越南传统医学诊断和治疗建模的新方法

Truong Thi Hong Thuy, Nguyen Hoang Phuong
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摘要

越南传统医学(TVM)以越南人民数千年来与疾病作斗争的经验为基础;因此,TVM在越南的医疗系统中非常重要。在本文中,我们提出了一种新的诊断疾病证候和治疗越南传统医学的专家系统模型。在该模型中,知识库由IF-THEN规则组成,其中规则的前提是命题和否定命题的初等合取。越医疾病证候诊断与治疗的推理机制应用阿别群操作。我们的模型与模糊最大最小推理的比较表明,我们的模型可以有非常相似的规则,这些规则的贡献总和很高。另一方面,在我们的模型中,具有负权重的规则可能会削弱具有良好权重的规则的效果。在具有模糊极大极小推理的系统中不存在这一特征。我们与越南东方传统医学医师合作,建立了约50种疾病证候的诊断和中医针灸治疗的规则模式。给出了中医辨证论治中医针灸辨证论治的一些数据库实例和规律。最后,对本文的研究工作进行了总结和展望。
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A NOVEL APPROACH TO MODELLING A DIAGNOSIS AND TREATMENT OF TRADITIONAL VIETNAMESE MEDICINE
Traditional Vietnamese Medicine (TVM) is based on the experiences of thousands of years of Vietnamese people in the struggle against diseases; therefore, TVM is very important in the medical system of Vietnam. In this paper, we propose a novel model of an expert system for diagnosing disease syndromes and treating traditional Vietnamese medicine. In this model, the knowledge base consists of IF-THEN rules, in which the antecedent of a rule is an elementary conjunction of propositions and negated propositions. The inference mechanism for the diagnosis of disease syndromes and treatment of traditional Vietnamese medicine applies Abelian group operations. A comparison of the inference of our model with the fuzzy max-min inferences shows that our model can have very similar rules whose contributions sum up to high weight. On the other hand, in our model, a rule with a negative weight may diminish an effect of a rule with a good weight. This feature is absent in the systems with fuzzy max-min inferences. We have built rule patterns for the diagnosis of about 50 disease syndromes and their treatment by Herbs and Acupuncture with the cooperation of practitioners of Oriental Traditional Medicine in Vietnam. Some examples of databases and the rules for disease syndrome differentiation and treatment by herbal medicine and Acupuncture are shown. Finally, some conclusions and future works are given.
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