CN102813555A - Traditional Chinese medicine disease dialectical diagnostic system - Google Patents

Abstract

The invention discloses a traditional Chinese medicine dialectical diagnostic system which includes: firstly concluding and tidying up disease data including special disease names, part classifications, symptom descriptions, possible factors and the like and traditional Chinese medicine dialectical conclusions including symptom data like pathogenesis, properties, positions, healthy energy-evil relationships, clinical expressions and cause analysis, building a structural relationship between the disease data and the symptom data to form a structural diagnostic data relationship; calculating various dialectical symptom conclusions including eight principles, vital energy and blood, viscera and the like through a recursion dialectical diagnosis algorithm by combining principle disease input of users so as to assist diagnosis; and accumulating disease data through a self learning system. The traditional Chinese medicine dialectical diagnostic system can study symptoms in a comprehensive and integral mode.

Description

A kind of disease of tcm syndrome differential diagnosis system

Technical field

The present invention relates to a kind of traditional Chinese medical science disease syndrome differential diagnosis system.

Background technology

Tcm diagnosis is a systematic science, is comprehensive with whole natural science.Chinese medicine is thought, exists interactional relation and causal connection between the things, and human body is an organic whole, and partial pathological changes can produce the pathological reaction of general.Therefore, though the pathology that disease changes essence Tibetans in " interior ", must have certain symptom, sign to be reflected in " outward ", the pathological changes of integral body disease from many aspects shows.Tcm diagnosis is to be reflected in outer various disease phenomenons through investigating it, analyzes the phase scenario of knowing its intrinsic disease.Tcm diagnosis is the clinical empirical accumulation of diagnosing a disease of ancient Chinese medicine doctor, and its theory and method origin are very early.The first five century in Christian era, famous Bian Que of doctor family just diagnosed a disease with behaviours such as " feel the pulse, hope color, listen sound, write (still examining) shape ".In Huangdi's Internal Classics and Difficult Classic, establish the theoretical basis and the method for watching from a height or a distance, hear, ask, cutting the four diagnostic methods, and four diagnostic methods final purpose is exactly to confirm disease.Here " disease " is exactly that disease acts on human body and the symptom that shows, and disease is like aversion to cold, heating, lossless, globus hystericus etc.The Western Jin Dynasty Wang Shuhe Pulse Classic; " typhoid fever is seen tongue heart method " of Ming Dynasty's Shen bucket wall; " ear is examined and auriculotherapy " of modern Hong Kong people Feng Tianyin; And diagnostic methods such as Wang Chenxia " palmmprints diagnose a disease practical collection of illustrative plates " all done detailed disease analysis according to a certain type of disease or a certain local disease of human body and known the inside of human body pathological changes, thereby formed various traditional Chinese medical science schools.These class methods have dialectical science one side, promptly know whole disease clearly with local symptom, also have the limitation to disease cognitive, lack whole the sight, run counter to the comprehensive method of thinking of traditional Chinese medical science system.Because human body is an organic whole; Possibly occur with a kind of disease possibly be that the various disease effect produces; Only confirm to cause the inaccurate generation of diagnosis bigoted in the diagnostic procedure according to a certain local symptom; The comprehensive disease characteristic that has of comprehensive review patient, determination of cause of disease according to differentiation of symptoms and signs is avoided because cause mistaken diagnosis to disease understanding is unilateral.Close examination is each tame diagnostic method at all times, has all conscientiously described disease feature identification and the basic cause analysis be good at separately.Therefore with each family at all times to the definition of disease with analyze as the basis, and in addition analysis and arrangement is sorted out just can form one comparatively comprehensively conditions of human body is whole and is seen, these data also can constantly be replenished renewal and satisfied Times'Demand.

Here for doing a little traditional Chinese medical science explanations with " disease " word of " disease " unisonance: " disease " is a peculiar notion of Chinese medicine.On the history of Chinese medicine and in the modern document, not too unified with use for the notion of " disease ", having mixed is the symptom with the card.The present age, Chinese medicine was for the agreement of " disease ": " disease " is that the pathologic that sick position, cause of disease characteristic of disease and the patient's condition etc. in certain (current) stage of living in the lysis are done is summarized.Card is comprehensive to paathogenic factor and body reaction two aspect situation, is the conclusion that the current essence of disease is done, and comprises notions such as card name, syndrome, pattern of syndrome.With essence such as the sick position of disease current generation, characteristic of diseases, summarize a diagnosis name, Here it is " disease name ".Like syndrome of phlegm-heat obstructing lung, syndrome of stagnation of liver qi and spleen deficiency, syndrome of WEI system, syndrome of yang deficiency of spleen and kidney, syndrome of dampness-heat of bladder, syndrome of blood stasis blocking brain etc., be the disease name.This " card " non-those " diseases " on the whole, this " card " is the conclusion that shrewd by examining " disease " post analysis draws, and is that Chinese medicine is summarized to the pathology of certain phase disease progression, is the foundation that instructs later stage traditional Chinese medical science Shi Zhi, i.e. " verification prescribe medicine ".

Summary of the invention

The objective of the invention is to the disease of tcm syndrome differential diagnosis system that provides a kind of comprehensive integral body to investigate disease.

For solving the problems of the technologies described above; The present invention adopts following technical scheme: the dialectical diagnostic system of a kind of disease of tcm: at first the proprietary disease title of induction-arrangement, position classification, symptom describe, maybe the origin cause of formation etc. the conclusion of disease data and Chinese medical discrimination: comprise the cause of disease, character, position, evil positive relationship and disease data such as clinical manifestation and genetic analysis; And set up the structured relations between disease data and the disease data, form structuring diagnostic data relation; Combine main suit's disease input of user again, draw multiple dialectical disease conclusions such as the eight guiding principles for diagnosis, QI and blood, internal organs through recurrence syndrome differential diagnosis algorithm, with auxiliary diagnosis; And through self-teaching system accumulation disease data;

The disease data are through several thousand kinds of known diseases are edited, put in order; Every kind of disease includes information such as position, title, performance and the origin cause of formation, flexible strategy, auxiliary key word;

The disease data come from the disease conclusion that multiple method of syndrome differentiation drew of Chinese medical discrimination; Chinese medical discrimination is superclass with negative and positive, divides differential diagnosis in terms of eight principles, determining the pathogenesis of ZANG-FU disease based on the differentiation of symptoms and signs, the differentiation of qi-blood-body fluid, differentiation of febrile diseases in accordance with the theory of the six meridians, differentiation of syndromes in seasonal febrile diseases according to four phases, differentiation of syndrome according to the pathgenesis of SAN JIAO, differentiation of syndromes of meridian etc.;

Recurrence syndrome differential diagnosis algorithm is feeling and outward manifestation according to the patient mainly; The various disease data (state of an illness data) that the four diagnostic methods obtained are input to disease of tcm syndrome differential diagnosis engine; Engine carries out data to the structured relations of the data of input and disease data of setting up in advance and disease data and reviews; If input data deficiencies; The engine guided bone provides the associated conditions data that possibly occur, continue dialectical with recursion method determination of cause of disease according to differentiation of symptoms and signs repeatedly, the final understanding that forms patient's integrality (disease conclusion);

The self-teaching system comprises on-line study and off-line training dual mode.On-line study is after each diagnosis is accomplished, and system will add 1 to the frequency of the disease data in this diagnosis, and increases the disease empirical value coefficient in the structured relations data matrix of corresponding disease data and disease data; Off-line training is regularly to arrange Traditional Chinese Medicine experts manual calibration system data, removes invalid data to ensure the reliability of data.

When the present invention uses:

1, disease data

Disease data of the present invention are that several thousand kinds of known diseases are edited, and require to put in order one by one according to the data format of this tcm diagnosis system.Every kind of disease comprises information such as position, title, performance and the origin cause of formation, flexible strategy, auxiliary key word.Be exemplified below:

Disease title: backache

Happening part: the back of the body

The performance and the origin cause of formation: conscious back pain, the back of the body refer on the trunk rear portion flat big vertebra, down to the position of season rib.Back pain due to cold and dampness can not block or multi-pitch Du injury; backache even more due to cold items off in the sun by Yu; shoulder pain usually caused by alpine block, meridians disadvantage.In addition, evil stagnating heart meridian such as expectorant, the stasis of blood also possibly cause the vexed pain in back.

Disease flexible strategy: XX

Auxiliary Keywords: back pain, can not pitch, alpine block, Du injury, back pain related items, cold, sun by Yu, cold block, meridians unfavorable, phlegm, blocked heart vessel.

The disease title standard of will seeking unification accomplishes that as far as possible a symptom noun represents a kind of disease, avoids a speech to represent multiple symptom.Because every kind of disease all is the least member in the disease array, if polysemy is not easy to the management of disease data, the similar phenomenon of various disease conditions speech can appear.

The happening part of disease is indicated, is convenient to classification searching.

The performance and the origin cause of formation are understood the affirmation disease as the detailed description to this disease to help the doctor.Because the disease speech is relatively summarized, and needs the detailed description of disease and basic cause analysis just to help to understand disease, with accurate affirmation disease.

The disease flexible strategy are same disease empirical value arrays in different diseases.Flexible strategy are not a numerical coefficient, but one group of experience digit coefficient, for example " headache " disease is violated the lung card at syndrome of blood stasis blocking brain, wind and cold, the long-pending flexible strategy of containing card of liver-fire are respectively 2,5,4.These flexible strategy are the values after carrying out Mathematical treatment according to " headache " number of times that the patient occurs in these disease diagnosis, and the initial stage can be Traditional Chinese Medicine experts according to experience setting separately.Come into operation along with of the present invention; Self learning system among the present invention numerical value of will accumulating experience gradually; This empirical accumulation not only promotes the accuracy and the practicality of the present invention's diagnosis, and the statistical analysis that it produced is worth and is having more far reaching significance aspect disease control, the disease prevention.This empirical data is not only delineated out human body which disease after receiving the disease effect to be easy to occur, and which disease can be given prominence to appearance etc. during certain.

Auxiliary key word is convenient to the doctor and is carried out broad sense inquiry disease.

2, disease data

Disease data of the present invention come from the disease conclusion that multiple method of syndrome differentiation drew of Chinese medical discrimination.Chinese medical discrimination is superclass with negative and positive, divides differential diagnosis in terms of eight principles, determining the pathogenesis of ZANG-FU disease based on the differentiation of symptoms and signs, the differentiation of qi-blood-body fluid, differentiation of febrile diseases in accordance with the theory of the six meridians, differentiation of syndromes in seasonal febrile diseases according to four phases, differentiation of syndrome according to the pathgenesis of SAN JIAO, differentiation of syndromes of meridian etc.The about hundreds of kind of the dialectical thus disease conclusion that draws.For example draw according to determining the pathogenesis of ZANG-FU disease based on the differentiation of symptoms and signs

Disease title: syndrome of yang deficiency of spleen and kidney

Clinical manifestations: lassitude, abdominal Leng Tong, chills, cold limbs, long vent Jiu Li, or Diarrhoea, end grain is not based, then quality cold, or edema, dysuria, Koushi white, pale tongue, moss white slip, weak pulse delay.

Disease is analyzed: assertive evidence is many by chronic diarrhea and dysentery, the damage of spleen sun, the kidney yang of can not supplementing nutrition; Or pathogenic water occupies for a long time, and kidney yang is impaired, can not warm spleen sun, and cause spleen kidney yang gas to damage simultaneously, to give birth in the deficiency and coldness, temperatureization is had no right, indigestion, water retention.Spleen deficiency, transportation and transformation, absorption and excretion of two cereal essence will feature dereliction of duty, you see more than a long vent chronic dysentery; does not maturity Mizutani, then see the end grain is not based, stool cold; Mao Yin turn chi heyday, yang is not complex, Vital Huoshuai, chill stagnate, then the pre-dawn abdominal pain, diarrhea, called just before dawn vent; spleen deficiency, not warm liquid water, overflows skin, compared with edema, urine deficient; lassitude lost in the temperature dependent, so the waist Leng Tong; chill Sheng Yang, qi stagnation, so abdominal Leng Tong; Yang and not very inviting body, then chills; yang water pan, facial swelling, so Koushi white; pale tongue, white coating slip, weak pulse delay, both Yang and cold water within the stop of the levy.Assertive evidence is seen altogether with the deficiency and coldness symptom with chronic diarrhea and dysentery, edema, waist abdomen cold type of pain etc. and is dialectical main foundation.Syndrome of yang deficiency of spleen and kidney and syndrome of yang deficiency of heart and kidney all have deficiency and coldness syndromes such as aversion to cold and cold limbs, light red tongue are fat, white, slippery and moist fur, and the performance of insufficiency of kidney-YANG retention of water-damp in the bodys such as the acid of waist knee joint is cold, dysuria, edema is arranged.But the former also has the performance of deficiency of spleen-YANG such as chronic diarrhea and dysentery, aqueous-grainy diarrhea, failure of the spleen to transport and transform; Latter's flaccidity of the heart-yang such as then cardiopalmus severe palpitation, asthma uncomfortable in chest, face purple lip be dark, the symptom of hematogenous blockage is outstanding.

Disease Keywords: back pain, abdominal pain, cold pain, aversion to cold, long vent Jiu Li, Diarrhoea, end grain is not based, limb swelling, urine deficient, Koushi white, pale and tender tongue, white coating slip, pulse, pulse weak.

Disease flexible strategy: XX

Disease is exactly the data collected according to the four diagnostic methods, through analyze, comprehensive, the conclusion of certain character is summarized, is judged as at the cause of disease, character, the position of differentiating disease, and evil relation between just.

Clinical manifestation and genetic analysis are the detailed descriptions to this kind disease, are convenient to further contrast the state of an illness.

The number of times that the disease flexible strategy occur in diagnosis through this kind of Mathematical treatment disease.Say it is the probability that this kind disease takes place from the statistical significance, the understanding and the control of the state of an illness is had great significance.

The disease key word is that this kind disease acts on the issuable disease tabulation of human body.Every kind of disease title all is to put in order through standard in the tabulation, all is corresponding with the disease data, is convenient to when the syndrome differential diagnosis engine uses, search.Say that from data structure disease variable matrix of each disease and a disease empirical value matrix show.Being that each disease all is to be element with the disease, is the Multidimensional numerical of flexible strategy with the empirical value.

3, recurrence syndrome differential diagnosis algorithm

Chinese medicine is in examination during the patient, mainly according to the feeling and outward manifestation of patient, the various fuzzy messages (state of an illness data) that the four diagnostic methods obtained carried out analysis-by-synthesis, forms the understanding to patient's integrality (syndrome); This integral body, dynamic idea are embodied in emphasis in the diagnosis and lay particular emphasis on dialectically, demonstrate the remarkable thought of the traditional Chinese medical science aspect medical practice.

In tcm diagnosis, a certain symptom of unilateral concern will inevitably reduce the accuracy of diagnosis, even causes the mistaken diagnosis mistake to examine.Symptoms such as the visible aversion to cold of flu, heating, head-body-pain for example, the sick genus at table.But, often show as two kinds of different cards of anemofrigid cold and anemopyretic cold again because paathogenic factor and reactivity of organism is different.Have only further distinguish whether have laryngopharynx swelling and pain, symptom such as snivel, the turbid tears of stream; Just can know wind and cold or wind heat; Could confirm to select for use relieving the exterior syndrome with drugs of pungent in flavor and warm in nature still is the relieving the exterior syndrome with drugs of pungent in flavor and cool in nature methods; Give appropriate efficacious therapy, rather than the part of simple " see heat bring down a fever " " treating the head when the head aches " method of suiting the medicine to the illness.

For example heating is a kind of common symptom, and ancient medicine thinks that heating is meant that patient is conscious heating sense is arranged, or the doctor perceives in the examination patient procedure heating is arranged, and also comprises now referring to the fervescence overrun.No matter heating all can appear in fever caused by exogenous pathogenic factors, or miscellaneous diseases caused by endogenous pathogens.Only febrile conditions can't be diagnosed disease, need investigate the patient and whether just can confirm different diseases with other diseases.

Situation one: heating, aversion to cold

Be meant heating simultaneously with aversion to cold, promptly fever with chills simultaneously and see (aversion to cold and aversion to wind all are the symptoms of being afraid of cold, and character is identical, and just degree has the branch of weight, and aversion to cold is heavy, and aversion to wind is light), it is one of main foundation of diagnosing exterior syndrome.Fever with chills is common in the fever caused by exogenous pathogenic factors, exopathogen invasion and attack body surfaces such as all wind, cold, summer-heat, wet, dry, fire, and human body is defended gas and is received heresy, defends gas to be held back, and warm miopragia is aversion to cold or aversion to wind then, and it is anti-evil to defend gas, and heresy is just disaccording and is then generating heat.Remove these two kinds of diseases of fever with chills, whether must distinguish and just can examine the exterior syndrome disease of distinguishing different also with other diseases.

● the fever with chills companioned with headache, spontaneous perspiration, the floating and moderate pulse person is a syndrome of affection of TAI YANG by wind, differential diagnosis in terms of eight principles belongs to exterior cold syndrome.Be the exterior attacked by wind and cold, due to the disharmony of nutrient QI with defensive QI.

● the fever with chills companioned with headache, general pain, arthralgia, lossless, the floating and tense pulse person is a syndrome of exterior-cold of TAI YANG, differential diagnosis in terms of eight principles also belongs to exterior cold syndrome.Be the exterior attacked by wind and cold, due to the stagnation of nutrient QI and YIN-fluid.

● fever with chills or micro evil wind are cold, and companioned with headache is thirsty, cough, and the red and swollen pain of pharynx, tongue tip side of red, the floating and rapid pulse person is a syndrome of WEI system.Differential diagnosis in terms of eight principles belongs to exterior heat syndrome.Attack table for warm heresy, lung is defended and is received due to the heresy.

● fever with chills companion indistinctive fever, afternoon heat is very had a headache, heavy sensation of the body, uncomfortable in chest easypro, tongue is greasy in vain, and arteries and veins scholar is delayed the person, is the wet syndrome of WEI system of holding back.For the damp invasion and attack, defend gas and receive due to the heresy.

● fever with chills is had a headache, hypohidrosis, and dry cough, no expectorant or expectorant are few and sticking, and dryness in the nasal cavity is thirsty, dry pharynx, the red tongue tongue is white, and rapid pulse is sent out in the person in autumn, is that pathogenic dryness is violated exterior syndrome.Be the pathogenic dryness invasion and attack, lung is defended and is received due to the heresy, and the difference of warm-dryness syndrome and cool-dryness is arranged.

● fever with chills or micro evil wind are cold, companion's heavy sensation of the body, and pain, sweating, thirsty, pulse being stringy,thready,hollow and slow is sent out in the person in summer, is that pathogenic summer-heat is violated exterior syndrome.For the pathogenic summer-heat invasion and attack, defend gas and receive due to the heresy.

Situation two: high fever

Claim hyperpyrexia again.Be meant that heating is higher, calorific potential more very.Often do not accompany aversion to cold and fear of heat on the contrary, claim " fever without chill " or " fever of the body, not aversion to cold fear of heat on the contrary " again.Be one of cardinal symptom of interior-excess heat syndrome, just struggling against due to the fierceness, be common in the intermediary and later stages of fever caused by exogenous pathogenic factors for heresy.Whether must distinguish and just can accurately distinguish disease also with other diseases.

● high fever companion hyperhidrosis, flushed complexion, thirst and liking cold drink, red tongue with yellow fur, full and large pulse or sliding number person are YANG MING meridian syndrome and syndrome in QI system.Due to excessive heat in the QI system of YANG MING.

● high fever companion unconsciousness and delirium, or in silence muddle-headed, and stiffness of the tongue cold of the limbs person is the pericardium card.For heat falls into pericardium, due to the mind is disturbed.

● high fever companioned with headache feeling of fullness in the head, brothers are restless, dry mouth with parched lips, the coma of very then twitching, red tongue with yellow fur is dry, and the wiry and frequent pulse person is a syndrome of stirring wind due to intense heat.For the intenseness of heat mind is disturbed, due to the Jin Shangjinmai mistake is supported.

● high fever night very, companioned with headache, thirsty, the skin macule is indistinct or appear, or hematemesis hematochezia, crimson tongue, yellow fur, the rapid pulse person is a syndrome of flaring heat in qifen and xuefen.Be excessive heat in the interior, nutrient blood is disturbed, due to the bleeding due to blood-heat.

● high fever companion chest pain, uncomfortable in chest, cough, abundant expectoration yellow skin or thickness, red tongue with yellowish and greasy fur, the slippery and rapid pulse person is the accumulatiorn of pathogenic heat in the lung card.Be accumulatiorn of pathogenic heat in the lung, due to the impaired depurative descending of lung QI.

Situation three: hectic fever

Be meant that heating has regularly phenomenon, or the patient of heating, to its calorific potential rising of regular hour.Due to heresy just struggling against, both be found in fever caused by exogenous pathogenic factors, be found in miscellaneous diseases caused by endogenous pathogens again.Whether must distinguish and just can accurately distinguish disease also with other diseases.

● hectic fever is sent out a few days ago, with abdominal distention stomachache, and constipation, or diarrhea, vexed, delirium, red tongue, dry, rough and yellow fur, the deep-forceful pulse person is a YANG MING FU-organ syndrome.Be intense heat of YANG MING, the intestines and stomach has due to the pathogens agglomerating of excess-heat gathers.

● hectic fever in the afternoon, indistinctive fever, companion's heaviness sensation over the head and body, feeling of oppression and fullness in the chest and epigastrium, the abdominal distention loose stool, feeling thirst but no desire to drink, nausea, thick fur is greasy, and the soft and rapid pulse person is the damp and hot syndrome in QI system of being reluctant to leave.Be the damp and hot edema caused by disorder of QI of being reluctant to leave, due to the retention of heat due to blockage of dampness

● hectic fever in the afternoon, companion's flushed cheeks, dry mouth and throat, feverish sensation in the palms and soles is far more than that brothers carry on the back, spiritlessness and weakness is vexed, red tongue with a little fluid, the thready and rapid pulse person is a syndrome of endogenous heat due to yin deficiency.For waste heat not to the greatest extent, due to the interior-heat caused by deficiency of YIN.

● hectic fever in the afternoon, the few expectorant of companion's dry cough, insomnia, night sweat, dizziness and tinnitus, dysphoria with feverish sensation in the chest palms and soles, red tongue with a little fluid, tongue is few, and the thready and rapid pulse person is a syndrome of yin deficiency of lung and kidney.Be YIN-deficiency of the lung and kidney, due to body fluid loses.

Situation four: alternate attacks of chills and fever

Be meant that heating and aversion to cold alternately occur.Be that adstante febre can not help aversion to cold, unconsciously heating during aversion to cold, both alternately occur.Due to heresy just struggling against, be common in the fever caused by exogenous pathogenic factors.Whether must distinguish and just can accurately distinguish disease also with other diseases.

● alternate attacks of chills and fever, companion's feeling of fullness and disecomfort in the chest and hypochondrium, reluctant to speak and eat, vexation and vomiting, bitter taste, dry pharynx, dizzy, the stringy and thready pulse person is a SHAO YANG syndrome.Be the few sun of evil people, due to the struggle between vital QI and pathogen.

● alternate attacks of chills and fever, very then hyperpyrexia shiver with cold, symptoms appearing at certain intervals, limb aching pain, the whole body is weak, headache, thirst and drinking, cool skin is moved back in the antiperspirant after heat, outbreak repeatedly, the stringy pulse person is the malaria disease.For pathogen of malaria is invaded, due to heresy is just disaccording.

Situation five: dysphoria with smothery sensation

Be meant that heating is with symptoms such as dysphoria.Fever caused by exogenous pathogenic factors and miscellaneous diseases caused by endogenous pathogens all can occur.Whether must further distinguish and just can accurately distinguish disease also with other diseases.

● dysphoria with smothery sensation companion chest and diaphragm is scorching hot, feeling of vexation, and dysphoria, xerostomia desire drink, red tongue with yellow fur is dry, and the rapid pulse person is a syndrome of chest and diaphragm disturbed by heat.Stay for pathogenic heat and to disturb due to the septum pectorale.

● companion's sleeplessness due to fever, vexed, insomnia, red tongue, yellow fur, the thready and rapid pulse person is a syndrome of hyperactivity of fire due to deficiency of YIN.Be deficiency of the kidney yin, due to heart-fire is high.

Situation six: slight fever

Be meant that heating is not high, calorific potential is not very.Be common in fever caused by exogenous pathogenic factors convalescent period or miscellaneous diseases caused by endogenous pathogens, must further distinguish disease.

● slight fever, the few expectorant of companion's dry cough, dry mouth and tougue, red tongue with a little fluid, the deficient pulse person is exterior syndrome convalescent period, the lung stomach-Yin is hindered card.For pathogenic heat not. to the greatest extent, due to the lung stomach-Yin is hindered.

● slight fever, do not move back for a long time, feverish sensation in the palms and soles, dry mouth and throat, spiritlessness and weakness, deep red tongue, few tongue, the deficient and rapid pulse person is the fever caused by exogenous pathogenic factors later stage, the cloudy card of hindering of Liver and kidney.Not most for surplus heresy, due to Liver and kidney the moon is hindered.

● slight fever, the tired back of being everlasting takes place, or the aggravation of tired back, outbreak repeatedly, companion's spiritlessness and weakness, vexed, deficiency of QI with disinclination to talk, spontaneous perspiration, lack of appetite, light red tongue, the deficient pulse person is a syndrome of fever due to qi deficiency.Be weakness of the spleen and stomach, due to the deficiency of QI in middle-JIAO.

Therefore when running into the fever patient, must adopt the dialectical method of recurrence disease, confirm patient main suit one by one, finally confirm disease.

4, self learning system

Self learning system of the present invention comprises on-line study and off-line training dual mode.On-line study is after each diagnosis is accomplished, and system will add 1 to the main suit's disease frequency in this diagnosis, after algorithm process, increases in the corresponding disease empirical value coefficient.So each diagnosis all is that native system provides valuable data accumulation, and along with the continuous increase of data, the accuracy of diagnosis will inevitably improve, and the value of this system also can continue accumulation.Off-line training is regularly to arrange Traditional Chinese Medicine experts manual calibration system data, removes invalid data to ensure the reliability of data.

Self learning system among the present invention numerical value of will accumulating experience gradually, this empirical accumulation not only promote the accuracy and the practicality of the present invention's diagnosis, and the statistical analysis that it produced is worth and is having more far reaching significance aspect disease control, the disease prevention.

Beneficial effect of the present invention: the traditional Chinese medical science quintessence of Chinese culture, historical of long standing and well established, contain the knowledge extensive knowledge and profound scholarship, the institute in non-all one's life learns and can reach, and therefore each school is respectively specialized at all times, on a certain local disease, forms distinctive diagnostic method.Hint obliquely at the one side that integral body has its science with the part, but often too believed in, cause disease understanding limitation; Pulse-taking is only felt the pulse, and ear is examined and only seen ear, and diseases such as picture of the tongue are only seen in inspection of the tongue; Other diseases are not attention; Even anopia, also be to disagree with the whole dialectical method of thinking of the traditional Chinese medical science, be unfavorable for the development of Chinese medicine.Comprehensive collection disease data of the present invention are crossed over school, contain the understanding of each family to disease, and the data basis of comprehensive integral body is provided for this diagnosis.

The traditional Chinese medical science is the empiricism of generally acknowledging, old docter of TCM's diagnostic experience is to be difficult to inherit, and at all times have doctor's nationality to put down in writing typical case more, but analogy is similar very few in the reality diagnosis, and it is too unfortunate really that these empirical accumulation do not possess inheritability.This also must cause the slower development of modern TCM, and experience value is not accompanied by generations of succession and gets off.This empirical another performance that is difficult to inherit is exactly to be difficult to quantize.And algorithm of the present invention, for every kind of disease increases the accumulation that the flexible strategy coefficient is represented empirical value and passes through the regular manual calibration of self learning system and trains this system to form the diagnostic cast of a scientific quantification through setting up the mathematical model of disease.The present invention moves on the data basis of a large amount of actual diagnostic datas and expert's calibration, must improve the accuracy and the reliability of diagnosis.

The glamour of the traditional Chinese medical science is not only " curing the disease ", more at " preventive treatment of disease ".The present invention combines traditional traditional Chinese medical science with up-to-date information technology and mobile Internet; Also can propagate tcm knowledge, tcm diagnosis easily fast through cell-phone customer terminal, internet site; Especially by mobile phone this at any time at people's carrier at one's side, farthest supported the theory of " preventive treatment of disease " of the traditional Chinese medical science." to give full play to the advantage of Chinese medicine " preventive treatment of disease ", make great efforts to make up and perfect " preventive treatment of disease " prevention and health care service system, constantly satisfy the health protection with Chinese medicine demand for services of people's different levels."-Minister of Public Health Chen Zhu makes a speech in the opening ceremony of " preventive treatment of disease " summit forum." will further establish service awareness, expand the scope of allowed activities, adjustment service structure; innovation service pattern improves method of service, improves service content; give full play to the characteristic and the advantage of the traditional Chinese medical science " preventive treatment of disease "; implement " preventive treatment of disease " healthy engineering, actively develop the prevention with Chinese medicine health care service, and exploration structure tcm characteristic is obvious, technology is suitable, various informative, the health care service system of service regulation.”

The specific embodiment

Embodiments of the invention:

The dialectical diagnostic system of a kind of disease of tcm: at first the proprietary disease title of induction-arrangement, position classification, symptom describe, maybe the origin cause of formation etc. the conclusion of disease data and Chinese medical discrimination: comprise the cause of disease, character, position, evil positive relationship and disease data such as clinical manifestation and genetic analysis; And set up the structured relations between disease data and the disease data, form structuring diagnostic data relation; Combine main suit's disease input of user again, draw multiple dialectical disease conclusions such as the eight guiding principles for diagnosis, QI and blood, internal organs through recurrence syndrome differential diagnosis algorithm, with auxiliary diagnosis; And through self-teaching system accumulation disease data;

The disease data are through several thousand kinds of known diseases are edited, put in order; Every kind of disease includes information such as position, title, performance and the origin cause of formation, flexible strategy, auxiliary key word;

The disease data come from the disease conclusion that multiple method of syndrome differentiation drew of Chinese medical discrimination; Chinese medical discrimination is superclass with negative and positive, divides differential diagnosis in terms of eight principles, determining the pathogenesis of ZANG-FU disease based on the differentiation of symptoms and signs, the differentiation of qi-blood-body fluid, differentiation of febrile diseases in accordance with the theory of the six meridians, differentiation of syndromes in seasonal febrile diseases according to four phases, differentiation of syndrome according to the pathgenesis of SAN JIAO, differentiation of syndromes of meridian etc.;

Recurrence syndrome differential diagnosis algorithm is feeling and outward manifestation according to the patient mainly; The various disease data (state of an illness data) that the four diagnostic methods obtained are input to disease of tcm syndrome differential diagnosis engine; Engine carries out data to the structured relations of the data of input and disease data of setting up in advance and disease data and reviews; If input data deficiencies; The engine guided bone provides the associated conditions data that possibly occur, continue dialectical with recursion method determination of cause of disease according to differentiation of symptoms and signs repeatedly, the final understanding that forms patient's integrality (disease conclusion);

The self-teaching system comprises on-line study and off-line training dual mode.On-line study is after each diagnosis is accomplished, and system will add 1 to the frequency of the disease data in this diagnosis, and increases the disease empirical value coefficient in the structured relations data matrix of corresponding disease data and disease data; Off-line training is regularly to arrange Traditional Chinese Medicine experts manual calibration system data, removes invalid data to ensure the reliability of data.

The disease that occurs dizziness, dim eyesight with the patient is an example.Only dizzy, dim eyesight is not enough to confirm disease, and meeting of the present invention draws multiple diseases such as having syndrome of QI sinking, syndrome of deficiency of heart blood, syndrome of fluid retained in chest and hypochondrium, syndrome of upper hyperactivity of liver yang, liver-wind stirring up internally according to these two kinds of diseases eliminating algorithms and possesses this two kinds of symptoms.As follows:

Disease one: syndrome of QI sinking

Clinical manifestation: dizziness and blurred vision, it is tired to breathe hard, and gas weighs down the gastral cavity abdomen and weighs down the sense of expanding, loose stool, emaciated physique, or see visceroptosis, proctoptosis, the prolapse of the uterus etc.

Disease is analyzed: mostly QI collapse caused by exhaustion of QI of the spleen and kidney is the development of the deficiency of vital energy, or is a kind of special representing form of the deficiency of vital energy, is generally sinking of temper (middle gas).The gas of clear sun does not rise, then conscious breathing hard, and gas weighs down, dizziness and blurred vision; QI collapse caused by exhaustion of QI of the spleen and kidney and human body are lost smart the supplementing nutrition of battalion, then see spiritlessness and weakness, emaciated physique; Become under the dysfunction of the spleen in transportation, essence of water and grain, then see loose stool; The unable elevate a turnable ladder of QI collapse caused by exhaustion of QI of the spleen and kidney can not be kept the internal organs normal position, so it is bloated to feel that the gastral cavity abdomen weighs down, even visceroptosis occurs.

Disease two: syndrome of deficiency of heart blood

Clinical manifestation: cardiopalmus, dizziness and blurred vision, insomnia, dreaminess, forgetful, pale white complexion or sallow, lip pale tongue, thready pulse without strength.

Disease is analyzed: because of the excessive thinking and anxiety hematozemia, or severe loss of blood, or prolonged illness injures nutrient blood etc. and causes; Also can be because of dysfunction of the spleen in transportation or deficiency of the kidney, the source of hemopoietic is not enough and cause.Hematopenia, heart mistake is moistened foster, aroused in interest not normal, so see cardiopalmus; Blood deficiency can not fill heart arteries and veins, and the heart is become homeless foster, so breast is vexed; The blood deficiency lack of preservation of spirit, mental derangement is then seen insomnia and dreamful sleep; Blood deficiency can not go up flourish in women's head-ornaments, thus see dizziness and blurred vision, forgetful, pale white complexion or sallow, lip pale tongue; The insufficiency of blood thready pulse without strength.

Disease three: syndrome of fluid retained in chest and hypochondrium

Clinical manifestation: the thorax bulge, breast side of body portion's feeling of distension and oppression or pain, cough, asthma, traction hypochondriac pain when breathing, cough or health are changed one's position, or have the head dizzy, white and slippery fur, deep and stringy pulse.

Disease is analyzed: assertive evidence is how plain empty because of middle-jiao yang, function of the spleen and stomach, and QI failing to transform into body fluid, water retention are drink; Or because of the exopathogen invasion and attack, lung loses logical the accent, and water liquid is failed the cloth obstacle, stops gathering to be drink, and the multiple abscess thoracic cavity forms.Fluid-retention in the chest and hypochondrium, mechanism of qi is obstructed, up-down mistake department, so breast is coerced glutted pain, the breath of breathing hard is short; Diseases caused by retention of fluid is stopped at the thoracic cavity, goes up under the pressure of lung, and impairment of dispersing and descending function of the lung, breast side of body disorder of QI movement is had a pain so draw when cough, breathing and health are changed one's position; Pathogenic fluid-retention is held back the moon, and clear YANG failing to ascend is so the head is dizzy; Fluid-retention stagnating in the interior, thus visible deep and stringy pulse, white, slippery and moist fur.

Disease four: syndrome of upper hyperactivity of liver yang

Clinical manifestation: dizzy ear toot, distending pain of the head and eyes, flushing conjunctival congestion, being irritable and getting angry easily, insomnia and dreamful sleep, top-heavy, soreness of the waist and knees, red tongue with a little fluid, wiry forceful pulse or stringy and thready pulse number.

Disease is analyzed: the multifactor body excess of YANG of assertive evidence, and impatient how angry, excess of liver-YANG; Or long-term angry anxiety, hyperactivity of YANG QI and secretly consume cloudy liquid; Or deficiency of kidney-YIN usually, or exhaustion due to sexual indulgence is too, and old the moon loses, and the kidney failing to nourish the liver, the moon are not made sun, due to liver-yang is high partially.Liver being bold and firm viscera, body is cloudy with sun.Liver-yang rise to be sent out too, and bleeding resulting from adverse flow of QI dashes and disturbs in head, distending pain of the head and eyes then, dizzy ear toot; Dash then flushing conjunctival congestion on the QI and blood; The high positive disturbance mind, liver soul, being irritable and getting angry easily then, insomnia and dreamful sleep; The liver YANG overacting in the uppper part, kidney YIN-deficiency in the lower part then, last Sheng and dificiency in lower-JIAO, wooden prosperous water consumption, then top-heavy, gait difficulty; Hepatic and renal YIN deficiency, muscles and bones mistake is supported, and then soreness of the waist and knees is unable; Red tongue with a little fluid, wiry forceful pulse or stringy and thready pulse number are the high Sheng of liver-yang, the levying of hepatic and renal YIN deficiency.

Disease five: liver-wind stirring up internally

Clinical manifestation: dizzy desire is fallen forward, gait difficulty, and the feeling of fullness in the head headache, being irritable and getting angry easily, head tremor, limb tremor, numb hand and foot, dysphasia, flushed complexion, red tongue, or greasy fur is arranged, stringy and thready pulse is strong.Even fall forward dusk suddenly, facial hemiparalysis, hemiplegia, the stiff tongue language is stuttering.

Disease is analyzed: assertive evidence is how high by the liver-yang element, consumption impairment of YIN liquid, or hepatic and renal YIN deficiency, the moon is not made sun, the yang hyperactivity deficiency of YIN with the passing of time and wind-transformation, thereby show syndrome with " shaking " characteristics.Excessive rising of liver-YANG, the moon are not made sun, the yang hyperactivity wind-transformation, and then frequent dizzy desire is fallen forward head tremor; Yang hyperactivity and stopping up on the QI and blood, excess in the upper and deficiency in the lower, then gait difficulty is floated in walking; The stagnation of QI-blood channels, then feeling of fullness in the head headache, flushed complexion; Pneumatic muscle arteries and veins contraction is anxious, and the cloudy muscle arteries and veins that loses loses and supports, limb tremor then, numb hand and foot; The wind sun is harassed, and the folder stagnation of phlegm hinders tongue network, then dysphasia; Red tongue, stringy and thready pulse is strong, is levying of yang hyperactivity deficiency of YIN wind-transformation.If the wind sun sharp rises, QI and blood is disorderly contrary, and liver-wind folder expectorant is hoodwinked the mind, then see and fall forward unexpected dusk, in the larynx expectorant toot; Wind-phlegm is harassed meridians, and disorder of meridian-QI is then seen facial hemiparalysis, hemiplegia, and the stiff tongue language is stuttering.

The present invention will gather all symptom data of above disease; And sort according to the empirical value size of every kind of disease data; At first release according to empirical value is big is further diagnosed for the doctor; After finding that the patient also has the disease of red tongue, flushed complexion, the disease that does not possess these diseases will be got rid of once more by system, and put all symptoms of these diseases once more in order; And sort according to the empirical value of every kind of disease and to release the further diagnosis again for the doctor, recurrence is back and forth confirmed certain disease until final successively.The doctor also can finish the native system diagnosis at any time, diagnostic result in the middle of system will export.

Claims (5)

1. dialectical diagnostic system of disease of tcm; It is characterized in that: at first the proprietary disease title of induction-arrangement, position classification, symptom describe, maybe the origin cause of formation etc. the conclusion of disease data and Chinese medical discrimination: comprise the cause of disease, character, position, evil positive relationship and disease data such as clinical manifestation and genetic analysis; And set up the structured relations between disease data and the disease data, form structuring diagnostic data relation; Combine main suit's disease input of user again, draw multiple dialectical disease conclusions such as the eight guiding principles for diagnosis, QI and blood, internal organs through recurrence syndrome differential diagnosis algorithm, with auxiliary diagnosis; And through self-teaching system accumulation disease data.

2. the dialectical diagnostic system of disease of tcm according to claim 1 is characterized in that: described disease data are through several thousand kinds of known diseases are edited, put in order; Every kind of disease includes information such as position, title, performance and the origin cause of formation, flexible strategy, auxiliary key word.

3. the dialectical diagnostic system of disease of tcm according to claim 1 is characterized in that: described disease data come from the disease conclusion that multiple method of syndrome differentiation drew of Chinese medical discrimination; Described Chinese medical discrimination is superclass with negative and positive, divides differential diagnosis in terms of eight principles, determining the pathogenesis of ZANG-FU disease based on the differentiation of symptoms and signs, the differentiation of qi-blood-body fluid, differentiation of febrile diseases in accordance with the theory of the six meridians, differentiation of syndromes in seasonal febrile diseases according to four phases, differentiation of syndrome according to the pathgenesis of SAN JIAO, differentiation of syndromes of meridian etc.

4. the dialectical diagnostic system of disease of tcm according to claim 1; It is characterized in that: described recurrence syndrome differential diagnosis algorithm is feeling and outward manifestation according to the patient mainly; The various disease data (state of an illness data) that the four diagnostic methods obtained are input to disease of tcm syndrome differential diagnosis engine; Engine carries out data to the structured relations of the data of input and disease data of setting up in advance and disease data to be reviewed, if the input data deficiencies, the engine guided bone provides the associated conditions data that possibly occur; Continue dialectical with recursion method determination of cause of disease according to differentiation of symptoms and signs repeatedly, the final understanding that forms patient's integrality (disease conclusion).

5. the dialectical diagnostic system of disease of tcm according to claim 1 is characterized in that: described self-teaching system comprises on-line study and off-line training dual mode.On-line study is after each diagnosis is accomplished, and system will add 1 to the frequency of the disease data in this diagnosis, and increases the disease empirical value coefficient in the structured relations data matrix of corresponding disease data and disease data; Off-line training is regularly to arrange Traditional Chinese Medicine experts manual calibration system data, removes invalid data to ensure the reliability of data.