数智技术在名老中医经验传承中的应用与思考OA
Application and reflections on digital intelligence technologies in the inheritance of veteran TCM practitioners'expertise
名老中医经验传承是中医药发展的核心环节.传统传承模式在历史上发挥了重要作用,但在面对隐性知识转化与规模化传承等新时代需求时,其与数智技术赋能的传承模式存在互补性.本文系统梳理了数智技术在名老中医经验传承中的关键路径与研究现状.具体而言,可以通过分词、命名实体识别等文本结构化技术实现中医文献信息的抽取与语义规范化;借助聚类分析、图神经网络等数据分析技术量化名医组方规律与辨证逻辑;运用知识图谱实现名医经验的体系化与可视化表达;结合大语言模型将名医数字化经验进行智能化呈现;基于以上成果,最终构建传承平台和辅助诊疗系统以实现名医经验的数字化应用.然而,该领域仍面临数据标准化不足、整体观与动态观难以建模、作用定位模糊及伦理责任界定不清等挑战.未来,应在数据层面推动跨机构可信数据空间建设,在模式层面深化"人机结合"的融合机制,在应用层面构建开放协同系统.数智技术的深入应用,将推动名医经验传承模式从单向、静态的知识保存,转向双向、动态的交互学习与人机协同模式.
The inheritance of veteran traditional Chinese medicine(TCM)practitioners'expertise constitutes a core element in the development of TCM.While traditional inheritance modes have played a significant historical role,they demonstrate complementarity with digital intelligence-enabled approaches when addressing contemporary demands such as tacit knowledge transformation and large-scale inheritance.This paper reviews the key pathways and current research status of digital intelligence technologies in inheriting veteran TCM practitioners'experience.Specifically,text structuring techniques including word segmentation and named entity recognition are employed to extract and semantically normalize information from TCM literature.Data analysis techniques such as clustering analysis and graph neural networks are utilized to quantify prescription patterns and syndrome differentiation logic.Knowledge graphs are applied to systematically organize and visually represent veteran TCM practitioners'experience.Large language models are integrated to intelligently present digitized expertise.Building on these outcomes,inheritance platforms and auxiliary diagnosis systems are ultimately constructed to enable the digital applications of veteran TCM practitioners'experiences.However,this field still faces challenges including insufficient data standardization,difficulties in modeling the holistic and dynamic nature of TCM,ambiguous role posi-tioning,and unclear ethical responsibility frameworks.Looking forward,efforts should be focused on promoting the construction of cross-institutional trusted data spaces at the data level,deepening the human-machine integration mechanism at the mode level,and building open collaborative systems at the application level.The deepened application of digital intelligence technologies will shift the inheritance of veteran practitioners'expertise from a one-way,static knowledge preservation model toward a bidirectional,dynamic interactive learning and human-machine collaborative paradigm.
何睿阳;李承悦;宋坪;冷学明;刘明玥;欧阳旭;武哲宇;骆长永
100700 北京中医药大学第一临床医学院北京中医药大学第三临床医学院中国中医科学院西苑医院皮肤科中国科学院大学电子电气与通信工程学院中国中医科学院西苑医院皮肤科河北工业大学电子信息工程学院北京中医药大学中医学院北京中医药大学东方医院感染科
医药卫生
名老中医人工智能传承数字化智能化知识图谱大语言模型数据分析
veteran TCM practitionersartificial intelligenceinheritancedigitalintelligentKnowledge Graphlarge language modeldata analysis
《环球中医药》 2026 (3)
410-419,10
中央高校基本科研业务费专项资金资助(2024-JYB-JBZD-064)北京市高层次创新创业人才支持计划"登峰"项目(G202514020)国家自然科学基金(82205317)中央高水平中医医院临床科研业务费资助(K2023C14)
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