A traditional chinese medicine characteristic nursing operation adaptability evaluation method and system based on syndrome credibility state and operation contraindication constraint

Abstract

This invention provides a method and system for assessing the suitability of TCM-specific nursing operations based on syndrome credibility and operational contraindications, comprising the following steps: S1: acquiring patient multimodal state data; S2: generating patient multimodal syndrome credibility based on the multimodal state data; S3: recalling candidate operations related to patient multimodal syndrome credibility and nursing goals based on a TCM-specific nursing operation knowledge base; S4: determining absolute contraindications, relative contraindications, and parameter restrictions for candidate operations based on an operational contraindication constraint library; S5: generating and updating operation suitability weights, contraindication constraint rules, and parameter generation rules based on operation execution feedback; applying this technical solution enables automatic optimization of operation suitability rules, parameter generation rules, and risk restriction rules.

Description

Technical Field

[0001] This invention relates to the fields of TCM nursing informatization, artificial intelligence-assisted decision-making, multimodal data processing, and safety control of TCM characteristic nursing operations, and in particular to a method and system for assessing the suitability of TCM characteristic nursing operations based on the credible state of syndrome and operational contraindications. Background Technology

[0002] With the application of artificial intelligence (AI) technology in TCM diagnosis and treatment and TCM nursing scenarios, intelligent syndrome differentiation, nursing decision support, and nursing intervention recommendations based on medical record texts, symptom descriptions, tongue images, pulse data, physical sign values, and nursing assessment scales are gradually becoming an important direction for TCM nursing informatization. AI systems can identify, encode, and analyze multi-source data, providing auxiliary support for TCM nursing assessment, syndrome judgment, and nursing operation selection.

[0003] Traditional Chinese medicine (TCM) diagnosis and treatment processes inherently possess significant multimodal characteristics. Inspection (inspection) can generate images or observational data such as tongue appearance, complexion, and skin condition; auscultation and inquiry (listening and questioning) can generate textual information such as chief complaints, chills and fever, pain, sleep, diet, bowel movements, and emotional state; palpation (palpation) can generate textual pulse images or pulse waveform data; and nursing assessments also include information such as body temperature, blood pressure, blood sugar, pain scores, fatigue scores, activities of daily living (ADL) scores, weight scales, allergy history, medication history, and past nursing responses. Therefore, introducing AI into TCM diagnosis and treatment and nursing processes requires processing multimodal data including text, images, time series, numerical values, and scales.

[0004] Traditional Chinese medicine (TCM) characteristic nursing procedures include moxibustion, acupoint application, auricular acupressure, cupping, scraping, herbal fumigation, acupoint massage, and hot compress. These procedures are not simply recommendations, but are closely related to the patient's syndrome, constitution, cold / heat pattern, deficiency / excess pattern, nursing goals, nursing stage, skin condition, allergy history, underlying diseases, and past reactions to procedures. When assisting in selecting these procedures, the AI ​​system needs to determine whether the current syndrome is reliable, whether there are any contraindications, whether the operation parameters need to be restricted, and whether a complete operation plan can be output.

[0005] The following problems still exist in AI-assisted TCM nursing systems for TCM-specific nursing procedures:

[0006] There is a lack of effective connection between multimodal perception results and nursing operations. AI systems can identify symptom text, tongue images, pulse data, physical sign values ​​and scale information, but these identification results often remain at the level of syndrome judgment or nursing suggestions, and have not been further transformed into executable judgment basis for TCM characteristic nursing operations.

[0007] The lack of credibility in syndrome identification results stems from the fact that different modalities may indicate different directions of cold / heat, deficiency / excess, or syndrome when there are discrepancies in multimodal inputs. For example, a text record might suggest aversion to cold and fatigue, while a tongue image might show a red tongue with a yellow, greasy coating, and a slippery, rapid pulse. If the AI ​​system only outputs a single syndrome label without expressing the credibility of the main syndrome and the level of conflict risk, it is difficult to use it as a basis for highly directional operations such as moxibustion, scraping, cupping, and topical application.

[0008] Traditional Chinese medicine (TCM) nursing procedures have clearly defined contraindications and risk boundaries. For example, factors such as skin damage, local infection, bleeding tendency, anticoagulant use, sensory disturbance, pregnancy restrictions, drug allergy, and previous patch reactions can affect whether or how the procedure can be performed. Existing systems mostly present contraindications as text prompts, lacking a computable, verifiable, and scoreable contraindication constraint model.

[0009] Nursing procedure outputs are currently limited to name recommendations. Traditional Chinese medicine (TCM) characteristic nursing procedures involve not only the type of procedure but also the procedure site, acupoint combination, stimulation intensity, procedure duration, frequency, temperature range, observation indicators, and termination conditions. Existing AI recommendations often lack the refinement to executable parameters, requiring nurses to rely on experience to adjust these parameters.

[0010] When the syndrome differentiation is uncertain, the lack of an operational output control mechanism can lead to problems. When the AI ​​system's assessment of a patient's syndrome is unreliable, or when there are conflicts in the multimodal evidence regarding cold / heat or deficiency / excess, directly outputting strong warming, strong stimulating, or purgative actions may result in the action being mismatched with the patient's current state. Therefore, it is necessary to control the range of nursing operation outputs based on the reliability of the syndrome differentiation and the level of conflict risk.

[0011] The failure to optimize the feedback loop in the implementation of TCM-specific nursing procedures, particularly regarding data on efficacy, tolerability, adverse reactions, and compliance, is a significant issue for assessing procedure suitability in similar patients. Existing systems typically do not utilize execution feedback to update procedure suitability weights, contraindication rules, and parameter generation rules.

[0012] Therefore, with the introduction of AI into TCM diagnosis and treatment and TCM nursing, there is a need for a technical solution that can transform multimodal perception results into syndrome credibility and operational risk status, and further combine operational contraindications to conduct adaptability assessment, parameter generation, and feedback updates for TCM-specific nursing operations. Summary of the Invention

[0013] In view of this, the purpose of this invention is to provide a method and system for assessing the suitability of TCM-characteristic nursing operations based on the credible state of syndrome and operational contraindications, so as to achieve automatic optimization of operation suitability rules, parameter generation rules and risk restriction rules.

[0014] To achieve the above objectives, the present invention adopts the following technical solution: a method for assessing the suitability of traditional Chinese medicine-based nursing procedures based on the credible state of syndromes and operational contraindications, comprising the following steps:

[0015] S1: Obtain multimodal patient status data, including symptom text, tongue appearance, pulse appearance, physical signs, nursing assessment scale, physical condition, nursing goals, nursing stage, skin condition, allergy history, underlying diseases, pregnancy status, sensory function, bleeding risk and past procedural responses;

[0016] S2: Generate patient multimodal syndrome credibility based on multimodal state data, wherein the multimodal syndrome credibility includes primary syndrome, secondary syndrome, syndrome credibility, conflict risk level and evidence source;

[0017] S3: Based on the knowledge base of TCM characteristic nursing operations, recall candidate operations related to the credibility of patients' multimodal syndromes and nursing goals. The candidate operations include one or more of the following: moxibustion, acupoint application, auricular acupressure, cupping, scraping, TCM fumigation and washing, acupoint massage and hot compress.

[0018] S4: Based on the operation taboo constraint library, perform absolute taboo, relative taboo and parameter restriction judgment on candidate operations, and calculate the suitability score for executable or restricted operations;

[0019] S5: Generate the operation site, acupoint combination, stimulation intensity, operation duration, operation frequency, temperature range, observation indicators, and stopping conditions based on the suitability score and contraindication determination results, and update the operation suitability weight, contraindication constraint rules, and parameter generation rules based on operation execution feedback.

[0020] In a preferred embodiment, in step S1, modal-level syndrome distributions are generated from symptom text, tongue appearance, pulse appearance, physical sign values, and nursing assessment scale information, respectively; The syndrome distribution corresponding to each modality is represented as follows:

[0021]

[0022] in: Indicates the first One modal input; This represents the syndrome recognition model corresponding to the modality; This represents the support probability of the modality for each syndrome category;

[0023] Constructing the syndrome compatibility matrix ,in Indicating symptoms Symptoms The degree of compatibility between them; the first The average conflict degree between a mode and other modes is defined as:

[0024]

[0025] in: This represents the number of modes involved in the calculation, where n represents the index of each mode other than the m-th mode. ;p m p n Let m and n represent the support probability distributions of the m-th and n-th modalities for each syndrome category; Indicates the first The degree of conflict between a modality and other modalities in the symptom direction; T represents transpose.

[0026] Combining modal quality, time efficiency, and conflict degree, calculate the first... Evidence weight for each modality :

[0027]

[0028] in: Indicates modal quality; Indicates time validity; This is the adjustment coefficient;

[0029] Patient syndrome distribution Defined as:

[0030]

[0031] The main symptoms and their credibility are defined as follows:

[0032]

[0033] in: Indicates the main symptom; Indicates the credibility of the main symptom;

[0034] The system according to and modal conflict degree Generate conflict risk levels and represent the symptom credibility results as follows:

[0035]

[0036] in: This indicates the reliability of the patient's current multimodal syndrome. Indicates secondary symptoms; Indicates the level of risk of symptom conflict; This represents the set of multimodal evidence sources that support the symptom assessment.

[0037] In a preferred embodiment, each candidate operation is represented as follows:

[0038]

[0039] in: Indicates the first A unique TCM-based nursing procedure; Indicates the operation type; Indicates the attribute of the operation; Indicates the applicable syndrome, applicable symptoms, and nursing goals; Indicates a forbidden condition; Indicates adjustable operating parameters; Indicates the performance observation indicators; This indicates a stopping condition.

[0040] In a preferred embodiment, the S4 taboo constraints are divided into three categories: when the absolute taboo constraint is met, the corresponding operation is not output; when the relative taboo constraint is met, the corresponding operation enters the evaluation, but the fit level or limiting parameters need to be reduced; when the parameter limiting constraint is met, the operation is still output, but the duration, temperature, stimulation intensity, frequency or site need to be adjusted.

[0041] In a preferred embodiment, for candidate operations The system calculates the taboo determination result based on the operation taboo constraint library. The taboo determination function is expressed as:

[0042]

[0043] in: Indicates candidate operation The executable coefficient; To limit the execution coefficient, the range of values ​​is: ;when When the system does not output the operation, it will not output the operation. When the system retains the operation, it restricts its intensity, duration, temperature, frequency, or location; when At that time, the system generates complete operating parameters based on the adaptability score results;

[0044] After performing a taboo check on the candidate operation, one of the following results is obtained: executable, executable but with parameter restrictions, requires system prompts, or prohibited from execution; the taboo check result directly enters the subsequent suitability scoring and operation parameter generation process.

[0045] In a preferred embodiment, in S4, an suitability assessment is performed on each candidate TCM-featured nursing operation; the assessment results are used to determine whether the operation should be output, at what level it should be output, and whether parameter restrictions or system prompts need to be generated.

[0046] The suitability score for candidate operations is defined as follows:

[0047]

[0048] in: This represents the executable coefficient obtained from the operation taboo determination; This indicates the degree of matching between the operational attributes and the credibility of multimodal symptoms; This indicates the degree of alignment between the procedure and the nursing goals; This indicates the degree of matching between the operation and the physical condition; This indicates a penalty item for potential conflict of symptoms; Indicates the weighting of the scores;

[0049] when hour, This operation does not enter the output; when At that time, the operation score was lowered, and it entered the constraint parameter generation process; when In this case, the operation is used to sort the results based on the complete score.

[0050] In a preferred embodiment, the operating parameters are dynamically determined based on the multimodal syndrome confidence level, physical condition, contraindication determination results, and fit level;

[0051] For operations that pass the taboo check and meet the adaptation requirements, the system generates a set of operation parameters:

[0052]

[0053] in: Indicates the operating location; Indicates acupoint combinations; Indicates operational intensity; Indicates the operation duration; Indicates the frequency of operations; Indicates temperature or distance parameters; Indicates the observation indicators; Indicates the stopping condition;

[0054] The operating parameters are determined jointly by the basic parameters, syndrome adjustment items, nursing goal adjustment items, and risk limitation items:

[0055]

[0056] in: Indicates operation The range of basic parameters; This indicates parameter adjustments caused by the primary and secondary symptoms; This indicates parameter adjustments caused by nursing goals; Indicates parameter restrictions caused by contraindication risk, physical condition risk, and conflict risk; This indicates that the parameters are limited to the range permitted by nursing guidelines.

[0057] In a preferred embodiment, the TCM-specific nursing operation suitability assessment results output by the system include at least: patient status summary, primary and secondary syndromes, syndrome reliability, conflict risk level, candidate operation list, contraindication judgment results, operation suitability level, recommended operation parameters, precautions, observation indicators, stopping conditions, system prompts, and explanation path.

[0058] After a nursing procedure is performed, the system collects feedback information, including: procedure data, physiological signal data, symptom improvement data, adverse reaction reporting data, compliance data, efficacy follow-up data, environmental and equipment data, procedure stability data, and safety data.

[0059] The above feedback information is transformed into feedback factors, including at least efficacy improvement factors, tolerability factors, adverse reaction factors, compliance factors, stability factors, and safety factors; feedback values ​​are calculated based on the feedback factors, and the feedback values ​​are used to update operation adaptation weights, contraindication rules, and parameter generation rules;

[0060] Feedback information is used to update the following: Operation adaptation weight update; if an operation has stable efficacy, high tolerability and few adverse reactions under a specific multimodal syndrome confidence state, the adaptation weight of the operation to the syndrome state will be increased; if the efficacy is weak or the tolerability is poor, the corresponding adaptation weight will be decreased.

[0061] If a certain type of patient repeatedly experiences adverse reactions or decreased safety under a specific procedure, the contraindication risk level under that condition will be increased, or the original parameter restriction constraint will be adjusted to a relative contraindication constraint.

[0062] If a certain operation can achieve the nursing goal with low intensity in a specific population, the recommendation intensity is reduced or the recommendation duration is shortened; if a higher frequency is associated with an increase in adverse reactions, the recommendation frequency is reduced or the observation indicators are increased.

[0063] If frequent combinations of certain syndrome conflicts, physical risks, or contraindications lead to a decrease in the operational suitability level, the system prompt level for the corresponding scenario will be increased, and output restrictions or parameter contraction will be automatically triggered.

[0064] The feedback update formula is expressed as:

[0065]

[0066] in: This indicates the operation adaptation weight, taboo weight, or parameter weight before the update; Indicates the updated weights; It represents the feedback value consisting of efficacy improvement, tolerability, adverse reactions, compliance, stability, and safety; This indicates the update rate.

[0067] This invention provides a TCM-specific nursing procedure suitability assessment system based on syndrome reliability status and operational contraindications, and implements a TCM-specific nursing procedure suitability assessment method based on syndrome reliability status and operational contraindications; including:

[0068] The multimodal patient status acquisition module is used to collect patient symptom text, tongue appearance, pulse appearance, physical signs values, nursing assessment scale, physical condition, nursing goals, nursing stage, skin condition, underlying diseases, allergy history, past procedural reactions and nursing risk factors.

[0069] The multimodal syndrome credibility generation module is used to generate primary syndrome, secondary syndrome, syndrome credibility, conflict risk level and evidence source based on multimodal patient status data, and to generate conflict risk level based on the consistency of syndromes between different modalities.

[0070] The operation knowledge base management module is used to store and maintain a knowledge base of operation procedures with Chinese medicine characteristics. The knowledge base includes operation type, effect attribute, applicable syndrome, applicable nursing goal, adjustable parameter, observation index and stopping condition, and automatically updates operation knowledge items and adaptation weights based on feedback results.

[0071] The operation taboo constraint module is used to store and execute operation taboo constraint rules, determine the absolute taboo, relative taboo and parameter restriction of candidate operations, and automatically update the taboo constraint level based on adverse reactions, tolerance and safety feedback.

[0072] The operation suitability assessment and parameter generation module is used to calculate the suitability score of candidate operations based on multimodal syndrome credibility, nursing goals, physical condition, nursing stage and risk factors, and generate operation type, operation site, acupoint combination, intensity, duration, frequency, temperature range, observation indicators and stopping conditions based on the suitability level and contraindication judgment results.

[0073] The structured output and automatic feedback update module is used to output the results of the TCM-characteristic nursing operation adaptability assessment, operation parameters, precautions, contraindications, system prompts and explanation paths, and automatically update the operation adaptation weights, contraindication constraint rules, parameter generation rules and system prompt rules based on the execution feedback.

[0074] Compared with the prior art, the present invention has the following beneficial effects:

[0075] 1. Transform the multimodal perception results in AI-based TCM diagnosis and nursing assessment into multimodal syndrome credibility, providing a unified input for the suitability assessment of TCM-specific nursing procedures;

[0076] 2. Traditional Chinese medicine characteristic nursing procedures were used as independent evaluation objects, and structured models were created for procedures such as moxibustion, acupoint application, auricular acupressure, cupping, scraping, Chinese herbal fumigation, acupoint massage, and hot compress.

[0077] 3. Use multimodal syndrome reliability, physical condition, nursing goals, nursing stages and risk factors together as the basis for procedural suitability assessment to improve the individualization of procedural selection;

[0078] 4. By using an operational taboo constraint library to automatically determine absolute taboos, relative taboos, and parameter restrictions, nursing operation outputs have clear safety boundaries;

[0079] 5. In the operation suitability score, syndrome matching, nursing goal matching, constitution matching, contraindication risk and syndrome conflict risk are considered at the same time to make the operation assessment results more in line with the execution logic of traditional Chinese medicine nursing.

[0080] 6. It can generate the operation site, acupoint combination, stimulation intensity, operation duration, operation frequency, temperature range, observation indicators and stopping conditions, thereby improving the executability of the output results;

[0081] 7. It can restrict the output of highly directional nursing operations when the reliability of the symptoms is low or the risk of conflict is high, and generate system prompts;

[0082] 8. It can automatically update operation adaptation weights, contraindication rules, parameter generation rules, and system prompt rules based on feedback on efficacy improvement, tolerability, adverse reactions, compliance, stability, and safety after operation execution. Attached Figure Description

[0083] Figure 1 This is a flowchart illustrating the overall process of a preferred embodiment of the present invention.

[0084] Figure 2 This is a schematic diagram of the structure of the Traditional Chinese Medicine characteristic nursing operation adaptability assessment system according to a preferred embodiment of the present invention;

[0085] Figure 3 This is a schematic diagram illustrating the operational adaptability assessment and parameter generation of a preferred embodiment of the present invention;

[0086] Figure 4 This is a schematic diagram illustrating the feedback update of traditional Chinese medicine-specific nursing procedures in a preferred embodiment of the present invention. Detailed Implementation

[0087] The present invention will be further described below with reference to the accompanying drawings and embodiments.

[0088] It should be noted that the following detailed descriptions are illustrative and intended to provide further explanation of this application. Unless otherwise specified, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this application pertains.

[0089] It should be noted that the terminology used herein is for the purpose of describing particular implementations only and is not intended to limit the exemplary implementations according to this application; as used herein, the singular form is intended to include the plural form as well, unless the context clearly indicates otherwise; furthermore, it should be understood that when the terms “comprising” and / or “including” are used in this specification, they indicate the presence of features, steps, operations, devices, components and / or combinations thereof.

[0090] A method and system for assessing the suitability of TCM-specific nursing procedures based on multimodal syndrome reliability, referencing Figure 1-4 This invention generates multimodal information such as patient symptom text, tongue appearance, pulse appearance, physical signs, nursing assessment scale, skin condition, allergy history, and past operation reactions by collecting patients' multimodal syndrome credibility and operation risk status. Then, it combines a TCM-specific nursing operation knowledge base and an operation contraindication constraint base to determine contraindications, assess suitability, and generate operation parameters for candidate nursing operations.

[0091] This invention achieves at least the following objectives:

[0092] The traditional Chinese medicine characteristic nursing procedures such as moxibustion, acupoint application, auricular acupressure, cupping, scraping, herbal fumigation, acupoint massage, and hot compress are represented in a structured manner.

[0093] The degree of fit between nursing procedures and the patient's current condition is determined based on the reliability of multimodal symptoms;

[0094] Identify unsuitable operations or operations that require parameter restrictions based on operational taboos;

[0095] Generate individualized execution parameters for TCM-specific nursing procedures;

[0096] Control the scope of operational output based on the credibility of the symptoms and the level of conflict risk;

[0097] Update operation adaptation weights, contraindication rules, and parameter generation rules based on nursing performance feedback.

[0098] This invention addresses the three questions of "whether it can be performed, whether it is suitable to be performed, and how to perform" of traditional Chinese medicine-based nursing procedures, and establishes a procedure suitability assessment and parameter generation process.

[0099] The overall process of this invention includes:

[0100] S1: Obtain multimodal patient status data, including symptom text, tongue appearance, pulse appearance, physical signs, nursing assessment scale, physical condition, nursing goals, nursing stage, skin condition, allergy history, underlying diseases, pregnancy status, sensory function, bleeding risk and past procedural responses;

[0101] S2: Generate patient multimodal syndrome credibility based on multimodal state data, wherein the multimodal syndrome credibility includes primary syndrome, secondary syndrome, syndrome credibility, conflict risk level and evidence source;

[0102] S3: Based on the knowledge base of TCM characteristic nursing operations, recall candidate operations related to the credibility of patients' multimodal syndromes and nursing goals. The candidate operations include one or more of the following: moxibustion, acupoint application, auricular acupressure, cupping, scraping, TCM fumigation and washing, acupoint massage and hot compress.

[0103] S4: Based on the operation taboo constraint library, perform absolute taboo, relative taboo and parameter restriction judgment on candidate operations, and calculate the suitability score for executable or restricted operations;

[0104] S5: Generate the operation site, acupoint combination, stimulation intensity, operation duration, operation frequency, temperature range, observation indicators, and stopping conditions based on the suitability score and contraindication determination results, and update the operation suitability weight, contraindication constraint rules, and parameter generation rules based on operation execution feedback.

[0105] Figure 1 This invention illustrates the overall workflow from acquiring multimodal patient status, generating multimodal syndrome credibility, recalling candidate nursing procedures, determining operational contraindications, scoring operational suitability, generating operational parameters, outputting structured data, to updating execution feedback. Specifically, the execution feedback update results are fed back to the multimodal syndrome credibility generation, candidate nursing procedure recall, operational suitability scoring, and operational parameter generation stages to automatically optimize operational suitability rules, parameter generation rules, and risk constraint rules.

[0106] (1) Generation of multimodal state data and syndrome credibility

[0107] The multimodal state data in this invention includes at least the following:

[0108] 1) Text Modality

[0109] The text modality includes the chief complaint, present medical history, nursing records, nursing assessment forms, diagnostic records, and follow-up records. The text modality is used to extract information such as the patient's fever / cold, pain, sleep, diet, bowel movements, mood, fatigue, local discomfort, and nursing goals.

[0110] 2) Image Modal

[0111] Image modalities include tongue images, facial images, local skin images, or local condition images collected by caregivers. Image modalities are used to extract information such as tongue texture, tongue coating, teeth marks, petechiae, cracks, skin lesions, redness and swelling, rashes, and infections.

[0112] 3) Pulse pattern

[0113] Pulse modality includes pulse text recorded by nursing staff, or pulse waveform, pulse rate, pulse strength, and pulse momentum data obtained by pulse acquisition equipment. Pulse modality is used to assist in judging conditions such as cold / heat, deficiency / excess, qi and blood status, and phlegm / dampness stagnation.

[0114] 4) Numerical characteristic modalities

[0115] The numerical vital signs modality includes body temperature, heart rate, blood pressure, respiratory rate, blood glucose, pain score, fatigue score, sleep score, and appetite score. This modality is used to supplement nursing risk assessment and nursing goal assessment.

[0116] 5) Scale and historical information modality

[0117] The scale and historical information modality includes the Traditional Chinese Medicine Body Weight Scale, Anxiety and Depression Scale, Quality of Life Scale, Nursing Compliance Scale, Allergy History, Medication History, and Past Operational Reactions. This modality is used to assess body constitution, tolerance, contraindication risk, and systematic cue level.

[0118] The system generates modal-level syndrome distributions from text, tongue appearance, pulse, physical sign values, and scale information, respectively. The syndrome distribution corresponding to each modality is represented as follows:

[0119]

[0120] in: Indicates the first One modal input; This represents the syndrome recognition model corresponding to the modality; This represents the support probability of the modality for each syndrome category.

[0121] To calculate the degree of symptom conflict between different modalities, a symptom compatibility matrix is ​​constructed. ,in Indicating symptoms Symptoms The degree of compatibility between them. The average conflict degree between a mode and other modes is defined as:

[0122]

[0123] in: Indicates the number of modes involved in the calculation; Indicates the first The degree of conflict between the first mode and other modes in the symptom direction. Combining mode quality, time efficiency, and conflict degree, the first mode is calculated. Evidence weights for each modality:

[0124]

[0125] in: Indicates modal quality; Indicates time validity; This is the adjustment coefficient.

[0126] The distribution of comprehensive syndromes in patients is defined as follows:

[0127]

[0128] The main symptoms and their credibility are defined as follows:

[0129]

[0130] in: Indicates the main symptom; This indicates the credibility of the main symptom.

[0131] The system according to and modal conflict degree Generate conflict risk levels and represent the symptom credibility results as follows:

[0132]

[0133] in: This indicates the reliability of the patient's current multimodal syndrome. Indicates secondary symptoms; Indicates the level of risk of symptom conflict; This represents the set of multimodal evidence sources that support the symptom assessment.

[0134] For example, if the symptom text indicates cold pain in the knee, which worsens with cold and is relieved by warmth, the tongue appearance indicates a pale tongue with a white coating, the pulse appearance indicates a deep and slow pulse, and the constitution indicates a tendency of Yang deficiency, the system can generate a multimodal syndrome credibility result of "cold-dampness obstruction, high credibility of the main syndrome, and low risk of conflict".

[0135] When the indications of cold / heat, deficiency / excess, or syndrome direction are inconsistent between different modalities, the system generates a lower syndrome credibility or a higher conflict risk level and writes the source of conflict into the evidence source set.

[0136] (2) Construction of a knowledge base for nursing procedures with Chinese medicine characteristics

[0137] A knowledge base for nursing procedures with TCM characteristics was constructed to describe the effects, applicable syndromes, applicable nursing goals, contraindications, adjustable parameters, observation indicators, and cessation conditions of different nursing procedures.

[0138] Each nursing procedure is represented as follows:

[0139]

[0140] in: Indicates the first A unique TCM-based nursing procedure; Indicates the operation type; Indicates the attribute of the operation; Indicates the applicable syndrome, applicable symptoms, and nursing goals; Indicates a forbidden condition; Indicates adjustable operating parameters; Indicates the performance observation indicators; This indicates a stopping condition.

[0141] The nursing procedure knowledge base should include at least the following:

[0142]

[0143] Operational attributes are used to match the credibility of patients' multimodal syndromes. For example, the warming, dispersing, and tonifying properties of moxibustion are highly correlated with states such as yang deficiency, cold-dampness, and cold-coagulation pain; auricular acupressure is highly correlated with nursing goals such as sleep disorders, anxiety, and pain; and traditional Chinese medicine fumigation is associated with states such as local cold-dampness, itching, and limb discomfort.

[0144] (3) Construction of the taboo constraint library and taboo determination

[0145] A library of operational taboo constraints is constructed to automatically filter and restrict parameters for candidate nursing procedures. Taboo constraints are divided into three categories:

[0146] When an absolute taboo constraint is satisfied, the corresponding operation is not output.

[0147] When the relative taboo constraint is met, the corresponding operation can proceed to evaluation, but the adaptation level or limiting parameters need to be reduced.

[0148] When the parameter constraints are met, the operation can still output, but the duration, temperature, stimulation intensity, frequency, or location need to be adjusted.

[0149] The taboo constraint library should include at least:

[0150]

[0151] For candidate operations The system calculates the taboo determination result based on the operation taboo constraint library. The taboo determination function is expressed as:

[0152]

[0153] in: Indicates candidate operation The executable coefficient; To limit the execution coefficient, the range of values ​​is: .

[0154] when When the system does not output the operation, it will not output the operation. When the system retains the operation, it restricts its intensity, duration, temperature, frequency, or location; when At that time, the system generates complete operating parameters based on the adaptability score results.

[0155] After performing a tabu check on the candidate operation, one of the following results is obtained:

[0156] Executable;

[0157] It can be executed, but parameters need to be limited;

[0158] System prompts are required;

[0159] Enforcement is prohibited.

[0160] The contraindication result directly proceeds to the subsequent suitability scoring and operational parameter generation process.

[0161] Figure 2 The diagram illustrates the structural relationship between the TCM-specific nursing operation knowledge base, the operation contraindication constraint database, and the TCM-specific nursing operation suitability assessment engine. The operation knowledge base records operation type, effect attribute, applicable syndrome, applicable nursing goal, adjustable parameters, observation indicators, and stopping conditions; the operation contraindication constraint database records absolute contraindications, relative contraindications, and parameter restrictions; the suitability assessment engine calls upon the knowledge base and constraint database to complete rule matching, multidimensional suitability analysis, automatic contraindication determination, and candidate operation ranking, and automatically updates the knowledge base and constraint database based on the determination results.

[0162] (4) Operational adaptability assessment

[0163] The system performs an suitability assessment for each candidate TCM-specific nursing procedure. The assessment results are used to determine whether the procedure should be output, at what level, and whether parameter restrictions or system prompts need to be generated.

[0164] Candidate operations The fit score is defined as:

[0165]

[0166] in: This represents the executable coefficient obtained from the operation taboo determination; This indicates the degree of matching between the operational attributes and the credibility of multimodal symptoms; This indicates the degree of alignment between the procedure and the nursing goals; This indicates the degree of matching between the operation and the physical condition; This indicates a penalty item for potential conflict of symptoms; This indicates the weight of the score.

[0167] when hour, This operation does not enter the output; when At that time, the operation score was lowered, and it entered the constraint parameter generation process; when In this case, the operation is used to sort the results based on the complete score.

[0168] The compatibility assessment includes the following:

[0169] 1) Symptom fit assessment

[0170] Determine whether the operational effect attribute matches the primary and secondary symptoms. For example:

[0171] Moxibustion is highly compatible with pain caused by Yang deficiency, cold-dampness, and cold stagnation.

[0172] Gua sha is highly compatible with superficial symptoms, stagnation, and muscle tension.

[0173] Ear acupressure is highly correlated with insomnia, pain, and anxiety.

[0174] Acupressure is highly compatible with conditions such as gastrointestinal discomfort, local pain, and sleep disorders.

[0175] 2) Nursing goal fit assessment

[0176] Determine whether the action corresponds to the patient's current care goals. For example:

[0177] When relieving cold pain, increase the importance of moxibustion and hot compress treatments;

[0178] To improve sleep, increase the weight of ear acupressure and acupoint massage.

[0179] When relieving local muscle tension, increase the weight of scraping, cupping, or acupressure.

[0180] When improving spleen and stomach function, increase the weight of operations related to Zhongwan and Zusanli.

[0181] 3) Physical fitness assessment

[0182] Determine if the operational attributes match the physical condition. For example:

[0183] A constitution with Yang deficiency can increase the weighting of warming and invigorating operations;

[0184] Reduce the weight of strong warming operations when the body is in a state of yin deficiency and excessive fire.

[0185] Reduce the weight of operations such as warm compresses and strong stimulation moxibustion in a humid and hot state;

[0186] Increase the risk weight of application and fumigation procedures under special conditions.

[0187] 4) Contraindication Risk Assessment

[0188] Risk factors such as skin lesions, local infections, bleeding tendencies, sensory disturbances, pregnancy restrictions, drug allergies, and past adverse reactions are identified based on the operational contraindication constraint library.

[0189] When an absolute taboo is triggered, the operation will not output anything; when a relative taboo is triggered, the operation will enter a restricted execution state; when a parameter constraint is triggered, the operation can output something, but the operation parameters need to be adjusted.

[0190] 5) Symptom Conflict Risk Assessment

[0191] When the reliability of multimodal symptoms is low or there are conflicts between cold / heat and virtual / real directions, the adaptation score of operations with strong directional characteristics is reduced and the system prompt level is increased.

[0192] Based on the suitability score and taboo determination results, the system categorizes candidate operations into:

[0193]

[0194] (5) Generation of operation parameters

[0195] For TCM-specific nursing procedures deemed highly or moderately suitable, the system generates individualized operational parameters. These parameters are dynamically determined based on multimodal syndrome reliability, physical condition, contraindication assessment results, and suitability level.

[0196] For operations that pass the taboo check and meet the compatibility requirements The system generates a set of operation parameters:

[0197]

[0198] in: Indicates the operating location; Indicates acupoint combinations; Indicates operational intensity; Indicates the operation duration; Indicates the frequency of operations; Indicates temperature or distance parameters; Indicates the observation indicators; This indicates a stopping condition.

[0199] The operating parameters are determined jointly by the basic parameters, syndrome adjustment items, nursing goal adjustment items, and risk limitation items:

[0200]

[0201] in: Indicates operation The range of basic parameters; This indicates parameter adjustments caused by the primary and secondary symptoms; This indicates parameter adjustments caused by nursing goals; Indicates parameter restrictions caused by contraindication risk, physical condition risk, and conflict risk; This indicates that the parameters are limited to the range permitted by nursing guidelines.

[0202] For example, when moxibustion is suitable for cold-dampness obstruction and the risk of contraindication is low, the system generates operation time and temperature distance parameters within the conventional range; when the patient has sensory impairment or sensitive skin due to old age, Increase the system's temperature range, shorten the operation time, or increase the observation frequency.

[0203] The generated operation parameters should include at least the following:

[0204] 1) Operation type

[0205] This includes one or more of the following: moxibustion, acupoint application, ear acupressure, cupping, scraping, herbal fumigation, acupoint massage, and hot compress therapy.

[0206] 2) Operating site or acupoint

[0207] The treatment site or acupoint combination is determined based on the nursing goals and the patient's symptom status. For example:

[0208] For conditions related to spleen and stomach weakness, acupoints such as Zhongwan and Zusanli can be selected.

[0209] For sleep disorders, acupoints such as Shenmen, Neiguan, and Shenmen (ear acupoint) can be selected.

[0210] For localized pain, local Ashi points and related meridian areas can be selected;

[0211] For knee pain due to cold and dampness, acupoints such as the knee area, Zusanli (ST36), and Yanglingquan (GB34) can be selected.

[0212] 3) Operational intensity

[0213] The intensity of stimulation should be determined based on the patient's physical condition, age, tolerance, and risk level. In cases of relative contraindication, reduce the pressure applied, the intensity of negative pressure, the scraping force, or the intensity of thermal stimulation.

[0214] 4) Operation duration and frequency

[0215] The duration of each session, daily frequency, weekly frequency, and treatment cycle are determined based on the nursing stage, type of procedure, and patient tolerance. The initial procedure duration is shortened for first-time treatments or when risk factors are present.

[0216] 5) Temperature or distance parameters

[0217] Suitable for moxibustion, herbal fumigation, and hot compress therapy. For patients with sensory impairment, elderly patients, diabetic peripheral neuropathy, or local skin sensitivity, reduce the temperature range or increase the distance.

[0218] 6) Observation indicators

[0219] Symptoms include changes in local skin color, local temperature, pain, itching, blisters, burning pain, dizziness, chest tightness, nausea, and palpitations.

[0220] 7) Stopping conditions

[0221] Symptoms include localized abnormal redness of the skin, blisters, rashes, burning pain, worsening pain, dizziness, chest tightness, elevated body temperature, or significant discomfort in the patient.

[0222] When an operation triggers a parameter constraint, the system adjusts its duration, intensity, temperature, frequency, or location; when an operation triggers an absolute taboo constraint, the system stops generating the operation parameter.

[0223] Figure 3 This demonstrates the process by which candidate TCM-specific nursing procedures undergo syndrome matching assessment, nursing goal matching assessment, constitution matching assessment, contraindication risk assessment, and syndrome conflict risk assessment. A matching score is then generated, further producing the procedure location, acupoint combination, intensity, duration, frequency, temperature range, observation indicators, and termination conditions. The matching level determination results can be fed back to each assessment module to automatically adjust the subsequent procedure sequencing, parameter ranges, and output restriction strategies.

[0224] (6) Structured output and feedback update

[0225] The system output of the TCM-specific nursing operation suitability assessment results should include at least: patient status summary; primary and secondary symptoms; symptom reliability; conflict risk level; candidate operation list; contraindication judgment result; operation suitability level; recommended operation parameters; precautions; observation indicators; stopping conditions; system prompts; and explanation path.

[0226] After a nursing procedure is performed, the system collects feedback information, including: procedure data; physiological signal data; symptom improvement data; adverse reaction reporting data; compliance data; efficacy follow-up data; environmental and equipment data; procedure stability data; and safety data.

[0227] The aforementioned feedback information is transformed into feedback factors, including at least efficacy improvement factors, tolerability factors, adverse reaction factors, compliance factors, stability factors, and safety factors. The system calculates feedback values ​​based on these feedback factors and uses these values ​​to update operation adaptation weights, contraindication constraint rules, and parameter generation rules.

[0228] Feedback information is used to update the following:

[0229] If an operation has stable efficacy, high tolerability, and few adverse reactions under a specific multimodal syndrome confidence state, the adaptation weight of the operation to the syndrome state will be increased; if the efficacy is weak or the tolerability is poor, the corresponding adaptation weight will be decreased.

[0230] If a certain type of patient repeatedly experiences adverse reactions or decreased safety under a specific procedure, the contraindication risk level under that condition will be increased, or the original parameter restriction constraint will be adjusted to a relative contraindication constraint.

[0231] If a certain operation can achieve the nursing goal with low intensity in a specific population, the recommendation intensity is reduced or the recommendation duration is shortened; if a higher frequency is associated with an increase in adverse reactions, the recommendation frequency is reduced or the observation indicators are increased.

[0232] If frequent combinations of certain syndrome conflicts, physical risks, or contraindications lead to a decrease in the operational suitability level, the system prompt level for the corresponding scenario will be increased, and output restrictions or parameter contraction will be automatically triggered.

[0233] The feedback update formula can be expressed as:

[0234]

[0235] in: This indicates the operation adaptation weight, taboo weight, or parameter weight before the update; Indicates the updated weights; It represents the feedback value consisting of efficacy improvement, tolerability, adverse reactions, compliance, stability, and safety; This indicates the update rate.

[0236] Figure 4 The demonstration shows that after the implementation of TCM-specific nursing procedures, the system collects data on the procedure process, physiological signals, symptom improvement, adverse reactions, compliance, efficacy follow-up, and environmental and equipment conditions, and automatically generates feedback factors. Based on these feedback factors, the system calculates feedback values, further updates the procedure adaptation weights, contraindication rules, and parameter generation rules, and feeds the updated results back into the subsequent procedure evaluation and parameter generation processes.

[0237] System Structure

[0238] Corresponding to the above method, the present invention also provides a TCM-specific nursing operation suitability assessment system, which includes the following modules.

[0239] The multimodal patient status acquisition module is used to collect patient symptom text, tongue appearance, pulse appearance, physical signs values, nursing assessment scales, physical condition, nursing goals, nursing stage, skin condition, underlying diseases, allergy history, past procedural reactions, and nursing risk factors.

[0240] The multimodal syndrome credibility generation module is used to generate primary syndrome, secondary syndrome, syndrome credibility, conflict risk level and evidence source based on multimodal patient status data, and to generate conflict risk level based on the consistency of syndromes between different modalities.

[0241] The operation knowledge base management module is used to store and maintain a knowledge base of TCM-specific nursing operations. The knowledge base includes operation type, effect attribute, applicable syndrome, applicable nursing goal, adjustable parameter, observation index and stopping condition, and automatically updates operation knowledge items and adaptation weights based on feedback results.

[0242] The operation taboo constraint module is used to store and execute operation taboo constraint rules, determine absolute taboo, relative taboo and parameter restriction for candidate operations, and automatically update the taboo constraint level based on adverse reaction, tolerance and safety feedback.

[0243] The operation suitability assessment and parameter generation module is used to calculate the suitability score of candidate operations based on multimodal syndrome credibility, nursing goals, physical condition, nursing stage and risk factors, and generate operation type, operation site, acupoint combination, intensity, duration, frequency, temperature range, observation indicators and stopping conditions based on the suitability level and contraindication judgment results.

[0244] The structured output and automatic feedback update module is used to output the results of the TCM-characteristic nursing operation adaptability assessment, operation parameters, precautions, contraindications, system prompts and explanation paths, and automatically update the operation adaptation weights, contraindication constraint rules, parameter generation rules and system prompt rules based on the execution feedback.

[0245] Example 1: Moxibustion Operation Suitability Assessment

[0246] A patient entered the following information:

[0247] Main symptoms: cold pain in the knee, aggravated by cold and relieved by warmth;

[0248] Tongue appearance: Pale tongue with white coating;

[0249] Pulse characteristics: Deep and slow;

[0250] Constitution: Tends towards Yang deficiency;

[0251] Nursing goal: To relieve knee pain and discomfort during movement;

[0252] Risk factors: No fever, no local skin damage, no sensory disturbances, and no history of adverse reactions to moxibustion.

[0253] The system generates multimodal syndrome confidence results based on symptom text, tongue appearance, pulse appearance, and constitution information:

[0254] Main symptoms: Cold-dampness obstruction;

[0255] Secondary symptoms: Yang deficiency tendency;

[0256] The reliability of the main symptom is 0.88.

[0257] Conflict risk level: Low;

[0258] Main sources of evidence:

[0259] Symptom text: Cold pain in the knee, aggravated by cold and relieved by warmth;

[0260] Tongue appearance: Pale tongue with white coating;

[0261] Pulse characteristics: Deep and slow;

[0262] Constitution: Tends towards Yang deficiency.

[0263] The system recalls candidate operations based on the credibility of multimodal symptoms, including moxibustion, hot compress, acupoint massage, and traditional Chinese medicine fumigation.

[0264] Among them, moxibustion has the properties of warming and dispelling cold, and supporting Yang and unblocking the meridians, which is highly compatible with the nursing goals of cold-dampness obstruction and cold pain in the knee. After the system performed the contraindication judgment, no absolute or relative contraindications were found.

[0265] The system calculates the moxibustion operation suitability score and determines it to be highly suitable. Then, it generates the operation parameters:

[0266] Operation type: Moxibustion care;

[0267] Treatment area: Local area of ​​the knee and related acupoints;

[0268] Recommended acupoints: Zusanli (ST36), Yanglingquan (GB34), and local Ashi points;

[0269] Intensity of application: A noticeable warming sensation without burning pain;

[0270] Operation duration: Set the duration for each session according to nursing guidelines;

[0271] Frequency of operation: set according to the nursing stage and tolerance;

[0272] Observation indicators: changes in local skin color, warmth, pain, dizziness, chest tightness, and burning pain;

[0273] Stop conditions: abnormal redness, burning pain, blisters, dizziness, chest tightness or other obvious discomfort in the local skin.

[0274] Output interpretation path:

[0275] "Symptom text, tongue appearance, pulse appearance and constitution information together support cold-dampness obstruction → main syndrome confidence 0.88 → moxibustion warming and dispersing cold properties match the syndrome direction → contraindication judgment passed → moxibustion operation highly adaptable."

[0276] Example 2: Suitability Assessment of Acupoint Patch Application

[0277] A patient entered the following information:

[0278] Main symptoms: recurring cough, worsened by cold, with thin, white phlegm;

[0279] Constitution: Tends towards Yang deficiency;

[0280] Nursing goal: Reduce coughing episodes and improve cold-type cough and wheezing.

[0281] Risk factors: Mild skin itching after previous application of the patch.

[0282] The system generates multimodal syndrome confidence results based on symptom text, physical condition information, and past operational responses:

[0283] Main symptoms: Deficiency of lung and spleen qi with a tendency to drink cold beverages;

[0284] The reliability of the main symptom is 0.72.

[0285] Conflict risk level: Medium;

[0286] Main sources of evidence:

[0287] Symptom description: Recurring cough, worsened by cold, thin and clear white phlegm;

[0288] Constitution: Tends towards Yang deficiency;

[0289] Historical information: Mild skin itching occurred after previous application of the patch;

[0290] Evidence of risk: Previous skin reactions after application.

[0291] The system recalls the acupoint application procedure and performs a contraindication assessment. Due to the patient's previous skin reaction to the application, the system marks the procedure as relatively contraindicated, allowing it to proceed to the assessment but restricting the application duration and drug stimulation intensity.

[0292] System output:

[0293] Operation type: Acupoint application;

[0294] Compatibility level: Medium.

[0295] Parameter limitations: Reduce the strength of irritating drugs and shorten the initial application time;

[0296] Observation indicators: local redness, itching, rash, blisters;

[0297] Stopping conditions: significant itching, enlarged rash, blisters, or burning pain;

[0298] System prompt: When using this method for the first time, increase the risk warning level for skin condition and allergy history, and limit the application time and drug irritation intensity.

[0299] Output interpretation path:

[0300] "Symptom text and constitution information support lung and spleen qi deficiency with cold phlegm tendency → main syndrome confidence 0.72 → acupoint application matches nursing goals → previous skin reaction triggers relative contraindication → limit application duration and drug stimulation intensity."

[0301] Example 3: Determination of Contraindications for Cupping Therapy

[0302] A patient entered the following information:

[0303] Main symptoms: shoulder and back pain;

[0304] Nursing goal: To relieve tension in the shoulder and back muscles;

[0305] Syndrome tendency: Qi stagnation and blood stasis tendency;

[0306] Risk factors: Currently using anticoagulant medications, skin prone to bruising.

[0307] The system generates assessment results based on symptoms, nursing goals, syndrome predisposition, and medication risk:

[0308] Main symptoms: Qi stagnation and blood stasis tendency;

[0309] The reliability of the main symptom is 0.69.

[0310] Conflict risk level: Medium;

[0311] Operational risk level: High;

[0312] High-risk sources: anticoagulant medications, skin prone to bruising.

[0313] The system recalled cupping and acupressure as candidate operations. Cupping has the property of promoting blood circulation and clearing the meridians, which matches the nursing goals of qi stagnation and blood stasis and shoulder and back pain to a certain extent. However, the operation contraindication module identified the risks of bleeding and skin ecchymosis.

[0314] The system determines that cupping is unsuitable and does not output cupping parameters. The system retains low-risk acupoint massage and local heat application observation suggestions and generates a contraindication warning.

[0315] "The patient has bleeding risk factors, so cupping and other negative pressure stimulation procedures should be limited."

[0316] Output interpretation path:

[0317] “Shoulder and back pain and qi stagnation and blood stasis tend to support the recall of cupping candidates → Anticoagulant medication and easy skin ecchymosis trigger bleeding risk constraints → Cupping operation is not suitable → Output low-risk alternative operation.”

[0318] Example 4: Output Control When Syndrome Reliability is Insufficient

[0319] A patient entered the following information:

[0320] Text record: Feeling cold, feeling weak;

[0321] Tongue appearance: Red tongue with a yellow, greasy coating;

[0322] Pulse characteristics: Slippery and rapid;

[0323] Constitution: The Qi deficiency constitution score is relatively high;

[0324] Nursing goal: Improve fatigue and sleep.

[0325] The system generates syndrome confidence results based on multimodal input:

[0326] Textual evidence: Fear of cold and fatigue support the theory of deficiency-cold or yang deficiency;

[0327] Tongue appearance evidence: Red tongue with yellow and greasy coating supports the diagnosis of damp-heat.

[0328] Pulse evidence: The pulse is slippery and rapid, supporting the indication of heat or phlegm-heat.

[0329] Main symptoms: tendency towards damp-heat;

[0330] The reliability of the main symptom is 0.58.

[0331] Conflict risk level: High;

[0332] Source of conflict: The textual evidence is inconsistent with the tongue and pulse evidence in terms of the direction of cold and heat.

[0333] The system performs output control based on this result:

[0334] Limit procedures involving strong heat, such as strong moxibustion.

[0335] Restrict strong cleansing procedures;

[0336] Provide observational nursing recommendations, including recording changes in symptoms of chills and fever, sleep, bowel movements, thirst, and bitter taste in the mouth;

[0337] Low-risk care measures are recommended, such as sleep environment adjustment, emotional relaxation, and basic daily living care;

[0338] Generate system prompts and automatically limit the output of highly directional operations.

[0339] Output interpretation path:

[0340] “Textual evidence conflicts with tongue and pulse evidence in terms of cold and heat direction → the main symptom has a confidence level of 0.58, indicating a high risk of conflict → this restricts directional operations → outputs low-risk observational nursing suggestions and system prompts.”

Claims

1. A method for assessing the suitability of TCM-specific nursing procedures based on syndrome credibility and operational contraindications, characterized in that, Includes the following steps: S1: Obtain multimodal patient status data, including symptom text, tongue appearance, pulse appearance, physical signs, nursing assessment scale, physical condition, nursing goals, nursing stage, skin condition, allergy history, underlying diseases, pregnancy status, sensory function, bleeding risk and past procedural responses; S2: Generate patient multimodal syndrome credibility based on multimodal state data, wherein the multimodal syndrome credibility includes primary syndrome, secondary syndrome, syndrome credibility, conflict risk level and evidence source; S3: Based on the knowledge base of TCM characteristic nursing operations, recall candidate operations related to the credibility of patients' multimodal syndromes and nursing goals. The candidate operations include one or more of the following: moxibustion, acupoint application, auricular acupressure, cupping, scraping, TCM fumigation and washing, acupoint massage and hot compress. S4: Based on the operation taboo constraint library, perform absolute taboo, relative taboo and parameter restriction judgment on candidate operations, and calculate the suitability score for executable or restricted operations; S5: Generate the operation site, acupoint combination, stimulation intensity, operation duration, operation frequency, temperature range, observation indicators, and stopping conditions based on the suitability score and contraindication determination results, and update the operation suitability weight, contraindication constraint rules, and parameter generation rules based on operation execution feedback.

2. The method for assessing the suitability of TCM-specific nursing procedures based on syndrome reliability and operational contraindications as described in claim 1, characterized in that, In S1, modal-level syndrome distributions are generated from symptom text, tongue appearance, pulse appearance, physical sign values, and nursing assessment scale information; The syndrome distribution corresponding to each modality is represented as follows: in: Indicates the first One modal input; This represents the syndrome recognition model corresponding to the modality; This represents the support probability of the modality for each syndrome category; Constructing the syndrome compatibility matrix ,in Indicating symptoms Symptoms The degree of compatibility between them; the first The average conflict degree between a mode and other modes is defined as: in: This represents the number of modes involved in the calculation, where n represents the index of each mode other than the m-th mode. ;p m p n Let m and n represent the support probability distributions of the m-th and n-th modalities for each syndrome category; Indicates the first The degree of conflict between a modality and other modalities in the symptom direction; T represents transpose; Combining modal quality, time efficiency, and conflict degree, calculate the first... Evidence weight for each modality : in: Indicates modal quality; Indicates time validity; This is the adjustment coefficient; Patient syndrome distribution Defined as: The main symptoms and their credibility are defined as follows: in: Indicates the main symptom; Indicates the credibility of the main symptom; The system according to and modal conflict degree Generate conflict risk levels and represent the symptom credibility results as follows: in: This indicates the reliability of the patient's current multimodal syndrome. Indicates secondary symptoms; Indicates the level of risk of symptom conflict; This represents the set of multimodal evidence sources that support the symptom assessment.

3. The method for assessing the suitability of TCM-specific nursing procedures based on syndrome reliability and operational contraindications as described in claim 1, characterized in that, Each candidate operation is represented as: in: Indicates the first A unique TCM-based nursing procedure; Indicates the operation type; Indicates the attribute of the operation; Indicates the applicable syndrome, applicable symptoms, and nursing goals; Indicates a forbidden condition; Indicates adjustable operating parameters; Indicates the performance observation indicators; This indicates a stopping condition.

4. The method for assessing the suitability of TCM-specific nursing procedures based on syndrome reliability and operational contraindications as described in claim 1, characterized in that, S4 taboo constraints are divided into three categories: absolute taboo constraints, when the condition is met, the corresponding operation is not output; relative taboo constraints, when the condition is met, the corresponding operation enters the evaluation, but the fit level or limiting parameters need to be reduced; parameter limiting constraints, when the condition is met, the operation is still output, but the duration, temperature, stimulus intensity, frequency or site need to be adjusted.

5. The method for assessing the suitability of TCM-specific nursing procedures based on syndrome reliability and operational contraindications as described in claim 4, characterized in that, For candidate operations The system calculates the taboo determination result based on the operation taboo constraint library. The taboo determination function is expressed as: in: Indicates candidate operation The executable coefficient; To limit the execution coefficient, the range of values ​​is: ;when When the system does not output the operation, it will not output the operation. When the system retains the operation, it restricts its intensity, duration, temperature, frequency, or location; when At that time, the system generates complete operating parameters based on the adaptability score results; After performing a taboo check on the candidate operation, one of the following results is obtained: executable, executable but with parameter restrictions, requires system prompts, or prohibited from execution; the taboo check result directly enters the subsequent suitability scoring and operation parameter generation process.

6. The method for assessing the suitability of TCM-specific nursing procedures based on syndrome reliability and operational contraindications as described in claim 1, characterized in that, In S4, an suitability assessment is performed on each candidate TCM-featured nursing procedure. The assessment results are used to determine whether the procedure should be output, at what level, and whether parameter restrictions or system prompts need to be generated. The suitability score for candidate operations is defined as follows: in: This represents the executable coefficient obtained from the operation taboo determination; This indicates the degree of matching between the operational attributes and the credibility of multimodal symptoms; This indicates the degree of alignment between the procedure and the nursing goals; This indicates the degree of matching between the operation and the physical condition; This indicates a penalty item for potential conflict of symptoms; Indicates the weighting of the scores; when hour, This operation does not enter the output; when At that time, the operation score was lowered, and it entered the constraint parameter generation process; when In this case, the operation is used to sort the results based on the complete score.

7. The method for assessing the suitability of TCM-specific nursing procedures based on syndrome reliability and operational contraindications as described in claim 1, characterized in that, The operating parameters are dynamically determined based on the reliability of multimodal symptoms, physical condition, contraindication determination results, and fit level. For operations that pass the taboo check and meet the adaptation requirements, the system generates a set of operation parameters: in: Indicates the operating location; Indicates acupoint combinations; Indicates operational intensity; Indicates the operation duration; Indicates the frequency of operations; Indicates temperature or distance parameters; Indicates the observation indicators; Indicates the stopping condition; The operating parameters are determined jointly by the basic parameters, syndrome adjustment items, nursing goal adjustment items, and risk limitation items: in: Indicates operation The range of basic parameters; This indicates parameter adjustments caused by the primary and secondary symptoms; This indicates parameter adjustments caused by nursing goals; Indicates parameter restrictions caused by contraindication risk, physical condition risk, and conflict risk; This indicates that the parameters are limited to the range permitted by nursing guidelines.

8. The method for assessing the suitability of TCM-specific nursing procedures based on syndrome reliability and operational contraindications as described in claim 1, characterized in that, The system output of the TCM-featured nursing operation suitability assessment results should include at least the following: patient status summary, primary and secondary symptoms, symptom reliability, conflict risk level, candidate operation list, contraindication judgment results, operation suitability level, recommended operation parameters, precautions, observation indicators, stopping conditions, system prompts, and explanation path. After a nursing procedure is performed, the system collects feedback information, including: procedure data, physiological signal data, symptom improvement data, adverse reaction reporting data, compliance data, efficacy follow-up data, environmental and equipment data, procedure stability data, and safety data. The above feedback information is transformed into feedback factors, including at least efficacy improvement factors, tolerability factors, adverse reaction factors, compliance factors, stability factors, and safety factors; feedback values ​​are calculated based on the feedback factors, and the feedback values ​​are used to update operation adaptation weights, contraindication rules, and parameter generation rules; Feedback information is used to update the following: Operation adaptation weight update; if an operation has stable efficacy, high tolerability and few adverse reactions under a specific multimodal syndrome confidence state, the adaptation weight of the operation to the syndrome state will be increased; if the efficacy is weak or the tolerability is poor, the corresponding adaptation weight will be decreased. If a certain type of patient repeatedly experiences adverse reactions or decreased safety under a specific procedure, the contraindication risk level under that condition will be increased, or the original parameter restriction constraint will be adjusted to a relative contraindication constraint. If a certain operation can achieve the nursing goal with low intensity in a specific population, the recommendation intensity is reduced or the recommendation duration is shortened; if a higher frequency is associated with an increase in adverse reactions, the recommendation frequency is reduced or the observation indicators are increased. If frequent combinations of certain syndrome conflicts, physical risks, or contraindications lead to a decrease in the operational suitability level, the system prompt level for the corresponding scenario will be increased, and output restrictions or parameter contraction will be automatically triggered. The feedback update formula is expressed as: in: This indicates the operation adaptation weight, taboo weight, or parameter weight before the update; Indicates the updated weights; It represents the feedback value consisting of efficacy improvement, tolerability, adverse reactions, compliance, stability, and safety; This indicates the update rate.

9. A TCM-specific nursing procedure suitability assessment system based on syndrome reliability status and operational contraindications, characterized in that, The method for assessing the suitability of TCM-specific nursing procedures based on syndrome credibility and operational contraindications, as described in any one of claims 1-8, includes: The multimodal patient status acquisition module is used to collect patient symptom text, tongue appearance, pulse appearance, physical signs values, nursing assessment scale, physical condition, nursing goals, nursing stage, skin condition, underlying diseases, allergy history, past procedural reactions and nursing risk factors. The multimodal syndrome credibility generation module is used to generate primary syndrome, secondary syndrome, syndrome credibility, conflict risk level and evidence source based on multimodal patient status data, and to generate conflict risk level based on the consistency of syndromes between different modalities. The operation knowledge base management module is used to store and maintain a knowledge base of operation procedures with Chinese medicine characteristics. The knowledge base includes operation type, effect attribute, applicable syndrome, applicable nursing goal, adjustable parameter, observation index and stopping condition, and automatically updates operation knowledge items and adaptation weights based on feedback results. The operation taboo constraint module is used to store and execute operation taboo constraint rules, determine the absolute taboo, relative taboo and parameter restriction of candidate operations, and automatically update the taboo constraint level based on adverse reactions, tolerance and safety feedback. The operation suitability assessment and parameter generation module is used to calculate the suitability score of candidate operations based on multimodal syndrome credibility, nursing goals, physical condition, nursing stage and risk factors, and generate operation type, operation site, acupoint combination, intensity, duration, frequency, temperature range, observation indicators and stopping conditions based on the suitability level and contraindication judgment results. The structured output and automatic feedback update module is used to output the results of the TCM-characteristic nursing operation adaptability assessment, operation parameters, precautions, contraindications, system prompts and explanation paths, and automatically update the operation adaptation weights, contraindication constraint rules, parameter generation rules and system prompt rules based on the execution feedback.

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