Xu Jin, Xu Zhao-Xia, Lu Ping, Guo Rui, Yan Hai-Xia, Xu Wen-Jie, Wang Yi-Qin, Xia Chun-Ming
School of Basic Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Center for Mechatronics Engineering, East China University of Science and Technology, Shanghai, 200237, China.
Chin J Integr Med. 2016 Nov;22(11):867-871. doi: 10.1007/s11655-016-2264-0. Epub 2016 Oct 26.
To develop an effective Chinese Medicine (CM) diagnostic model of coronary heart disease (CHD) and to confifirm the scientifific validity of CM theoretical basis from an algorithmic viewpoint.
Four types of objective diagnostic data were collected from 835 CHD patients by using a self-developed CM inquiry scale for the diagnosis of heart problems, a tongue diagnosis instrument, a ZBOX-I pulse digital collection instrument, and the sound of an attending acquisition system. These diagnostic data was analyzed and a CM diagnostic model was established using a multi-label learning algorithm (REAL).
REAL was employed to establish a Xin (Heart) qi defificiency, Xin yang defificiency, Xin yin defificiency, blood stasis, and phlegm fifive-card CM diagnostic model, which had recognition rates of 80.32%, 89.77%, 84.93%, 85.37%, and 69.90%, respectively.
The multi-label learning method established using four diagnostic models based on mutual information feature selection yielded good recognition results. The characteristic model parameters were selected by maximizing the mutual information for each card type. The four diagnostic methods used to obtain information in CM, i.e., observation, auscultation and olfaction, inquiry, and pulse diagnosis, can be characterized by these parameters, which is consistent with CM theory.
建立一种有效的冠心病中医诊断模型,并从算法角度验证中医理论基础的科学性。
采用自行研制的心系疾病中医问诊量表、舌诊仪、ZBOX-I脉象数字采集仪及主客观采集系统,收集835例冠心病患者的四类客观诊断数据。对这些诊断数据进行分析,采用多标签学习算法(REAL)建立中医诊断模型。
采用REAL建立了心气不足、心阳不足、心阴不足、血瘀、痰浊五证型中医诊断模型,识别率分别为80.32%、89.77%、84.93%、85.37%和69.90%。
基于互信息特征选择的四种诊断模型建立的多标签学习方法取得了较好的识别效果。通过最大化各证型的互信息来选择特征模型参数。中医获取信息的四种诊断方法,即望、闻、问、切,可由这些参数表征,这与中医理论相符。