基于中医老将经验的深度学习取穴模式

Zhaohui Liang, Gang Zhang, Ziping Li, Jian Yin, W. Fu
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引用次数: 7

摘要

中医老将临床经验的传承,在历史上对中医的发展和疗效的提高起着至关重要的作用。临床经验分为疾病诊断模式与中医正诊模式、正核心要素的辨析、中药方剂、正与病的治疗经验与关系、实际诊疗的共同规律。经验的来源主要来自文献和CM大师的手稿,这些文献和手稿在过去二十年中被电子记录下来。因此,通过资深中医医生的经验,将数据挖掘应用于知识发现是可行的。然而,目前对这一领域的关注仅限于期刊论文、会议论文集和教科书等已发表的文献,而对老医生亲自撰写的论文稿件往往被忽视。本文建立了中国南方著名中医针灸大师司徒凌博士的数据库。本研究的目的是发现老年中医医师需要专业知识和经验的穴位选择模式。人们相信,这些模式是作为底层知识储存起来的,其中包含各种中层概念,可以通过一系列算法进行分析和发现。因此,在本研究中,我们将穴位选择模式公式化为一个具有深层架构的学习任务,试图捕捉存在的或潜在的概念,从而模拟中西医结合诊断的规划过程。使用受限玻尔兹曼机(Restricted Boltzmann Machines, RBM)作为深度学习的主要模型,对经过训练的医生先前做出的具有国际标准诊断(ICD-10)的病历数据进行处理。然后将基于ICD-10的诊断数据集引入到我们的框架中,以增强概念的多样性。应用该模型后,基于司徒凌医生病案数据库的学习准确率提高到75%。因此,该模型可以作为一种解决方案,发现中医针灸老医生的穴位选择模式。结合国际诊断标准(即ICD-10)的数据挖掘研究模型、点选模式和临床症状,将为中医老将的经验揭示郑氏诊断的本质提供有用的线索。
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Deep learning for acupuncture point selection patterns based on veteran doctor experience of Chinese medicine
The inheritance of clinical experience of veteran doctors of Chinese medicine (CM) plays a key role in the development and effectiveness enhancement of Chinese medicine in the history. The clinical experience are classified as the patterns of disease diagnosis and Chinese medical Zheng diagnosis, the identification of core elements of Zheng, the treatment experience and relation of herbal medicine formulae, Zheng and disease, and the common law of diagnosis and treatment in real practice. The source of the experience mainly originates from literature and manuscripts of CM masters, which are being electronically recorded during the last two decades. As a result, it makes feasible to apply data mining to the knowledge discovery through the experience of veteran CM doctors. However, the current focus on this field is limited to the published literature such as journal papers, conference proceedings and textbooks, but the paper based manuscripts personally written by the veteran doctors are usually neglected. In this paper, we established a database for Dr Situ Ling, who is a deceased famous CM acupuncture master in southern China. The study objective is to discover the acupuncture point selection patterns which require profession knowledge and experience from senior CM doctors. It is believed these patterns are deposited as underlying knowledge with various middle level concepts that can be analyzed and discover by a serial of algorithms. Thus in this work, we formularized the patterns of acupuncture point selection as a learning task with deep architecture, which attempts to capture either existent or underlying concepts so as to simulate the planning process of the combined diagnosis of western medicine and Chinese medicine. The Restricted Boltzmann Machines (RBM) was used as the main model for deep learning to process to medical record data with international standard diagnosis (ICD-10) previously made by trained doctors. Then the ICD-10 based diagnosis dataset was introduced into our framework to enhance the concepts diversity. After applying this model, the learning accuracy based on the medical record database of Dr Situ Ling was raised up to 75%. Thus this model can serve as a solution to discover the acupuncture point selection patterns of CM acupuncture veteran doctors. Furthermore, the data mining study model linked by international diagnosis standard (i.e. ICD-10), point selection patterns, and clinical symptoms will provide useful cues to reveal the essence of Zheng diagnosis through experience of CM veteran doctors.
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