To avoid falling into technical "involvement" modernization of Chinese medicine requires interdisciplinary integration

  The traditional Chinese medicine diagnosis and treatment plan mainly relies on the subjective judgment of the human five sense organs. With the development of modern medical technology, the diagnosis and detection indicators of western medicine will be integrated into the diagnosis and treatment system of Chinese medicine.

The modern development of Chinese medicine is like a tree, relying on the support of modern science and technology to flourish, but its roots and backbone are still centered on the holistic view and functional comprehensive evaluation of Chinese medicine.

  —— Xu Jiatuo, Dean of School of Basic Medicine, Shanghai University of Traditional Chinese Medicine, Director of Institute of Basic Theories of Traditional Chinese Medicine

  ◎Hou Shu Wenbao reporter Wang Chun

  A few days ago, Xu Jiatuo, the dean of the School of Basic Medical Sciences of Shanghai University of Traditional Chinese Medicine and the director of the Institute of Basic Theories of Traditional Chinese Medicine, has made the latest progress in the "Chinese Medicine Intelligent Tongue Diagnosis System" project, and its self-developed tongue diagnosis instrument is about to enter the medical device registration review stage As one of the project results, the "database platform" will become a public platform for standardized technology, providing standard and standardized solutions for the development of smart Chinese medicine diagnosis and treatment technology.

  As an ancient traditional medicine, Chinese medicine has played a unique role in my country's fight against the new crown pneumonia epidemic.

  In recent years, with the development of information technology such as big data, artificial intelligence, and the Internet, the Chinese medicine diagnosis and treatment system is also gaining new "wisdom" by means of modern technology.

Focusing on the diagnostic method of "seeing, smelling, asking and cutting" in traditional Chinese medicine, intelligent medical instruments and equipment of traditional Chinese medicine such as face-to-face and tongue-diagnosing instruments are emerging one after another.

These devices collect data on the person's face, tongue coating, pulse, etc., analyze and compare them with the data group of specific diseases on the back-end database platform, and combine the theoretical research of Chinese medicine to form accurate diagnosis and evaluation results.

For example, the smart Chinese medicine outpatient system uses "Chinese medicine + AI" to combine the four diagnoses of traditional Chinese medicine with "seeing, smelling, asking and cutting", and it only takes 10 minutes to form an objective, accurate, and systematic personal health status assessment report of Chinese medicine.

  TCM diagnosis does not have to be confined to "seeing, smelling, asking and cutting"

  Whether it is a tongue diagnosis device or a pulse diagnosis device, it is the basis for data collection and analysis of the "seeing, smelling, and asking" information in the diagnosis of Chinese medicine, so as to realize the standardization and dataization of the diagnosis and treatment information of Chinese medicine.

In Xu Jiatuo's view, modern medical testing indicators can also be used as the basis for modernized diagnosis of Chinese medicine. The data source of wisdom diagnosis of Chinese medicine is not limited to "seeing, hearing, and asking."

  Xu Jiatuo said: "Like the clinical case database of the Smart Tongue Diagnosis System, the data it collects is not only derived from the pulse, tongue, facial and other indicators needed by the four Chinese medicine diagnosis, but also includes the routine physical examination data of Western medicine. Data samples from the database The volume includes 20,000 people undergoing physical examinations, as well as data samples for lung cancer, diabetes, hypertension and other diseases. It is expected that the data sample size will reach 70,000 to 80,000 clinical cases after the completion of the project."

  Xu Jiatuo said that in actual clinical Chinese medicine clinics, Chinese medicine practitioners will also use various indicators detected by modern medical technology as the basis for diagnosis and treatment.

For example, in the process of diagnosis and treatment of new coronary pneumonia in traditional Chinese medicine, traditional Chinese medicine experts evaluate the treatment effect of patients based on data indicators such as lung images and nucleic acid detection.

In addition, Chinese medicine will use modern medical testing data indicators in the diagnosis and treatment of diabetes, coronary heart disease, tumors and other diseases.

  The modern diagnosis and treatment of Chinese medicine is a joint diagnosis and treatment plan that combines the comprehensive holistic concept of Chinese medicine and western medicine diagnosis technology.

"Traditional Chinese medicine diagnosis and treatment plans mainly rely on the subjective judgment of the human five sense organs. With the development of modern medical technology, Western medicine diagnostic testing indicators will be integrated into the Chinese medicine diagnosis and treatment system." Xu Jiatuo made an analogy. The modern development of Chinese medicine is like a tree. The tree, relying on the support of modern science and technology, continues to thrive, but its roots and backbone are still centered on the holistic view and functional comprehensive evaluation of Chinese medicine.

  At present, experts in the TCM industry have basically reached a consensus: any modern medical technology, including medical imaging, magnetic resonance, isotope, etc., is the technical support for the development of modern TCM diagnosis and treatment technology and can be used by TCM.

  Objective data supports the standardization of TCM diagnosis and treatment technology

  Hu Jingqing, director of the Institute of Basic Theories of Chinese Medicine, China Academy of Chinese Medical Sciences, said in a previous interview with the media: “The existing Chinese medicine clinical diagnosis and treatment equipment is not much, and the technical level is relatively backward, resulting in a serious shortage of standardization, intelligence and large-scale supply of Chinese medicine. These long-unresolved problems of traditional Chinese medicine in ordinary clinical medical treatment have become more prominent in this special battle against the epidemic."

  For a long time, one of the main reasons that Chinese medicine is not accepted by the outside world is its lack of objective data support.

In the research process of modernization of Chinese medicine, information technology tools can form scientific theories with data as the core.

Therefore, the objectification and digitization of TCM diagnosis based on pulse, facial, and tongue diagnosis is of great significance to the modernization of TCM.

  As early as the 1970s and 1980s, my country used pressure waves, sensors, and biomedical engineering techniques to conduct an informatized and objective pulse diagnosis based on the characteristic diagnostic methods of TCM pulse diagnosis.

  Exploration; The objectification of tongue diagnosis mainly uses technologies such as images, graphics, and visible light spectrum analysis. These technologies transform the tongue and pulse conditions in TCM diagnosis into objective signals. Through the analysis of the corresponding relationship between qualitative and quantitative data and disease health status, combined with TCM Knowledge theory is gradually improved in clinical research, and a certain theoretical basis and methods have been formed.

  The application of new technology is a supplement and improvement to the diagnosis and treatment model of Chinese medicine.

In traditional Chinese medicine diagnosis and treatment, doctors make judgments and decisions based on subjective and vague memory and experience, while modern Chinese medicine diagnosis and treatment technology uses the image of the tongue diagnosis instrument and the waveform of the pulse diagnosis instrument to simultaneously record the macroscopic phenomenon and microscopic data of the tongue and pulse information. And through comprehensive data analysis to achieve accurate diagnosis.

  Xu Jiatuo believes that having accurate data as the basis for doctors’ diagnosis is equivalent to having a tool for measurement and analysis by TCM doctors, which can break through the limitations of time and space, break through the limitations of individual differences and subjectivity of doctors, and accurately reproduce and analyze diseases. The form of expression enables precise diagnosis and treatment.

In the future, when most patients are supported by objective data, a scientific correspondence between data, diagnosis and treatment plans and curative effects will gradually be established, and then a clinical big data platform for traditional Chinese medicine will be formed, which will facilitate the iterative development of industry technical specifications and technological optimization.

  "With the development of information technology, time and space will not be a problem. The Chinese medicine diagnosis and treatment model can obtain patient data information without face-to-face." Xu Jiatuo specifically mentioned that Internet medical treatment, telemedicine, and online medical treatment based on information technology will be greatly expanded. Application scenarios of Chinese medicine.

"Under the condition of obtaining patients' clinical information more comprehensively, the big data foundation for a certain disease can improve the accuracy of diagnosis, the accuracy of drugs, and the effective evaluation of drug efficacy." Xu Jiatuo said.

  Hu Jingqing said that at present, the inheritance of traditional Chinese medicine is insufficient, the innovation is weak, and the cross-integration with modern technology is not enough.

"To promote the modernization and industrialization of Chinese medicine, it is necessary to promote the combination of traditional Chinese medicine diagnosis and treatment methods with modern technology through technological innovation, so that the ancient Chinese medicine can rejuvenate." Hu Jingqing said.

  The modernization of Chinese medicine cannot lose the holistic thinking

  The application of various information technology combined with the theoretical knowledge of Chinese medicine allows people to see the hope of modernization of Chinese medicine.

However, the modernization of Chinese medicine still faces various challenges in concept and technology.

  The first is the idea.

There are still people in TCM practitioners who believe that the data collected by machines can never be compared with human feelings, and they have not accepted the use of modern tools and technologies for objective research. Cognition is still limited to the diagnostic methods of "taking the pulse" and "seeing the tongue coating", and believes that there is no need for traditional Chinese medicine to integrate modern technology.

Since the practitioners of Chinese and Western medicine adhere to their own concepts, they are very likely to fall into the dilemma of technical "involution".

  "If both parties accept the modernization development concept of traditional Chinese medicine supported by modern medical technology, even if the tongue and pulse diagnosis instruments cannot fully match people's feelings at present, the continuous advancement of technical means can gradually make the modernization theory and data of traditional Chinese medicine possible. Perfect." Xu Jiatuo said.

  At the same time, the modernization of Chinese medicine also faces certain technical difficulties.

Regardless of artificial intelligence, sensors and bionic technology, or Internet medical care, these technical fields need to meet the needs of the Chinese medicine industry and work closely with the field of Chinese medicine.

The difficulty of the modernization of Chinese medicine lies in how traditional Chinese medicine and modern biology and information technology can achieve cross-border cooperation, and how to cross the technical foundation of their respective disciplines to reach each other's fields.

  Interdisciplinary research requires TCM to emancipate the mind and transform TCM theories into a technical basis that can be interpreted and realized by modern science and technology. This requires related fields to help solve technical problems; on the other hand, the fields of artificial intelligence and information technology also need to be Have an understanding of methods and concepts, and develop more suitable technical methods for the actual clinical needs of Chinese medicine.

  In the application of information technology, hearing, smell, and vision must also reach a certain degree of sensitivity.

However, the current image digital equipment and technology still cannot fully realize the human visual function.

  Another example is in pulse diagnosis, whether the information touched by the finger matches the data detected by the sensor... "People can feel the difference in millimeters, but you use a centimeter ruler to measure people's feelings." Xu Jiatuo said, The reliance on related technologies in the modernization of Chinese medicine also requires the breakthrough of more technical bottlenecks in related fields. Intelligent Chinese medicine tools need artificial intelligence and bionics to achieve common development.

  "Any technology has its limitations." Xu Jiatuo emphasized that the characteristic of Chinese medicine lies in its macro-comprehensive advantages. Therefore, in the process of Chinese medicine modernization, it is necessary to avoid excessive pursuit of data and technology, and lose the strategic advantages of the original Chinese medicine holistic thinking. This results in a situation where "you can only see the leaves, but not the forest".