中医现代化背景下传承创新与智能化发展路径研究OA
Study on the Path of Inheritance,Innovation and Intelligent Development of TCM in the Context of Modernization
中医现代化研究是中医药传承创新的重要方向.本文从科学哲学、系统科学、知识工程与医疗人工智能治理多维视角,探讨中医现代化研究中的认知偏差、诊断客观化需求、人工智能适配边界及与现代医学方法论的关系.基于整体梳理提出涵盖认知普及、人才培养、诊断扩展、技术支撑、战略定位与方法论整合的中医现代化整体路径,具体包括"两早一晚"(认知宜早、干预宜早、专业深耕宜晚)的人才培养与普及体系、"五诊合参"(四诊+机诊)的诊断扩展框架,以及"工具融合、逻辑自治、干预有界"的非对称融合原则.以普通感冒为案例,运用系统科学同构性原理与控制论框架,对中西医诊疗逻辑进行分析,揭示二者"同构异质"的方法论相关性.上述路径与方法可为在保持中医主体性前提下提升诊疗可观察性、可解释性、可验证性及可传播性提供思路,为中医现代化、中医人工智能研究与中西医协同发展提供理论参考.
The research on the modernization of TCM is an important direction for the inheritance and innovation of TCM.From the perspectives of philosophy of science,systems science,knowledge engineering,and medical AI governance,this article systematically examined the cognitive biases,needs for diagnostic objectification,AI adaptation boundaries,and methodological relationships between Chinese and Western medicine in the process of TCM modernization.Based on this holistic review,it proposed an integrated pathway of TCM modernization encompassing cognitive popularization,talent cultivation,diagnostic extension,technological support,strategic positioning,and methodological alignment.Specifically,it introduced a"two early,one late"talent cultivation and popularization system(early cognition,early intervention,and late specialization),a"five-diagnosis comprehensive referral"diagnostic framework(four traditional diagnostic methods plus machine diagnosis),and an asymmetric integration principle of"tool fusion,logical consistency,and bounded intervention".Furthermore,taking the common cold as a case study,it employed the isomorphism principle of systems science and the cybernetics framework to comparatively analyze the medical logic of traditional Chinese and Western medicine,revealing the"isomorphism-heterogeneity"methodological nature of the two systems.The proposed pathways and methods could provide insights for achieving the coordinated enhancement of observability,explainability,verifiability,and communicability in TCM diagnosis and treatment while maintaining TCM subjectivity,and offer theoretical references for the modernization of TCM,TCM-oriented AI research and coordinated development of traditional Chinese and Western medicine.
章杨清;孟庆刚
招联深圳"博士后创新实践基地",广东 深圳 518100北京中医药大学,北京 100029
医药卫生
中医现代化五诊合参机诊人工智能中西医协同
TCM modernizationfive-diagnosis comprehensive referralmachine diagnosisartificial intelligencetraditional Chinese-Western medicine coordination
《中国中医药信息杂志》 2026 (9)
1-6,6
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