Traditional Chinese medicine diagnosis method based on change of pulse along with syndrome and determination of syndrome along with pulse
By establishing a dynamic proportional relationship between pulse patterns and syndromes and a soul-dependent pathological model, the problem of complexity in the diagnosis of Chinese pulse syndromes in traditional Chinese medicine is solved, the accuracy and intelligence of traditional Chinese medicine diagnosis is achieved, and the treatment effect is improved.
Patent Information
- Application Number
- CN202510488902.2
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2025-04-18
- Publication Date
- 2025-08-01
- Estimated Expiration
- Not applicable · inactive patent
AI Technical Summary
Traditional Chinese medicine diagnostic methods fail to establish a dynamic balance between pulse patterns and syndromes, and cannot accurately reflect the complex changes in pulse syndrome interactions during the development of the disease, resulting in diagnostic deviations and mistreatment.
Based on the traditional Chinese medicine diagnosis method of pulse changes with symptoms and symptoms, by establishing a dynamic proportional relationship between pulse and symptoms, flexibly adjusting the diagnostic weight of pulse and symptoms, combining the soul-dependent pathological model and intelligent analysis module to realize dynamic allocation and comprehensive analysis of pulse and syndrome.
It improves the accuracy and treatment efficiency of traditional Chinese medicine diagnosis, reduces misdiagnosis and mistreatment, and promotes the standardization and intelligence of traditional Chinese medicine diagnosis.
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of traditional Chinese medicine diagnosis, and specifically to a traditional Chinese medicine diagnosis method and system based on the dynamic syndrome differentiation theory of "the pulse changes with the syndrome and the syndrome is determined by the pulse", which is used to optimize the clinical syndrome differentiation and treatment process of traditional Chinese medicine and improve the diagnostic accuracy and treatment efficiency. Background Art
[0002] Traditional traditional Chinese medicine diagnosis methods have obvious limitations. Although the eight-principle syndrome differentiation provides a basic syndrome differentiation framework, it is too rigid and difficult to cope with the complex disease syndromes of the coexistence of yin and yang and the intermingling of cold and heat in clinical practice. The six-meridian syndrome differentiation and the wei-qifen-yingxue syndrome differentiation are mainly aimed at exogenous febrile diseases and have limited applicability to internal miscellaneous diseases. The existing "pulse-based syndrome differentiation" method overemphasizes the role of pulse diagnosis, and extreme practices such as "ignoring the syndrome and following the pulse" or "ignoring the pulse and following the syndrome" often lead to diagnostic deviations. These methods have not established a dynamic balance relationship between the pulse condition and the syndrome, and cannot accurately reflect the complex changes of the interaction between the pulse condition and the syndrome during the development of the disease. Summary of the Invention
[0003] In view of this, in order to solve the problems in the technical background, the present invention proposes a traditional Chinese medicine diagnosis method based on the pulse changing with the syndrome and the syndrome being determined by the pulse. The specific technical solutions are as follows:
[0004] The traditional Chinese medicine diagnosis method based on the pulse changing with the syndrome and the syndrome being determined by the pulse includes establishing a dynamic proportional relationship between the pulse condition and the syndrome, and adjusting the diagnostic weights of the pulse and the syndrome according to the actual clinical situation, where the pulse-syndrome ratio flexibly changes between 30:70 and 70:30;
[0005] When the symptom manifestation is clear but the pulse condition is not typical, the syndrome is the main factor, with a 70% weight for the syndrome and a 30% weight for the pulse;
[0006] When the pulse characteristics are significant but the symptoms are vague, the pulse is the main factor, with a 70% weight for the pulse and a 30% weight for the syndrome.
[0007] Furthermore, it also includes a soul-body interdependent pathological model, regarding the pulse condition as the internal manifestation of the "soul", reflecting the essence and development trend of the disease, and regarding the symptoms as the external manifestation of the "body", reflecting the patient's subjective feelings and clinical manifestations. When the pulse condition and the syndrome match, it is determined as "soul-body interdependent", and the condition is relatively simple. When the pulse condition and the syndrome do not match, it is determined as "soul-body separated", indicating a complex or critical condition.
[0008] Furthermore, the specific steps of the diagnosis method in clinical application include: collecting the four diagnostic information of the patient, including pulse data and symptom manifestations; dynamically allocating diagnostic weights according to the significance of the pulse-syndrome characteristics; combining the "soul-body interdependent" model to comprehensively analyze the relationship between the pulse condition and the syndrome, and outputting the syndrome differentiation result; formulating corresponding treatment plans according to the syndrome differentiation result.
[0009] Furthermore, it also includes the following modules: Data acquisition module: used to collect the pulse condition data and symptom information of patients, supporting electronic pulse diagnosis instruments and manual input; Intelligent analysis module: based on the historical case database and algorithm model, dynamically allocate the weights of pulse conditions and symptoms, and generate the conclusion of syndrome differentiation; Decision support module: provide treatment suggestions according to the results of syndrome differentiation, and support the optimization of diagnostic rules based on the feedback of treatment effects. The data acquisition module includes an electronic pulse diagnosis device, which is used to objectively collect pulse condition data and reduce human errors; The intelligent analysis module uses machine learning algorithms to continuously optimize the rule for allocating the weights of pulse conditions and symptoms according to the feedback of clinical treatment effects.
[0010] Adopting the above technical solutions, the following beneficial effects are achieved:
[0011] The present invention establishes a dynamic balance relationship between pulse conditions and symptoms, making the diagnosis more accurate; proposes a pathological model of "the soul and the soul depend on each other", deepening the understanding of the essence of pulse conditions and symptoms; develops a supporting diagnostic system, promoting the standardization and intelligentization of traditional Chinese medicine diagnosis. Clinical practice has proved that this method significantly improves the diagnostic accuracy of complex syndromes and diseases, reduces misdiagnosis and mistreatment, and provides new technical support for the syndrome differentiation and treatment of traditional Chinese medicine. Specific embodiments
[0012] The technical solutions in the embodiments of the present invention are clearly and completely described below. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.
[0013] Embodiment 1, the core of this embodiment lies in establishing a dynamic syndrome differentiation system of "the pulse changes with the syndrome and the syndrome is determined by the pulse". Breaking through the limitations of traditional syndrome differentiation methods, it is proposed that there is a dynamic proportional relationship between the pulse condition and the syndrome. According to the actual clinical situation, the proportion of the pulse condition and the syndrome can be flexibly adjusted between 70:30 and 30:70. When the symptom manifestation is clear and the pulse condition is not typical, the syndrome is the main factor (the syndrome accounts for 70%, and the pulse accounts for 30%); when the pulse condition characteristics are significant and the symptoms are vague, the pulse is the main factor (the pulse accounts for 70%, and the syndrome accounts for 30%). This diagnostic idea of dynamic balance avoids the one-sidedness of simply "ignoring the pulse" or "ignoring the syndrome", and can adapt to various complex and changeable clinical conditions.
[0014] Furthermore, a pathological model of "the soul and the soul depend on each other" is proposed. The pulse condition is regarded as the internal manifestation of the "soul", reflecting the essence and trend of the disease; the symptom is regarded as the external manifestation of the "soul", reflecting the patient's subjective feelings. When the pulse condition and the syndrome match, it indicates that "the soul and the soul depend on each other" and the condition is relatively simple; when the pulse condition and the syndrome do not match, it indicates that "the soul and the soul are separated" and the condition is complex and critical. This model provides a deeper theoretical basis for understanding the relationship between the pulse condition and the syndrome.
[0015] In terms of technical implementation, the present invention includes three major modules: the data acquisition module is responsible for collecting the four diagnostic information of patients, especially pulse condition data; the intelligent analysis module uses algorithms to dynamically allocate weights to the relationship between pulse conditions and syndromes; the decision support module provides diagnostic suggestions and treatment plans based on the analysis results. The system can be connected to an electronic pulse diagnosis device to achieve objective acquisition of pulse conditions and reduce human errors.
[0016] Example 2, based on Example 1, the invention and innovation of the traditional Chinese medicine diagnosis theory of (the pulse changes with the syndrome, and the syndrome is determined by the pulse)
[0017] The theory of syndrome differentiation and treatment based on the pulse changing with the symptoms and the symptoms being determined by the pulse has never been proposed by our predecessors. However, I believe that the creation of this theory can greatly guide doctors in clinical practice, making it easier for them to understand and grasp the essence of pulse and syndrome treatment in pulse and syndrome differentiation. It can also promote the integration of various theories of Traditional Chinese Medicine to the greatest extent possible, especially in the syndrome differentiation and treatment of exogenous epidemic diseases and various internal diseases (different constitutions and different diseases). It has a guiding role in summarizing the key points and keeping the complexities simple, thus avoiding the dilemma of sticking to one opinion and finding it difficult to integrate them. Looking at the various theories established by our predecessors, such as the Eight-Principle Syndrome Differentiation in Traditional Chinese Medicine, which divides clinical symptoms into eight different and mutually opposing syndrome types (exterior and interior cold and heat, deficiency and excess, yin and yang), it does not specify the importance of pulse theory in various types of diseases. If we encounter yin syndrome with yang pulse, yang syndrome with yin pulse, cold syndrome with rapid pulse, heat syndrome with slow pulse, excess syndrome with weak pulse, and deficiency syndrome with strong pulse, how should we identify them? Zhang Zhongjing, a medical scientist in the Eastern Han Dynasty, first proposed the diagnostic approach of using pulses to differentiate syndromes and treating both pulses and symptoms. While "ping" and "wei" are related, using pulses (wei) to differentiate, identify, and diagnose symptoms is far-fetched. Treating both pulses and symptoms emphasizes discussing pulses and symptoms together, harmonizing them, and comparing them. So which is the primary and which is secondary, serving as the basis for diagnosis? This clearly lacks quantitative analysis and a proportional diagnosis of changes in pulse and symptoms. The terms "pulse and symptoms" are ambiguous, and the profound meaning of the two is not clearly articulated. This is because the relationship between pulse and symptoms (in ancient times, symptoms and symptoms were related) can easily mislead doctors' judgment, making it difficult to resolve the dilemma and leaving them at a loss as to which to follow. In clinical practice, doctors should make clear the subordinate and primary-secondary relationship between pulse and syndrome. Sometimes the diagnosis is mainly based on syndrome (the ratio of syndrome to pulse is about 70:30), and sometimes the diagnosis is mainly based on pulse (the ratio of pulse to syndrome is about (70:30). The ratio of pulse to syndrome can be randomly changed in clinical practice. In this way, syndrome differentiation will make it clearer and more detailed the relationship between pulse and syndrome. This view is applicable to the discussion and treatment of all diseases and syndromes, and it is also a principle that must be followed. The creation of this view can be said to be a great progress in the holistic concept of traditional Chinese medicine and the idea of syndrome differentiation and treatment. (Treatise on Febrile Diseases) discusses syndrome differentiation of six meridians, (Treatise on Warm Diseases) discusses syndrome differentiation of Wei Qi Ying Xue, and (Treatise on Warm Epidemics) specializes in highly contagious warm-heat diseases. So far, typhoid fever, warm disease, and infectious disease have spanned thousands of years, standing on three legs, responding to each other from a distance, and can be called perfect. These three theories All of these discussions are about acute exogenous diseases. Literature on various internal diseases seems less well-known. So why is it important to study exogenous diseases before internal diseases in traditional Chinese medicine? This is because internal diseases often combine with exogenous symptoms of the six meridians, such as combined visceral diseases, both exterior and interior diseases, coexisting cold and heat, both deficiency and excess, a mixture of yin and yang, and a mix of qi and blood. A comprehensive discussion of various diseases: stroke, hepatitis, nephritis, diabetes, skin diseases, hyperactivity of liver yang, asthma, and so on. In clinical practice, these symptoms often combine exogenous and internal diseases, new and old diseases, and internal and external responses. Those who discuss exogenous diseases inevitably overlook internal diseases, and those who discuss old diseases inevitably overlook exogenous diseases. Therefore, medical students must first study exogenous diseases before mastering internal diseases. They must focus on the interaction between internal and external factors, balance the advance and retreat of pathogenic factors, and prioritize strengthening the body's resistance and eliminating pathogenic factors. All three should adhere to the principle of syndrome differentiation: the pulse changes with the symptoms, and the symptoms are determined by the pulse. Only then can they achieve the highest level of comprehensive and active methods.
[0018] The inventor of this method has practiced medicine for decades. Sometimes, he was misled by symptoms, and sometimes troubled by pulse conditions. When both were unclear, although there were theories in the past about disregarding symptoms in favor of pulse conditions or vice versa, the use of the word "disregard" in both cases seemed too arbitrary. Simply disregarding one aspect made it difficult for doctors to deeply understand the pathogenesis and transformation between pulse conditions and symptoms. As for the commonly mentioned concepts of holistic concept and syndrome differentiation and treatment, they were also relatively general generalizations, making it difficult to grasp the essence of syndrome differentiation and treatment, and there was always a significant gap from clinical practice. The holistic concept advocated by traditional Chinese medicine is correct, and the emphasis on syndrome differentiation and treatment is also right. However, I feel that they are like the sun and the moon in the sky, magnificent and spectacular, but always seem out of reach and difficult to grasp. The eight-principle syndrome differentiation only classifies diseases and syndromes into eight types, but in clinical practice, except for a few typical diseases and syndromes, they rarely appear alone. Following the book blindly and mechanically applying it won't work. In clinical practice, there are often yin within yang, yang within yin, cold syndromes with heat, heat syndromes with cold, deficiency with excess, excess with deficiency, exterior-interior complexity, intertwined and uneven. If one is slightly careless, it's difficult to adapt to the situation. The eight-principle syndrome differentiation is just a general guideline, relatively rigid and difficult to apply flexibly. In clinical practice, it's often difficult to distinguish between yin and yang, unclear about cold and heat, complex in deficiency and excess, and combined exterior and interior. Doctors urgently need a highly flexible and resourceful guiding ideology for syndrome differentiation and treatment to deal with the complex and changeable clinical conditions. The six-meridian syndrome differentiation, the wei-qifen-yingxue syndrome differentiation, the triple-jiao syndrome differentiation and other diagnostic methods were originally used for the diagnosis and treatment of exogenous febrile diseases. They mostly used a method of analyzing item by item for diagnosis. The nature of the disease was single and the pathogenesis was not complex. The diseases and syndromes treated were all functional disorders, rarely discussing organic lesions. Therefore, the prescriptions were simple, with few herbs and specific effects. The diagnosis of pulse conditions, symptoms and tongue manifestations was also relatively simple and easy to understand. However, this standard type of syndrome was not commonly seen, so it was difficult to draw on in clinical practice. In clinical practice, organic lesions (such as endocrine disorders) are very likely to be encountered. Organic and functional lesions often affect each other and cause diseases. For the diagnosis of organic lesions, the zang-fu syndrome differentiation method is preferred. At the same time, the six-meridian syndrome differentiation, the wei-qifen-yingxue syndrome differentiation, and the triple-jiao syndrome differentiation methods should also be referred to. However, the highest level of syndrome differentiation is still: the pulse changes with the syndrome, and the syndrome is determined by the pulse. These eight words are like a mysterious dragon that appears and disappears unpredictably, with unpredictable changes, rising and falling randomly, and being resourceful in all situations. They can be regarded as new concepts, new ideas, and new viewpoints in the syndrome differentiation and treatment of traditional Chinese medicine. In clinical practice, pulse diagnosis can only diagnose the momentum, direction, development, transformation and prognosis of the disease, but cannot identify what type of disease it is. Even when diagnosing the nature of the disease, in many cases, it still needs to be based on symptoms. Pulse diagnosis is mostly used to diagnose the deficiency and excess, cold and heat, yin and yang, exterior and interior of the disease condition, as well as the generation, restriction, overacting and counteracting of the five zang-organs. It is mainly used to grasp the momentum and prosperity or decline of the disease condition. Its diagnostic value is less than that of tongue diagnosis, inspection, auscultation and olfaction, and interrogation in many cases. If it is said that pulse can diagnose all diseases, it is false and divorced from reality. Because the diagnosis of pulse rhythm is only limited to the induction and understanding of form and momentum, it can only be felt but not seen, and it cannot replace the doctor's eyes, nor can it replace interrogation. Because the doctor cannot feel the patient's own feelings through pulse diagnosis, the diagnosis by pulse is not as practical as interrogation.However, the disease evidence obtained through inspection, auscultation and olfaction, and inquiry is mostly scattered symptoms of various systems, making it difficult to grasp its pathological mechanism. To deeply explore the role of the five elements in the pathological changes of the five zang-organs, and to weigh the severity and sharpness of the contradictions among the five zang-organs, it is still necessary to diagnose and treat according to the pulse in order to understand the mystery. This is the theoretical basis for the determination of syndrome following the pulse.
[0019] Let's further discuss the natural and scientific nature of the pulse following the symptoms and the symptoms following the pulse. Ancient Greek physiologists were the first to observe the human bloodstream, while at the same time, Bian Que in my country grasped the essence of the human pulse. Using the pulse to diagnose disease, and the bloodstream being connected, the two coincide, making pulse diagnosis undoubtedly superior. Blood circulation has a velocity, which is reflected in the pulse. The velocity can be distinguished by pulse patterns, such as slow and fast, strong and weak, large and small, latent, emerging, smooth and stagnant, with essence and rhythm, and irregularity. The West emphasizes the form and quality of blood, while the East emphasizes the essence and quality of blood flow. Form and quality can be observed, but essence and quality can only be understood. Form and quality are superficial phenomena, the result of the development of things, while essence and quality arise from a deeper level, representing the coordination of the functions of various systems and the inherent laws of the development and change of things. Therefore, pulse diagnosis in Traditional Chinese Medicine holds high value. It's neither appropriate to examine the pulse without considering the evidence nor the symptoms. The pulse and symptoms should be considered together. An abnormal pulse reflects a disturbance in the soul during illness (the soul is hidden within, painless, insensitive, and invisible), while discomfort during illness indicates damage to the spirit (the spirit is external, experiencing pain, damage, and visible). The pulse changes with the symptoms, indicating the interdependence of the soul and spirit; the symptoms settle with the pulse, indicating the presence of both spirit and spirit. Identifying the organic transformations within the pulse and symptoms, and exploring the interactive and coordinated relationships between pulse and symptoms, is the essence of syndrome differentiation and treatment. Sometimes the pulse and symptoms don't match, indicating a lack of interdependence between the soul and spirit (a sharp contradiction), resulting in often adverse and difficult-to-treat syndromes. Sometimes the pulse and symptoms match, indicating interdependence between the soul and spirit, resulting in often favorable and easy-to-treat syndromes. For example, a deficiency pulse can indicate a deficiency, or a strong pulse can indicate a deficiency. A deficiency pulse should be treated based on the excess syndrome (e.g., acute abdominal pain with a weak pulse); a deficiency pulse with a strong pulse should be treated based on the excess pulse (e.g., dizziness with a strong, wiry pulse). Excess syndrome often manifests as blocked meridians and viscera or hyperactive liver yang. A weak pulse does not necessarily indicate visceral deficiency. If the pulse is weak but there is no evidence of deficiency, yet the symptoms suggest excessive visceral excess, this is due to the suppression of the clear yang qi of the five viscera, resulting in a weak and feeble pulse (false deficiency) and a loss of vitality. Evacuating the visceral excess will restore visceral qi and pulse rhythm. If the pulse is strong but the patient is mentally fatigued (false deficiency), treatment should be based on pulse analysis. This is because the excess hinders the return of qi and blood, leading to fatigue. This excess must be hidden in the chest and abdomen or within the meridians and tendons. Evacuating or dispersing it will restore qi and blood, restore visceral qi, and the pulse will become gentle and smooth, with vitality emerging. This analysis shows that the pulse and syndrome are closely related. This is not unreasonable, but rather follows a pattern and is supported by evidence. Regardless of the complexity of the syndrome, the relationship between pulse and syndrome can be explained. The syndrome of "deficiency combined with excess" refers to a situation where deficiency symptoms predominate and excess symptoms are rare. The excess pathogen lurks in a hidden corner (e.g., hyperactivity of liver yang), and its location is relatively critical. Over time, excess turns into deficiency, making it difficult to tolerate purely tonifying the body. Only by simultaneously purging the excess and calming the excess, and by focusing on specific, concise, and precise measures, can one achieve immediate results. Once the excess pathogen is purged, the visceral qi flows freely, and the pulse naturally becomes gentle and less urgent. "The pulse changes with the symptoms" does not mean ignoring the pulse and following the symptoms, nor does the symptom following the pulse mean ignoring the symptoms and focusing on the pulse. This nomenclature deepens understanding of the correlation, closeness, and organic nature between pulse and symptoms. The inconsistency, disharmony, and self-contradiction of pulse and symptoms only demonstrate the complexity and diversity of disease and symptoms, necessitating precise differentiation and repeated verification.The pulse varying with syndrome means that the pathological changes of the pulse (such as floating, sinking, slow, and rapid) should determine the nature of the disease according to the syndrome. Among the twenty-eight pulse forms, there are cases of the same pulse form with different diseases, and the pulse should be judged according to the diseases and syndromes. The changes in the pulse form are similar to the waves in rivers, lakes, and seas. Wind (liver depression transforming into wind) can cause waves, and earthquakes (internal heat forcing) can also cause waves. The rhythmic and non-rhythmic fluctuations caused by the pumping function of the heart are all the most common factors causing pulse changes. The most highly regarded in the existing academic circle of traditional Chinese medicine is pulse diagnosis based on normal pulse conditions. Its main idea is that the disease condition can be diagnosed solely based on the abnormal changes in the pulse, emphasizing the pulse while neglecting the syndrome, deifying the pulse theory, exploring the profound and mysterious, and believing it without doubt.
[0020] There are quite a few who echo others' opinions. However, when clinically describing the changes in pulse patterns, medical practitioners still mainly rely on the simple twenty-eight pulses. The most common ones are floating and sinking, slow and rapid, large and small, forceful and weak, wiry and slippery, slow and rapid, slow and unsmooth, hollow and leathery, tight and rapid, etc. Myriad strange diseases and syndromes can present the same twenty-eight pulses, yet it is difficult for the twenty-eight pulses to summarize hundreds of thousands of different diseases and syndromes. On the contrary, the clinical symptoms and syndromes corresponding to the pulse are as unique as each chess game, with new developments at every turn. There are no completely identical cases in terms of the degree of severity, speed, and urgency. There are many cases with different diseases and syndromes but similar pulse conditions, but it is very rare for the symptoms to be exactly the same in terms of severity, speed, and urgency. From this analysis, it can be seen that symptoms are the guiding signs for the occurrence and development of the disease condition, with strong individual representativeness and being quite thought-provoking. Different diseases and syndromes can present the same pulse pattern, and the same pulse pattern can match different diseases. From the ever-changing and strange diseases (the patient's self-perception), the pathogenesis can be discovered, grasped, and predicted, thus foreseeing the transformation of the pathogenesis, and then it will be easy to prescribe the right medicine according to the syndrome. The "syndrome" here is not simply a symptom but the syndrome diagnosed by the doctor by comprehensively considering the changes in pulse and symptoms. The syndrome is the right moment and opportunity, which is the doctor's diagnostic result of the disease condition. The pulse pattern is diagnosed by the doctor, and the symptoms are felt by the patient himself. The pulse changes with the syndrome (symptom), which indicates that we should take symptoms as the center and then comprehensively analyze by referring to the changes in the pulse to obtain the correct diagnostic result. If a doctor does not clearly know what disease it is, or knows the disease but does not know the development of the pathogenesis and has no idea about the prediction of the disease condition, how much can he know just based on pulse theory? When a doctor diagnoses a disease and determines the syndrome, he must first rely on the symptoms, then refer to the abnormal changes in the tongue image, and finally make a comprehensive analysis by combining pulse diagnosis, rather than simply making a correct diagnosis based on pulse diagnosis alone. "The syndrome is determined by the pulse" does not mean mainly relying on pulse diagnosis, but weighing the degree of severity, speed, and urgency between pulse and syndrome. When the disease manifestation shows a complex mixture of cold and heat, difficult to determine yin and yang, and unclear deficiency and excess, combined with pulse diagnosis is beneficial for further exploring the disease condition, finding the pathogenesis, and determining the treatment method. For example, in the syndrome of yin with latent yang, mainly presenting a group of yin-cold syndromes (aversion to cold and cold limbs), it is very easy to be misjudged as yang deficiency and yin cold, and the treatment should be to warm and strengthen the primordial yang. However, its pulse is deep, thin, forceful, and rapid, not deep, thin, weak, and slow. At this time, pulse diagnosis should be the main basis, and it can be initially diagnosed as true heat with false cold or coexistence of cold and heat. If encountering the syndrome of yang with latent yin, that is, the patient complains of being extremely restless with heat, a very hot chest and abdomen, and elevated blood pressure, but the pulse is deep, thin, like silk, and slow, at this time, the pulse should be considered, and it is necessary to use warm tonics with caution and be careful with cold-natured drugs for purging fire. There are also cases where the disease condition is confirmed but the pulse is weak, and it is difficult to distinguish between deficiency and excess. For example, there are frequent vomiting, inability to eat, vomiting when eating, and also vomiting when not eating, abdominal pain with resistance to pressure, accompanied by pain and vomiting without relief. Its pulse is extremely thin like silk. At this time, it is advisable to consider the symptoms, promote the stagnation in the intestines and stomach, and when the stomach qi descends, the pain and vomiting will naturally stop. It is necessary to use warm tonics with caution, otherwise it will be against the principle. From the above analysis, it can be seen that the theory of "the pulse changes with the syndrome and the syndrome is determined by the pulse" is the extension of the law of the changes during the illness (the struggle between pathogenic factors and healthy qi) where the soul and the body depend on each other and the form and the shadow accompany each other in life. It is a highly generalized theory of syndrome differentiation and treatment and the most perfect interpretation of the holistic concept.
[0021] The basic principles and main features of the present invention have been described above. Those skilled in the art should understand that the present invention is not limited by the above embodiments. What is described in the above embodiments and the specification only illustrates the principles of the present invention. Without departing from the spirit and scope of the present invention, the present invention will have various changes and improvements, and all these changes and improvements fall within the scope of the present invention claimed. The scope of the invention claimed is defined by the appended claims and their equivalents.
Claims
1. A traditional Chinese medicine diagnosis method based on the principle that the pulse changes with syndromes and syndromes are determined by the pulse, characterized in that, It includes establishing a dynamic proportional relationship between the pulse condition and syndromes, and adjusting the diagnostic weights of the pulse and syndromes according to the actual clinical situation, where the proportion of the pulse and syndromes flexibly varies between 30:70 and 70:30; When the symptom manifestations are clear but the pulse condition is atypical, the syndromes are the main consideration, with the syndromes accounting for 70% of the weight and the pulse accounting for 30% of the weight; When the pulse characteristics are significant but the symptoms are vague, the pulse is the main consideration, with the pulse accounting for 70% of the weight and the syndromes accounting for 30% of the weight.
2. The traditional Chinese medicine diagnosis method based on the variation of pulse following syndrome and determination of syndrome following pulse according to claim 1, characterized in that, It also includes a pathological model of the interdependence of the soul and the soul. The pulse condition is regarded as the internal manifestation of the "soul", reflecting the essence and development trend of the disease, and the symptoms are regarded as the external manifestation of the "soul", reflecting the patient's subjective feelings and clinical manifestations. When the pulse and syndromes match, it is judged as "the interdependence of the soul and the soul", and the condition is relatively simple. When the pulse and syndromes do not match, it is judged as "the separation of the soul and the soul", indicating a complex or critical condition.
3. The traditional Chinese medicine diagnosis method based on the variation of pulse following syndrome and determination of syndrome following pulse according to claim 1, characterized in that, The specific steps of the above diagnostic method in clinical application are as follows: collecting the four diagnostic information of the patient, including pulse condition data and symptom manifestations; dynamically allocating diagnostic weights according to the significance of the pulse and syndrome characteristics; combining the "interdependence of the soul and the soul" model to comprehensively analyze the relationship between the pulse and syndromes and output the syndrome differentiation result; formulating corresponding treatment plans according to the syndrome differentiation result.
4. The traditional Chinese medicine diagnosis method based on the principle that the pulse changes with syndrome and the syndrome is determined by the pulse according to claim 1, characterized in that, It also includes the following modules: a data collection module: used to collect the pulse condition data and symptom information of the patient, supporting electronic pulse diagnosis instruments and manual input; An intelligent analysis module: based on the historical case database and algorithm model, dynamically allocates the weights of the pulse and syndromes and generates a syndrome differentiation conclusion; A decision support module: provides treatment suggestions according to the syndrome differentiation result and supports the optimization of the diagnostic rules through efficacy feedback. The data collection module includes an electronic pulse diagnosis device for objectively collecting pulse condition data and reducing human error; the intelligent analysis module uses machine learning algorithms to continuously optimize the weight allocation rules of the pulse and syndromes according to clinical efficacy feedback.