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Original Article | Open Access

Traditional Chinese medicine diagnosis and treatment based on systematics

Zhanhong Wanga,b, Danli Wanga,b( ), Wen Liuc( ), Zhongxia Wangd
The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing 100190, China
School of Artificial Intelligence, University of Chinese Academy of Sciences, Beijing 100049, China
Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China
Department of Nutrition, Fifth Medical Center, PLA General Hospital, Beijing 100039, China
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Abstract

Background

Traditional Chinese Medicine (TCM) is a well-established medical system with a long history. However, the overall concept and systematic thinking in TCM are not comprehensively understood and applied in its inheritance and development.

Objective

This study aims to provide a basic theory for TCM diagnosis using systematics as the guiding principle. Using modern scientific and technological achievements, we aim to explore a new TCM diagnosis method.

Methods

We analyzed previous studies on TCM diagnosis and treatment, and reviewed clinical research on TCM diagnosis and treatment from the viewpoint of systematics. We propose a new process model based on systematics for TCM diagnosis and treatment. This is a generalized model that summarizes the process of “establishing an image to express meaning”.

Results

The proposed model was implemented in the clinical practice of TCM. We monitored the detailed treatment process of patients in the Department of Liver Diseases at Beijing Hospital. One patient underwent a treatment program that lasted 1 year and 45 days, consisting of 12 iterative cycles, each guided by the proposed diagnostic model and tailored to the patient's evolving condition. This case study validates the effectiveness of the proposed model in the diagnosis and treatment of liver disease in TCM. The therapeutic efficacy has been validated through the examination of both TCM indicators and Western medical auxiliary parameters. Among these, the TCM indicators consist of 2 components: tongue diagnosis and pulse diagnosis. Meanwhile, the Western medical auxiliary indicators encompass a range of assessments, including whole blood cell analysis, professional liver function examination, a series of liver function assessments, a high-sensitivity hepatitis B pentathlete test, as well as color Doppler ultrasound evaluations of the liver, bile duct, pancreas, spleen, and assessments of liver elasticity, among other related examination parameters. In conclusion, it is evident that the syndrome of liver depression and spleen deficiency has significantly diminished, and the viral load has decreased to levels below the detectable threshold, thereby confirming the restoration of normal liver function. These findings indicate that the disease is now under control.

Conclusions

In this study, we applied the guiding principle of systematics to the study of TCM diagnosis and treatment, and combined it with modern medical technology. We proposed a TCM diagnosis and treatment process model, and a TCM model to establish an image, which can effectively support the diagnosis and treatment of TCM diseases. We illustrated the effectiveness of these models by applying them to TCM liver disease.

Keywords

Traditional Chinese medicineSystematicsLiver diseaseDiagnosis and treatment model

References

[1]

Liu P. Inheritance and innovation of the theory of traditional Chinese medicine etiology and pathogenesis based on therapeutic effect analysis and reduction (in Chinese). World Chinese Med 2009;4(6):301–3. https://doi.org/10.3969/j.issn.1673-7202.2009.06.001.
Crossref Google Scholar
[2]

Qian X. Qian Xuesen Shuxin[Letters of Qian Xuesen]. National Defense Industry Press; 2007.
[3]

Dong X, Dai R. Viewing traditional Chinese medicine theory from the perspective of systems science and complexity (in Chinese) J Syst Simulat 2002;14(11):1458–63. https://doi.org/10.3969/j.issn.1004-731X.2002.11.014.1478.
Crossref Google Scholar
[4]

Dai R. Systems Science and Innovative Development of Traditional Chinese Medicine. Science Press; 2008. p. 4.
[5]

Liu W. Cultivation of clinical thinking in undergraduate traditional Chinese medicine students (in Chinese). Chin Med Mod Dist Educ China 2020;18(17):20–2. https://doi.org/10.3969/j.issn.1672-2779.2020.17.009.
Crossref Google Scholar
[6]

Zhou W. On non-logical thinking in differential diagnosis and treatment (in Chinese) J Shandong Univ Tradit Chin Med 1992;2:20–3.
Google Scholar
[7]

Meng X, Yang J, Wang F. The role of non-logical thinking in traditional Chinese medicine theory and clinical innovation (in Chinese). J Shandong Univ Tradit Chin Med 2017;41(3):3. https://doi.org/10.16294/j.cnki.1007-659x.2017.03.008.
Crossref Google Scholar
[8]

Yang M, Li H, Wang J, et al. Feasibility study on cultivating non-logical thinking in traditional Chinese medicine in the Era of big data (in Chinese). Electron J Clin Med Lit 2019;6(60):184–5.
Google Scholar
[9]

Zheng HX. Basic Theory of Traditional Chinese Medicine. China Traditional Chinese Medicine Press; 2016. p. 167.
[10]

Wang Y, Zhang H, Wang Y. Clinical thinking patterns and behavioral paradigms in Traditional chinese medicine (in Chinese) J Beijing Univ Tradit Chin Med (Clinical Edition) 2012;19(2):1–2. https://doi.org/10.3969/j.issn.1672-2205.2012.02.001.
Crossref Google Scholar
[11]

Sun C, Xie Q, Meng Q. Study on the thinking process of traditional Chinese medicine diagnosis and treatment based on psychological logic model (in Chinese) J Beijing Univ Tradit Chin Med 2015;38(3):153–7. https://doi.org/10.3969/j.issn.1006-2157.2015.03.002.
Crossref Google Scholar
[12]

Wang J, Wang Y. Research on complex systems t heory and traditional Chinese medicine syndrome differentiation (in Chinese) Chin J Tradit Chin Med Info 2001;8(9):25–7. https://doi.org/10.3969/j.issn.1005-5304.2001.09.014.
Crossref Google Scholar
[13]

Tian Y, Liu M, Sun Y, et al. When liver disease diagnosis encounters deep learning: Analysis, challenges, and prospects. iLIVER 2023;2(1):73–87. https://doi.org/10.1016/j.iliver.2023.02.002.
Crossref Google Scholar
[14]

Dai RW, Shi Y, Ji W. Collected Works of Academician Dai Ruwei. Tsinghua University Press; 2012. p. 12.
iLIVER
Volume 2 Issue 4,
December 2023
Pages 181-187
DOI: 10.1016/j.iliver.2023.08.004
Cite this article:
Wang Z, Wang D, Liu W, et al. Traditional Chinese medicine diagnosis and treatment based on systematics. iLIVER, 2023, 2(4): 181-187. https://doi.org/10.1016/j.iliver.2023.08.004

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Received: 05 July 2023
Revised: 14 August 2023
Accepted: 15 August 2023
Published: 01 September 2023
© 2023 The Authors. Tsinghua University Press.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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