[关键词]
[摘要]
目的:挖掘分析女性中医健康状态的特征,初步构建有生理周期女性的中医健康状态辨识模型。方法:对《中医妇科常见病诊疗指南》中月经相关疾病的疾病诊断和辨证内容进行文本挖掘分析,提取与脏腑病位、气血阴阳盈亏、病邪性质相关的症状,通过计算症状与健康状态的权重值,形成女性疾病问卷和证素辨证问卷;通过计算月经周期阶段推算内在气血阴阳消长状态;借助体质问卷进行体质辨识。通过上述四类辨识方法,形成女性中医健康状态的综合辨识。结果:通过疾病辨识模型区分已病和未病或欲病状态;通过证素辨证模型了解女性脏腑病位、气血阴阳盈亏与病邪性质;再通过辨识内在气血阴阳状态,结合体质结果,初步构建女性中医健康状态辨识模型。结论:模型辨识结果能够多维度的反映女性综合健康状态,可对女性中医健康状态进行精细化分类,既可以了解既往较稳定的健康状态又可了解未来健康趋势,从而有助于后续个性化健康干预方案的制定。
[Key word]
[Abstract]
Objective: To analyze the characteristics of the healthy state of TCM (Traditional Chinese Medicine) of female, and preliminarily constructs the model of TCM health status identification of female with menstrual cycle. Methods: Thetext of disease diagnosis and syndrome differentiation of menstrual-cycle-linked disorders from Guidelines for diagnosisand treatment of common disease of gynecology in Traditional Chinese Medicine was analyzed, and the symptoms relatedwith viscera functions, the waxing and waning of qi and blood, and pathogenic properties were extracted. Thequestionnaires of diseases and syndrome elements differentiation of female by calculating the weight relationship betweensymptoms and health status were designed to estimate the interior state of waxing and waning of yin-yang by figuring outthe different periods of menstrual, and in the last step, Constitution in Chinese medicine Questionnaire was used toidentify the constitution. Through the above four identification methods, a comprehensive identification of the female'shealth status of TCM was formed. Results: Through the disease identification model, we distinguished the state of diseaseand yet disease. And through the syndrome elements differentiation model, we knew the viscera functions, the waxing andwaning of qi -blood and yin-yang, and pathogenic properties. And by identifying the internal qi -blood and yin -yangstatus, we initially built the model that can identify health status of female integrally with the constitution. Conclusion:The model identification results can reflect the comprehensive health status of female in multiple dimensions. It canmake a fine classification of women??s TCM health status. It can not only help to know the previous health status but alsohelp to speculate the future health trend, which contributes to the formulation of personalized health interventions offollow-up.
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[基金项目]
江西省科技厅重点研发计划项目(20171ACG70011):基于智慧诊疗云平台的江西省名老中医资源挖掘整理研究,负责人:查青林;香港浸会大学与深圳君兰电子科技有限公司合作项目:脉诊与中医移动健康,负责人:吕爱平