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案例推理对中医临床案例研究的认识和启示
引用本文:原文静,赵进喜,苗润培,孟庆刚.案例推理对中医临床案例研究的认识和启示[J].世界中医药,2022,17(1):16-21.
作者姓名:原文静  赵进喜  苗润培  孟庆刚
作者单位:北京中医药大学第一临床医学院,北京,100700;北京中医药大学,北京,100029
基金项目:国家自然科学基金面上项目(81973980)。
摘    要:中医医案作为专家经验的载体,对指导中医临床实践、提升中医学者临证水平具有重要意义,人工智能领域案例推理技术有望弥补现有中医医案研究情境化特征缺失的遗憾。但由于不同类型的中医医案研究要点不同,因此,本文通过分析中医医案的分类、特点及研究现状,并通过考察案例推理的理论内涵及在中医医案方向的应用现状,探讨案例推理对中医临床案例研究的启示。

关 键 词:中医医案  案例推理  数据挖掘  辅助决策  专家经验传承  真实世界  经典古籍  认知科学

Cognition and Enlightenment of Case-based Reasoning to Traditional Chinese Medicine Clinical Case Study
YUAN Wenjing,ZHAO Jinxi,MIAO Runpei,MENG Qinggang.Cognition and Enlightenment of Case-based Reasoning to Traditional Chinese Medicine Clinical Case Study[J].World Chinese Medicine,2022,17(1):16-21.
Authors:YUAN Wenjing  ZHAO Jinxi  MIAO Runpei  MENG Qinggang
Institution:(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100070,China;Beijing University of Chinese Medicine,Beijing 100029,China)
Abstract:As the carrier of expert experience,TCM medical records are of great significance to guide TCM clinical practice and improve the clinical practicing level of TCM scholars.Case-based reasoning technology in the field of artificial intelligence is expected to make up for the lack of situational features in existing TCM medical case research.However,different types of TCM cases have various research points.Therefore,by analyzing the classification,characteristics and research status of TCM medical cases,and investigating the theoretical connotation of CBR and its application status in TCM medical cases,this paper discusses the enlightenment of case-based reasoning to TCM clinical case studies.
Keywords:Traditional Chinese medicine medical records  Case-based reasoning  Data mining  Assistant decision-making  Passing on expert experience  Real world  Classic books  Cognitive science
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