicine.关键词
机器学习/个体化辨证/智慧诊疗/宏观辨证/微观辨证Key words
machine learning/individualized diagnosis and treatment/intelligent diagnosis and treatment/macroscopic diag-nosis and treatment/microscopic diagnosis and treatment分类
医药卫生引用本文复制引用
屈馨宁,刘宏潇..基于机器学习的中医个体化辨证模式及智慧诊疗模型构建思路[J].中华中医药学刊,2026,44(8):19-22,4.基金项目
国家自然科学基金面上项目(81873292) （81873292）
中央高水平中医医院临床研究和成果转化能力提升项目(HLCMHPP2023049) （HLCMHPP2023049）
北京自然科学基金面上项目(7252264) （7252264）
北京市中医药科技发展资金重点项目(BJZYZD-2023-02) （BJZYZD-2023-02）
中国中医科学院科技创新工程重点协同攻关项目(CI2023C072YLL) （CI2023C072YLL）
