Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan.
Department of Chinese Medicine, China Medical University Hospital, Taichung, Taiwan; School of Chinese Medicine, China Medical University, Taichung, Taiwan; Research Center for Traditional Chinese Medicine, Department of Medical Research, China Medical University Hospital, Taichung, Taiwan; Chinese Medicine Research Center, China Medical University, Taichung, Taiwan; Research Center for Chinese Herbal Medicine, China Medical University, Taichung, Taiwan; Tainan Municipal An-Nan Hospital, China Medical University, Taichung, Taiwan.
Complement Ther Med. 2019 Feb;42:279-285. doi: 10.1016/j.ctim.2018.12.001. Epub 2018 Dec 5.
Traditional Chinese Medicine (TCM) is an experiential form of medicine with a history dating back thousands of years. The present study aimed to utilize neural network analysis to examine specific prescriptions for colorectal cancer (CRC) in clinical practice to arrive at the most effective prescription strategy. The study analyzed the data of 261 CRC cases recruited from a total of 141,962 cases of renowned veteran TCM doctors collected from datasets of both the DeepMedic software and TCM cancer treatment books. The DeepMedic software was applied to normalize the symptoms/signs and Chinese herbal medicine (CHM) prescriptions using standardized terminologies. Over 20 percent of CRC patients demonstrated symptoms of poor appetite, fatigue, loose stool, and abdominal pain. By analyzing the prescription patterns of CHM, we found that Atractylodes macrocephala (Bai-zhu) and Poria (Fu-ling) were the most commonly prescribed single herbs identified through analysis of medical records, and supported by the neural network analysis; although there was a slight difference in the sequential order. The study revealed an 81.9% degree of similarity of CHM prescriptions between the medical records and the neural network suggestions. The patterns of nourishing Qi and eliminating dampness were the most common goals of clinical prescriptions, which corresponds with treatments of CRC patients in clinical practice. This is the first study to employ machine learning, specifically neural network analytics to support TCM clinical diagnoses and prescriptions. The DeepMedic software may be used to deliver accurate TCM diagnoses and suggest prescriptions to treat CRC.
中医(TCM)是一种经验医学形式,历史可以追溯到几千年前。本研究旨在利用神经网络分析来检查临床实践中治疗结直肠癌(CRC)的特定方剂,以得出最有效的处方策略。该研究分析了从 DeepMedic 软件和 TCM 癌症治疗书籍的数据集共招募的 141962 例知名资深 TCM 医生的 261 例 CRC 病例的数据。DeepMedic 软件用于使用标准化术语对症状/体征和中草药(CHM)处方进行归一化。超过 20%的 CRC 患者表现出食欲不振、疲劳、腹泻和腹痛等症状。通过分析 CHM 的处方模式,我们发现白术(Bai-zhu)和茯苓(Fu-ling)是通过病历分析确定的最常用的单味草药,并且通过神经网络分析得到了支持;尽管在顺序上略有不同。研究表明,CHM 处方与神经网络建议之间的相似度为 81.9%。补气除湿的模式是临床处方最常见的目标,这与 CRC 患者的临床治疗相对应。这是首次使用机器学习,特别是神经网络分析来支持 TCM 临床诊断和处方的研究。DeepMedic 软件可用于提供准确的 TCM 诊断并建议治疗 CRC 的处方。