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人工智能对中医药的影响。

The Impact of Artificial Intelligence on Traditional Chinese Medicine.

机构信息

College of Pharmacy, Dalian Medical University, Dalian 116044, P. R. China.

Renaissance College, University of New Brunswick, 3 Bailey Drive, P. O. Box 4400, Fredericton, New Brunswick, Canada E3B 5A3, Canada.

出版信息

Am J Chin Med. 2021;49(6):1297-1314. doi: 10.1142/S0192415X21500622. Epub 2021 Jul 10.

Abstract

Traditional Chinese Medicine (TCM) is a well-established medical system with a long history. Currently, artificial intelligence (AI) is rapidly expanding in many fields including TCM. AI will significantly improve the reliability and accuracy of diagnostics, thus increasing the use of effective therapeutic methods for patients. This systematic review provides an updated overview on the major breakthroughs in the field of AI-assisted TCM four diagnostic methods, syndrome differentiation, and treatment. AI-assisted TCM diagnosis is mainly based on digital data collected by modern electronic instruments, which makes TCM diagnosis more quantitative, objective, and standardized. As a result, the diagnosis decisions made by different TCM doctors exhibit more consistency, accuracy, and reliability. Meanwhile, the therapeutic efficacy of TCM can be evaluated objectively. Therefore, AI is promoting TCM from experience to evidence-based medicine, a genuine scientific revolution. Furthermore, huge and non-uniform knowledge on formula-syndrome relationships and the combination rules of herbal TCM formulae could be better standardized with the help of AI analysis, which is necessary for the clinical efficacy evaluation and further optimization on the standardized TCM formulae. AI bridges the gap between TCM and modern science and technology. AI may bring clinical TCM diagnostics closer to western medicine. With the help of AI, more scientific evidence about TCM will be discovered. It can be expected that more unified guidelines for specific TCM syndromes will be issued with the development of AI-assisted TCM therapies in the future.

摘要

中医(TCM)是一种历史悠久的成熟医学体系。目前,人工智能(AI)在许多领域(包括 TCM)迅速发展。AI 将极大地提高诊断的可靠性和准确性,从而增加患者使用有效治疗方法的机会。本系统评价提供了 AI 辅助 TCM 四诊、辨证、治疗方法领域的主要突破的最新概述。AI 辅助 TCM 诊断主要基于现代电子仪器收集的数字数据,使 TCM 诊断更加定量、客观和标准化。因此,不同 TCM 医生的诊断决策更加一致、准确和可靠。同时,可以客观评估 TCM 的治疗效果。因此,AI 正在推动 TCM 从经验医学向基于证据的医学转变,这是一场真正的科学革命。此外,借助 AI 分析,可以更好地规范方剂-证候关系和中药方剂组合规则方面的大量非统一知识,这对于规范化中药方剂的临床疗效评价和进一步优化是必要的。AI 弥合了 TCM 与现代科学技术之间的差距。AI 可能使临床 TCM 诊断更接近西药。在 AI 的帮助下,将发现更多关于 TCM 的科学证据。可以预期,随着 AI 辅助 TCM 治疗的发展,未来将制定出更统一的特定 TCM 证候指南。

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