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Traditional Chinese medicine report: Chinese medicine diagnosis instrument development dilemma to be a breakthrough

2012年02月21日

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Traditional Chinese medicine diagnosis instrument development dilemma to be a breakthrough

 

 

 

ZhuLin Tianjin university of traditional Chinese medicine

 

 

 

China's traditional Chinese medicine reported

 

 

 

        With the rapid development of modern science and technology, computer science and technology to led widely applied to every field of academic research, the traditional Chinese medicine clinical study in modern also got fully embody. Nearly half a century, the Chinese scholars devoted to reveal the tongue diagnosis instrument, traditional Chinese medicine diagnosis instrument is the research, has been made a lot of achievements. But as to the present circumstance looks, tongue diagnosis instrument equipment in clinical application is not satisfactory.

 

        Practical application of lack of breakthrough

 

        Since the 1950 s, many scholars and researchers solve A lot of technical problems, successively develop TCM tongue diagnosis expert system, ZM-Ⅲ type intelligent instrument, MTY pulse condition-type A pulse condition devices such as system has to good instrument of tongue, pulse condition for preliminary diagnosis, but at present the application of traditional Chinese medicine diagnosis instrument research but little breakthrough, specific problems reflected in three aspects.

 

        The stability of the instrument and repeatability poor

 

        The existing tongue diagnosis in the illumination control instrument, the color correction has deeply studies, but still can't rule out in patients with personal tongue posture, emotional, disease state, and many other human factors on the impact of picture gathering, this makes the tongue diagnosis instrument collection of the data again contradistinctive poor.

 

        Existing each kind of pulse examination instrument in the positioning and pulse condition collection stress control are all required the doctor manual, by a personal experience and skill to differences in form and all kinds of pulse figure monitoring data of differences is inevitable, caused many times before and after the results of the collection can not objective comparison. At the same time, patients excited, tension of information collection of interference and the stability of the instrument and repeatability is facing serious test.

 

        Information processing, comprehensive recognition and low level of classification standard is not clear

 

        At present, the tongue diagnosis instrument research has value of tongue diagnosis with RGB color and tongue coating for quantitative analysis, but for old fat thin, Lebanon, tooth marks, prick, dryness and qualitative form and tongue soft and hard, shrinking, and chatter, the dynamic tongue shaking like analysis study is less, the extent of the limits of tongue diagnosis.

 

        And the analysis and disposal of pulse information is still in a groping stage, basically have the time domain analysis, the frequency domain analysis and so on, still have wavelet transform analysis and information fusion technology, multiscale estimation to the idea has broad prospects for development methods of analysis, but on the whole, are still not been established mature and can be widely used in analysis and processing method. At the same time, because all kinds of the parameters of the apparatus of the standard and analysis method of unity, causing much sort contrast test instrument pulse condition difficulties.

 

        In addition, the existing Chinese medicine diagnosis instrument is lack of tongue, pulse condition change clinical symptoms and the correlation between changes in the comprehensive analysis.

 

        Tongue diagnosis method of pulse image information, description of problems related to lack of unified objective indicators, stay in the image description stage, a direct impact on the objective of TCM diagnosis extension and application.

 

        The traditional method of pulse pulse classification, named standard is not yet uniform, reveal the theory medical design conceptualization and stagnation, and subjective factors influence of modeling, the model of discrete, poor stability; And the assessment criterion pulse chart also has not been set up.

 

        The unilateral emphasis on the machine must be automatic identification, four diagnostic methods and participation

 

        Many instruments unilateral emphasis on instrument to be automatic identification in no unified standard in the premise, the author thinks that, not possible to identify the generality program, that can be recognized in the clinical results, and will quantitative data into qualitative data is not desirable, pulse figure and the doctor feel pulse condition under both distinction to have connection again, the two are not identical. We can imagine, if certain requirements to the inventor of the electrocardiogram every performance for reduction of ecg stethoscope hear heart sounds, electrocardiogram (ecg) technology may not be the development of today.

 

        The four diagnostic close and is the basic principle of TCM diagnosis, but four diagnostic methods and and is based on each clinic all can correctly reflect the body's physiological pathology changes in the foundation, if one or more of the clinical diagnostic method has not accurate information, and the results may be misleading and a doctor's judgment, cause serious consequence. So first choose the mature technology and close, everything is far better than to seek the more important.

 

        Science and technology research and development and the derailment of clinical application

 

        Practice is the sole criterion for testing truth. No form good research and development mode of combining theory with practice, is couldn't have made remarkable achievements in research,. At present all kinds of issues in the clinical application of little support traditional Chinese medicine diagnosis instrument research, engineering schools develop the traditional Chinese medicine diagnosis instrument used for each major colleges and universities teaching, scientific research units and for teaching practice of the feedback information after but did not learn from and to improve in time.

 

        Has college teachers has published papers, points out that the traditional Chinese medicine diagnosis teaching instrument electronic chip is not stable, material aging, instrument operation noise, supporting the computer software is not stable, the flashing lights behind exposure,'s pulse is not clear, and clinical parts are actually refers to some problems such as big differences, and put forward the solution; And this should be related scientific research units the finished work. Therefore, the teaching practice exposed many problem has not been effectively, clinical and how can widely used?

 

        In addition, some researchers from purely scientific research perspective, the instrument of planning application, some YanZhiZu lack of traditional Chinese medicine personnel engaged in the work or lack of traditional Chinese medicine clinical staff to participate in, the analytical results are difficult to and clinical practice union.

 

        The instrument itself conditions, inadequate public recognition

 

        Tongue diagnosis instrument, such as pulse of traditional Chinese medicine diagnosis instrument is more expensive, operating more price partial complex. Because of the complexity of the structure of the hardware and software system, instrument, and the lack of testing analysis of personnel training, make it hard to master a non-professional personnel operating essentials, study and application more difficult, doctors often do not know how to use.

 

        At the same time, the relevant departments, scientific research units, hospital of traditional Chinese medicine diagnosis instrument of the propaganda and use less, manufacturers lack of publicity channels, the state of the relative lack of traditional Chinese medicine diagnosis instrument of the fees and the establishment of the medical insurance payment system, is also patients don't know or don't accept the main reason.

 

        Lack of cross major, interdisciplinary talents of traditional Chinese medicine

 

        Traditional Chinese medicine diagnosis instrument research is to focus on medicine, western medicine, physical and mechanical, mathematics, bioinformatics, tissue engineering, computer science science comprehensive knowledge for the integration of scientific research, which need a lot of interdisciplinary talents and the subject of the widely cooperate talents, and the funds required for the many, production cycle is long. And the domestic existing technology relatively few resources, mainly in Beijing, Shanghai, tianjin, a second city. In recent years, these areas although r&d achievements frequency, but in other regions research results relatively less, and often repeated in a low, human and financial resources to cause great waste.

 

        Traditional Chinese medicine and the professional training the talented general, have a purpose of traditional Chinese medicine diagnosis technology training of professional talents but far from start, to promote the development of traditional Chinese medicine, need farsighted leadership to pay attention to this work in colleges and universities.

 

        There is competition can have progress, there is more to the development. Traditional Chinese medicine diagnosis instruments want to achieve breakthrough witnessed, in need of a competitive research environment. The author suggest, the national shall establish a joint research and development and information exchange platform, and show all kinds of research results, sharing resources; Researchers from all over, make progress together, and satisfy the requirements of the development of traditional Chinese medicine diagnosis instrument.

 

        At the same time, to train a lot of Chinese medicine is given priority to, the traditional Chinese medicine and engineering technology, able to shoulder the Chinese clinical testing tasks of traditional Chinese medicine is the development of interdisciplinary talents of traditional Chinese medicine, Chinese medicine diagnosis instrument push forward an inevitable trend, is further realize seamless multidisciplinary joint, the development of traditional Chinese medicine diagnosis objective research, produce more suitable for clinical an important step in the high-end products.