A hypertension individualized prevention and treatment comprehensive management system based on combination of traditional Chinese and western medicine

Abstract

The application relates to the technical field of medical data processing, and discloses a hypertension individualized prevention and treatment comprehensive management system based on the combination of traditional Chinese medicine and western medicine, which comprises a data acquisition module, a portrait construction module, a traditional Chinese medicine and western medicine fusion analysis module and an intervention scheme generation module, wherein the data acquisition module acquires multi-dimensional health information of a target patient; the portrait construction module constructs a health portrait according to the multi-dimensional health information; the traditional Chinese medicine and western medicine fusion analysis module extracts disease state characteristics and syndrome characteristics according to the health portrait, carries out disease and syndrome differentiation fusion analysis, and obtains a comprehensive evaluation result; and the intervention scheme generation module generates a hypertension prevention and treatment management scheme according to the comprehensive evaluation result. The application deeply fuses the traditional Chinese medicine 'preventive treatment' concept and western hypertension grading management, realizes whole-cycle continuous management from in-hospital diagnosis and treatment to out-of-hospital follow-up, and improves the individualization and intelligentization level of hypertension prevention and treatment.

Description

Technical Field

[0001] This invention relates to the field of medical data processing technology, and in particular to a comprehensive management system for the individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine. Background Technology

[0002] Hypertension is the most prevalent chronic cardiovascular disease worldwide and a leading controllable risk factor for cardiovascular complications such as stroke, coronary heart disease, heart failure, and kidney damage. Studies show that the prevalence of hypertension in my country is increasing year by year, and the treatment and control rates remain low, indicating that traditional management methods still have significant shortcomings in long-term monitoring, individualized intervention, and continuous outpatient management.

[0003] Hypertension is characterized by a long course, significant individual differences, complex risk factors, and strong lifestyle correlation. A single outpatient visit, a single blood pressure reading, or simple medication control cannot meet the full-cycle needs of patients, from pre-existing high risk to initial diagnosis, treatment and control, and rehabilitation and relapse prevention.

[0004] From the perspective of current technology, conventional hypertension management still mainly relies on Western medicine indicator monitoring and drug treatment. There is a lack of systematic collection and structured utilization of information such as TCM constitution, syndrome status, emotional state, sleep, diet and daily life, and pulse. There is also a lack of effective connection between in-hospital diagnosis and treatment data and out-of-hospital home monitoring data, making it difficult for doctors to grasp the blood pressure fluctuations, medication adherence and symptom changes in patients' real-life scenarios in a timely manner.

[0005] Therefore, it is necessary to construct a comprehensive management technology solution for individualized prevention and treatment of hypertension that integrates the TCM concept of "prevention of disease", Western medicine's hypertension risk assessment, TCM syndrome differentiation and treatment, intelligent pulse diagnosis equipment, mobile health platform and big data analysis, in order to improve the continuity, standardization, intelligence and scalability of hypertension prevention and treatment. Summary of the Invention

[0006] This invention provides a comprehensive management system for the individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine, in order to overcome the shortcomings of existing technologies.

[0007] This invention provides a comprehensive management system for the individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine, comprising: The data acquisition module is used to collect multidimensional health information of the target patients. The multidimensional health information includes: basic demographic and clinical baseline information, objective quantitative data from Western medicine, laboratory and instrument examination indicators, information on the four diagnostic methods of traditional Chinese medicine and physical constitution, and information on treatment response and safety monitoring. The profile building module is used to build a health profile of the target patient based on multidimensional health information. The integrated Chinese and Western medicine analysis module is used to extract disease state characteristics and syndrome characteristics based on health profiles, and obtain comprehensive evaluation results for target patients according to preset fusion order and priority rules; The intervention plan generation module is used to generate hypertension prevention and management plans for target patients based on comprehensive assessment results.

[0008] According to the present invention, a comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine is provided. The intervention plan generation module is specifically used to retrieve plan components that match the main state and additional tags in a preset plan rule base according to the comprehensive evaluation results, and combine them according to priority and preset conflict handling rules to form a hypertension prevention and treatment management plan for the target patient.

[0009] According to the present invention, a comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine is provided. The basic demographic and clinical baseline information includes any one or any combination of the following: basic information (name, age, gender, etc.), comorbidities, and target organ damage. Objective quantitative data in Western medicine include any one or any combination of the following: clinic blood pressure, home blood pressure monitoring, ambulatory blood pressure monitoring, heart rate, and activity level; Laboratory and instrumental test data include any one or any combination of the following: blood lipids, blood glucose, kidney function (such as creatinine, blood urea nitrogen), uric acid, and electrocardiogram; Traditional Chinese medicine diagnostic methods and constitution information include any one or any combination of the following: tongue appearance, pulse appearance, symptoms, constitution classification, sleep, emotions, diet, and bowel movements; Treatment response and safety monitoring information includes: previous medication history and adverse reaction information.

[0010] According to the present invention, a comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine includes a profile construction module, which specifically performs standardized processing and feature extraction on multidimensional health information, and constructs a health profile of the target patient according to pre-configured evaluation rules.

[0011] According to the present invention, a comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine includes the following standardized processing: data format conversion, unit of measurement unification, merging of duplicate data, outlier identification, missing value marking, measurement time sorting, data source marking, and data reliability evaluation. A health profile includes any one or any combination of the following information: diagnostic status, blood pressure level, blood pressure control status, blood pressure trend, cardiovascular risk level, risk factors, target organ damage, clinical complications, main TCM syndrome tendency, concurrent syndrome tendency, constitution type, lifestyle characteristics, medication adherence, monitoring adherence, follow-up adherence, treatment response, and safety risks.

[0012] According to the present invention, a comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine includes a traditional Chinese and Western medicine integration analysis module comprising: The disease identification and analysis unit is used to call preset rules for hypertension diagnosis, blood pressure classification, cardiovascular risk, target organ damage, complications, and treatment safety, and match the disease state characteristics to obtain the disease identification and analysis results. The syndrome differentiation and analysis unit is used to match the symptom characteristics, tongue appearance characteristics, pulse characteristics, and constitution characteristics of the target patient with the pre-established syndrome rule template to obtain at least one candidate syndrome and the corresponding syndrome matching degree. The disease differentiation and syndrome differentiation fusion unit is used to integrate the results of disease differentiation analysis and syndrome differentiation analysis in the order of safety risk, complication status, blood pressure control status, cardiovascular risk, compliance status, and syndrome constitution characteristics.

[0013] According to the present invention, a comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine is provided. The comprehensive evaluation results include any one of the following information or any combination thereof: high risk before disease, newly diagnosed hypertension, poor control, comorbidities, and stable follow-up.

[0014] According to the present invention, a comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine is provided. The hypertension prevention and treatment management program includes any one of the following information or any combination thereof: Western medicine management recommendations, traditional Chinese medicine conditioning recommendations, tips for the combined use of traditional Chinese and Western medicine, lifestyle intervention programs, family blood pressure monitoring plans, follow-up plans, and health education content.

[0015] The hypertension individualized prevention and treatment integrated management system based on the integration of traditional Chinese and Western medicine provided by the present invention further includes: The follow-up management module is used to continuously track and dynamically manage the multidimensional health data of target patients.

[0016] According to the present invention, a comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine includes a follow-up management module comprising: The abnormal alarm unit is used to monitor multidimensional health data. When abnormal data is detected, it will issue a graded alarm based on the degree of abnormality.

[0017] The hypertension individualized prevention and treatment integrated management system based on the integration of traditional Chinese and Western medicine provided by the present invention further includes: The in-hospital and out-of-hospital collaborative management module is used to enable information linkage between hospitals, doctors, patients, and the intelligent platform.

[0018] The hypertension individualized prevention and treatment integrated management system based on the integration of traditional Chinese and Western medicine provided by the present invention further includes: The data feedback optimization module is used to receive and continuously optimize the assessment rules, follow-up strategies, and health education content used in the integrated traditional Chinese and Western medicine analysis module and the intervention plan generation module based on the feedback information from target patients on the hypertension prevention and management plan.

[0019] The present invention provides a comprehensive management system for the individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine, which can bring at least the following beneficial effects: This invention constructs a closed-loop management path covering high-risk pre-disease, initial diagnosis, treatment and control, and rehabilitation and relapse prevention through the systematic collaboration of a data acquisition module, a profile construction module, a traditional Chinese and Western medicine integrated analysis module, and an intervention plan generation module. It effectively connects in-hospital diagnosis and treatment with out-of-hospital home monitoring scenarios, solves the problems of multiple interruptions and lack of continuity in traditional hypertension management, and enables hypertension patients to obtain continuous management services throughout the entire process from high-risk screening to long-term follow-up.

[0020] This invention integrates multi-dimensional information such as hypertension classification assessment, cardiovascular risk assessment, TCM syndrome assessment, disease prevention status assessment, and compliance assessment through a profile construction module. It constructs a health profile that includes blood pressure control status, cardiovascular risk level, major TCM syndrome tendencies, lifestyle risk factors, and follow-up compliance. This allows management plans to no longer rely solely on a single blood pressure value, but to make a comprehensive judgment based on the patient's TCM constitution, syndrome status, emotional state, sleep, diet, and daily life. This significantly improves the adaptability and accuracy of hypertension prevention and management plans to individual circumstances.

[0021] This invention collects basic demographic and clinical baseline information, objective quantitative data from Western medicine, laboratory and instrument examination indicators, information on the four diagnostic methods of traditional Chinese medicine and physical constitution, as well as treatment response and safety monitoring information through a data acquisition module system. It integrates intelligent pulse diagnosis equipment and a mobile health platform to achieve long-term continuous collection and structured utilization of patients' blood pressure, pulse, symptoms and lifestyle data, laying a data foundation for dynamic assessment and intelligent management.

[0022] This invention utilizes a disease identification analysis unit within a traditional Chinese and Western medicine integrated analysis module to extract disease state characteristics based on hypertension diagnostic criteria, blood pressure classification, risk factors, and complications. Simultaneously, a syndrome differentiation analysis unit extracts syndrome characteristics based on symptoms, tongue appearance, pulse diagnosis, and constitution information. Finally, a disease and syndrome differentiation fusion unit combines these two analyses for comprehensive assessment, yielding a holistic evaluation result including high risk before disease onset, newly diagnosed hypertension, poorly controlled hypertension, hypertension with complications, or stable follow-up. This mechanism organically combines Western medicine hypertension risk assessment with traditional Chinese medicine syndrome differentiation and treatment, overcoming the limitations of solely monitoring Western medical indicators or solely relying on traditional Chinese medicine syndrome differentiation in hypertension management. This allows for targeted prevention and treatment decisions that combine disease progression control with individualized adjustments to the patient's constitution.

[0023] This invention generates an individualized hypertension prevention and management plan based on a comprehensive assessment using an intervention plan generation module. This plan includes Western medicine management recommendations, traditional Chinese medicine conditioning recommendations, suggestions for the combined use of traditional Chinese and Western medicine, lifestyle intervention plans, home blood pressure monitoring plans, follow-up plans, and health education content. It achieves a comprehensive management model that combines drug treatment with lifestyle intervention and physician experience with an intelligent platform, providing patients with systematic intervention guidance covering multiple dimensions such as drug management, traditional Chinese medicine conditioning, lifestyle correction, and health education.

[0024] This invention continuously tracks and dynamically manages patients' multidimensional health data through a follow-up management module, continuously records patients' medication adherence, lifestyle changes, and symptom variations through a data acquisition module, and achieves information linkage between hospitals, doctors, patients, and a smart platform through an in-hospital and out-of-hospital collaborative management module, enabling patients to receive timely feedback and guidance. Simultaneously, the home blood pressure monitoring plan and health education content in the hypertension prevention and management program provide clear behavioral guidance for patients' self-management in real-life scenarios, helping to improve patients' medication adherence, monitoring adherence, and the effectiveness of lifestyle interventions.

[0025] This invention uses an abnormal alarm unit in the follow-up management module to continuously monitor multidimensional health data. When abnormal data is detected, it triggers a graded alarm based on the degree of abnormality, assisting doctors in timely identifying patients with poorly controlled blood pressure and elevated cardiovascular risk. This provides technical support for early intervention and treatment plan adjustments, effectively reducing the risk of complications caused by management delays.

[0026] This invention achieves effective connection between medical data and home monitoring data through an in-hospital and out-of-hospital collaborative management module. The system architecture supports multiple application scenarios, including hospital outpatient services, community chronic disease management, home blood pressure monitoring, follow-up visits by health management institutions, and screening of high-risk groups for hypertension. It can adapt to different levels of medical institutions and health management environments, and has wide applicability and scalability. It provides a feasible technical path to improve the continuity, standardization, and intelligence of hypertension prevention and treatment.

[0027] This invention receives patient feedback on hypertension prevention and management plans through a data feedback optimization module, and continuously optimizes the assessment rules, follow-up strategies, and health education content used in the integrated traditional Chinese and Western medicine analysis module and intervention plan generation module. This enables the system to continuously accumulate experience and iteratively improve in practical applications, ultimately forming a systematic achievement system covering guidelines, standards, intelligent platforms, and patented technologies. Attached Figure Description

[0028] To more clearly illustrate the technical solutions in this invention or the prior art, the drawings used in the description of the embodiments or the prior art will be briefly introduced below. Obviously, the drawings described below are some embodiments of this invention. For those skilled in the art, other drawings can be obtained from these drawings without creative effort.

[0029] Figure 1 This invention provides a schematic diagram of a comprehensive management system for the individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine. Detailed Implementation

[0030] To make the objectives, technical solutions, and advantages of this invention clearer, the technical solutions of this invention will be clearly and completely described below with reference to the accompanying drawings. Obviously, the described embodiments are only some, not all, embodiments of this invention, and should not be construed as limiting the invention. All other embodiments obtained by those skilled in the art based on the embodiments of this invention without creative effort are within the scope of protection of this invention. In the description of this invention, it should be understood that the terminology used is for descriptive purposes only and should not be construed as indicating or implying relative importance.

[0031] See Figure 1 The present invention provides a comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine, which may include: Data acquisition module A is used to collect multidimensional health information of target patients to form a structured and continuous personal health record. The data acquisition method is not limited to manual entry, but can also be imported through hospital information systems, mobile applications, smart hardware device interfaces, patient self-filled questionnaires, or third-party health platforms. Target patients can be patients with hypertension or patients with hypertension-related diseases.

[0032] In one embodiment, the multidimensional health information includes: basic demographic and clinical baseline information, objective quantitative data from Western medicine, laboratory and instrumental examination data, information on the four diagnostic methods of traditional Chinese medicine and physical constitution, and information on treatment response and safety monitoring. The basic demographic and clinical baseline information includes any one or any combination of the following: basic information (name, age, gender, etc.), comorbidities, and target organ damage. Objective quantitative data in Western medicine include any one or any combination of the following: clinic blood pressure, home blood pressure monitoring, ambulatory blood pressure monitoring, heart rate, and activity level; Laboratory and instrumental test data include any one or any combination of the following: blood lipids, blood glucose, kidney function (such as creatinine, blood urea nitrogen), uric acid, and electrocardiogram; Traditional Chinese medicine diagnostic methods and constitution information include any one or any combination of the following: tongue appearance, pulse appearance, symptoms, constitution classification, sleep, emotions, diet, and bowel movements; Treatment response and safety monitoring information includes: previous medication history and adverse reaction information.

[0033] Among these, data such as pulse, blood pressure, heart rate, and activity level can be collected through intelligent pulse diagnostic instruments, electronic blood pressure monitors, or wearable devices.

[0034] The profile building module B is used to standardize and extract features from the multidimensional health information obtained by the data acquisition module A, and to build a health profile of the target patient according to the pre-configured evaluation rules.

[0035] The standardization process includes any one or any combination of the following: data format conversion, unit of measurement standardization, merging of duplicate data, outlier identification, missing value marking, measurement time sorting, data source marking, and data reliability evaluation. For time series data such as blood pressure, heart rate, activity level, and pulse, the profile construction module B is also used to calculate the average, maximum, minimum, magnitude of change, trend of change, number of anomalies, and duration of anomalies within a preset time range.

[0036] The assessment rules include guideline rules, scale or standard rules, and system-defined rules. Guideline rules are used for hypertension diagnosis, blood pressure classification, blood pressure control status evaluation, and cardiovascular risk assessment; scale or standard rules are used for TCM constitution classification, syndrome characteristic matching, or compliance evaluation; and system-defined rules are used for disease prevention status evaluation, abnormal early warning classification, and determination of integrated TCM and Western medicine management status. Each assessment rule is configured with its source, version, applicable population, input characteristics, judgment conditions, output results, and effective time, enabling the system to be configured and updated according to different regions, medical institutions, or guideline versions.

[0037] In one embodiment, the hypertension grading assessment references the "Chinese Guidelines for the Prevention and Treatment of Hypertension (2024 Revised Edition)" and is updated according to the latest guidelines. Specifically, it includes: identifying the measurement scenario corresponding to the blood pressure data; determining whether the target patient meets the diagnostic criteria for hypertension based on the diagnostic threshold corresponding to the measurement scenario; determining the blood pressure level for target patients who meet the diagnostic criteria; and for target patients who have received treatment, comparing their recent blood pressure data with individualized blood pressure control targets to determine their blood pressure control status. The measurement scenario includes at least one of clinic blood pressure measurement, home blood pressure measurement, and ambulatory blood pressure monitoring.

[0038] When the results from different measurement scenarios are inconsistent, the system does not directly overwrite any of the results. Instead, it saves the corresponding measurement scenario, measurement time, and evaluation results separately, and generates a marker indicating inconsistent measurement results to prompt the doctor to confirm the results by combining the retest results or the results of ambulatory blood pressure monitoring.

[0039] In one embodiment, cardiovascular risk assessment is used to obtain the cardiovascular risk level of a target patient by invoking one or more of the following factors: age, sex, smoking status, weight or body mass index, waist circumference, blood lipids, blood glucose, diabetes, family history of hypertension or early-onset cardiovascular disease, kidney function, target organ damage, and previous cardiovascular and cerebrovascular diseases, and by calling preset risk stratification rules or risk prediction models.

[0040] In one embodiment, the pre-disease status assessment is used to identify target patients who have not yet met the diagnostic criteria for hypertension but have hypertension-related risk factors. The profiling module B calculates the number of risk factors or a weighted score based on at least one of the following: high-normal blood pressure, overweight or obesity, abdominal obesity, high-salt diet, lack of exercise, smoking, excessive alcohol consumption, family history of hypertension, mental stress, insufficient sleep, risk of sleep apnea, dyslipidemia, abnormal glucose metabolism, and unbalanced body constitution. When the number of risk factors or the weighted score reaches a preset condition, the target patient is marked as high-risk for pre-disease status.

[0041] In one embodiment, adherence assessment includes one or more of medication adherence, monitoring adherence, follow-up adherence, and lifestyle intervention adherence.

[0042] Medication adherence is determined by the ratio of the number of times the target patient actually takes medication as required within a preset time frame to the planned number of times; monitoring adherence is determined by the ratio of the number of effective blood pressure measurements to the planned number of measurements; follow-up adherence is determined by the ratio of the number of follow-ups completed on schedule to the planned number of follow-ups; and lifestyle intervention adherence is determined by the completion of diet, exercise, sleep, weight control, or other health tasks.

[0043] For inapplicable compliance indicators, the system marks the indicator as inapplicable and recalculates the overall compliance based on the remaining valid indicators, without directly assigning zero points to inapplicable indicators.

[0044] Therefore, a health profile includes any one or any combination of the following: diagnostic status, blood pressure level, blood pressure control status, blood pressure trend, cardiovascular risk level, risk factors, target organ damage, clinical complications, main TCM syndrome tendency, concurrent syndrome tendency, body constitution type, lifestyle characteristics, medication adherence, monitoring adherence, follow-up adherence, treatment response, and safety risks. This information can be obtained through feature extraction.

[0045] The integrated traditional Chinese and Western medicine analysis module C is used to extract disease state features and syndrome features from the health profile, and form a comprehensive assessment result of the target patient according to the preset fusion order and priority rules.

[0046] The disease state characteristics include any one or any combination of the following: hypertension diagnosis status, blood pressure level, blood pressure control status, blood pressure trend, cardiovascular risk level, cardiovascular risk factors, target organ damage, clinical complications, comorbidities, current treatment regimen, treatment response, adverse drug reactions, medication adherence, monitoring adherence, and follow-up adherence.

[0047] The syndrome characteristics include one or more of the following: symptom characteristics, tongue appearance characteristics, pulse characteristics, constitution characteristics, and daily life characteristics.

[0048] The symptoms include one or more of the following: dizziness, headache, tinnitus, heaviness in the head, flushed face, red eyes, irritability, palpitations, chest tightness, insomnia, excessive dreaming, soreness and weakness in the lower back and knees, aversion to cold and cold limbs, hot flashes in the palms, soles, and chest, dry mouth, bitter taste in the mouth, excessive phlegm, fatigue, shortness of breath, numbness in the limbs, and abnormal bowel and bladder function; each symptom may also include its presence, severity, frequency, duration, and trend.

[0049] The tongue characteristics include one or more of the following: tongue color, tongue shape, tongue coating color, tongue coating thickness, tongue coating texture, and sublingual vein characteristics; the pulse characteristics include one or more of the following: pulse position, pulse rate, pulse rhythm, pulse strength, pulse amplitude, pulse momentum, and the following: wiry, slippery, rapid, thin, deep, weak, hesitant, and slow; the constitution characteristics include one or more of the following: balanced constitution, qi deficiency constitution, yang deficiency constitution, yin deficiency constitution, phlegm-dampness constitution, damp-heat constitution, blood stasis constitution, qi stagnation constitution, and special constitution.

[0050] In one embodiment, the integrated traditional Chinese and Western medicine analysis module C may include: The disease identification analysis unit is used to invoke preset rules for hypertension diagnosis, blood pressure classification, cardiovascular risk, target organ damage, complications, and treatment safety, and match these rules with the characteristics of the disease state to obtain the disease identification analysis result. The disease identification analysis result includes at least one of the following: diagnostic status, blood pressure control status, and risk status.

[0051] The syndrome differentiation analysis unit is used to match the symptom characteristics, tongue appearance characteristics, pulse characteristics, and constitution characteristics of the target patient with the pre-established syndrome rule template to obtain at least one candidate syndrome and the corresponding syndrome matching degree.

[0052] Each syndrome rule template includes the syndrome name, necessary conditions, primary symptom conditions, secondary symptom conditions, tongue appearance conditions, pulse appearance conditions, constitution support conditions, conflict conditions, feature weights, and syndrome establishment threshold. When the necessary conditions are met, the syndrome differentiation analysis unit calculates the syndrome matching degree based on the primary symptom, secondary symptom, tongue appearance, pulse appearance, and constitution characteristics of the target patient, along with their corresponding weights. When the syndrome matching degree reaches the syndrome establishment threshold, the corresponding syndrome is identified as a syndrome tendency.

[0053] In one exemplary calculation method, the symptom matching degree of the k-th candidate symptom is determined according to the following formula: S k =〔Σ(w ki ×x i )-Σ(p kj ×z j )〕 / Σw ki ×100%; Among them, S k Let x represent the symptom matching degree of the k-th candidate symptom. i w represents the degree of matching between the target patient and the i-th syndrome feature. ki z represents the weight of the i-th syndrome feature to the k-th candidate syndrome. j p represents the degree of match between the target patient and the j-th conflicting feature. kj This represents the deduction weight corresponding to the j-th conflict feature.

[0054] When the matching degree of two or more candidate syndromes reaches the corresponding syndrome establishment threshold, the syndrome differentiation analysis unit determines the candidate syndrome with the highest matching degree and meeting the main symptom condition as the primary syndrome tendency, and determines the other candidate syndromes that reach the syndrome establishment threshold as concurrent syndrome tendencies. If the completeness of the input symptom, tongue appearance, or pulse data is lower than the preset completeness threshold, a syndrome confirmation mark is output instead of directly forming a definitive syndrome conclusion.

[0055] The disease differentiation and syndrome differentiation fusion unit is used to integrate the results of disease differentiation analysis and syndrome differentiation analysis in the order of safety risk, complication status, blood pressure control status, cardiovascular risk, compliance status, and syndrome constitution characteristics.

[0056] When the target patient exhibits acute and critical abnormalities, severe adverse drug reactions, or requires urgent referral, the disease differentiation and syndrome differentiation fusion unit prioritizes outputting a safe treatment label; when the target patient does not have the aforementioned safe treatment label, the primary status is determined based on the patient's diagnostic status and treatment stage, and additional labels are added based on blood pressure control, cardiovascular risk, target organ damage, clinical complications, compliance, syndrome, and physical condition.

[0057] The primary status includes at least one of the following: high risk of pre-existing disease, newly diagnosed hypertension, treatment follow-up, and stable follow-up; the additional labels include at least one of the following: poor control, high cardiovascular risk, combined target organ damage, combined complications, insufficient compliance, presence of adverse drug reactions, primary syndrome tendency, concurrent syndrome tendency, unbalanced constitution, and need for physician review or referral.

[0058] For example, for target patients who have been diagnosed and are receiving treatment, whose blood pressure has not recently reached the individualized control target, and who also have chronic kidney disease, insufficient monitoring compliance, and a tendency towards phlegm-dampness syndrome, the comprehensive assessment result can be expressed as: the main status is treatment follow-up, and the additional labels are poor control, chronic kidney disease, insufficient monitoring compliance, and a tendency towards phlegm-dampness syndrome.

[0059] The integrated traditional Chinese and Western medicine analysis module C is positioned as a decision-making aid for doctors, and does not replace the doctor's final diagnosis and treatment judgment. Doctors can confirm, adjust, or supplement the comprehensive assessment results or hypertension prevention and management plan based on system prompts, patient data, and clinical experience.

[0060] The system invokes preset rules for hypertension diagnosis, blood pressure classification, cardiovascular risk, target organ damage, complications, and treatment safety to match the disease state characteristics, resulting in a disease identification analysis. It then matches the target patient's symptom characteristics, tongue appearance, pulse characteristics, and constitution characteristics with pre-established syndrome rule templates to obtain at least one candidate syndrome and its corresponding syndrome matching degree. The disease identification analysis results and syndrome differentiation analysis results are then fused in the order of safety risk, complication status, blood pressure control status, cardiovascular risk, compliance status, and syndrome constitution characteristics. The comprehensive evaluation result may include any one of the following information or any combination thereof: high risk before disease onset, newly diagnosed hypertension, poorly controlled hypertension, comorbid complications, and stable follow-up.

[0061] The feature extraction and comprehensive evaluation methods in the integrated analysis module of traditional Chinese and Western medicine can be selected from existing implementation methods according to the actual situation (such as different regions, different medical institutions or different guidelines and standards). For example, the extraction of syndrome features can be achieved by using public rule bases, expert experience models, statistical models or artificial intelligence algorithms.

[0062] The intervention plan generation module D is used to retrieve plan components that match the main state and additional labels from the preset plan rule base based on the comprehensive evaluation results, and combine them according to priority and preset conflict handling rules to form a hypertension prevention and management plan for the target patient.

[0063] Each matching rule in the protocol rule base includes triggering conditions, applicable population, contraindications, protocol components, executing entity, execution frequency, follow-up period, termination conditions, and physician confirmation requirements.

[0064] When the comprehensive assessment result indicates a high risk of pre-existing conditions, the intervention plan generation module D matches at least one of the following plan components: high-risk screening, regular blood pressure monitoring, salt reduction, weight management, exercise, sleep, emotional regulation, smoking cessation and alcohol limitation, and traditional Chinese medicine constitution conditioning.

[0065] When the comprehensive assessment result indicates a newly diagnosed hypertension, the intervention plan generation module D matches at least one of the following plan components: diagnostic review, cardiovascular risk factor examination, target organ damage screening, home blood pressure monitoring, lifestyle intervention, appointment or follow-up visit arrangement, and physician treatment assessment.

[0066] When the comprehensive assessment results include the label of poor control, the intervention plan generation module D increases the frequency of blood pressure monitoring, checks the blood pressure measurement method, medication and lifestyle implementation, and generates a plan component that shortens the follow-up period and prompts the doctor to evaluate the treatment plan.

[0067] When the comprehensive assessment results include a label indicating insufficient adherence, the intervention program generation module D matches at least one of the following program components based on the type of insufficient adherence: medication reminder, stress test reminder, follow-up reminder, task simplification, investigation of reasons for adherence, and doctor-patient communication.

[0068] When the comprehensive assessment results include comorbidities, target organ damage, serious adverse reactions, or emergency warning labels, the intervention plan generation module D prioritizes generating doctor review, specialist assessment, referral, or emergency medical treatment prompts, and does not replace the aforementioned safe treatment plan with general lifestyle recommendations or traditional Chinese medicine conditioning recommendations.

[0069] When the comprehensive assessment results include TCM syndrome tendencies or biased constitution labels, the intervention plan generation module D matches corresponding dietary, lifestyle, exercise, emotional, and TCM conditioning suggestions without changing the disease identification analysis results and safety treatment level; when it involves Chinese herbal medicine, prepared Chinese medicine, acupuncture, or other plan components that require professional diagnosis and treatment judgment, it sets TCM physician confirmation conditions.

[0070] When multiple treatment plan components conflict, priority is determined in the following order: safety management plan, complication management plan, Western medicine disease management plan, adherence intervention plan, lifestyle plan, and traditional Chinese medicine conditioning plan. In cases of drug contraindications, drug duplication, potential interactions between Western and traditional Chinese medicine, or special patient conditions, the system does not automatically generate definitive medication instructions; instead, it generates risk warnings and submits them to the physician for confirmation.

[0071] The follow-up management module E is used to continuously track and dynamically manage the multidimensional health data of target patients.

[0072] In one embodiment, the follow-up management module E includes: The abnormal alarm unit is used to monitor multidimensional health data. When abnormal data is detected, it will issue a graded alarm based on the degree of abnormality.

[0073] This module can periodically remind patients to measure their blood pressure, record symptoms, and take their medication on time. It collects daily or periodic data on patients' blood pressure, pulse, symptoms, and lifestyle. When abnormal data is detected, the system automatically identifies and issues warnings, and pushes a list of key patients to the doctor's end.

[0074] The in-hospital and out-of-hospital collaborative management module F is used to achieve information linkage between hospitals, doctors, patients, and the intelligent platform. The in-hospital treatment terminal allows doctors to view patients' historical blood pressure, pulse, symptoms, medication, follow-up, and risk changes; the out-of-hospital patient terminal allows patients to record blood pressure, receive health tasks, and receive follow-up reminders; the management platform terminal supports tiered management of patient groups, risk screening, data statistics, and quality evaluation.

[0075] The data feedback optimization module G is used to receive and continuously optimize the assessment rules, follow-up strategies, and health education content used in the integrated traditional Chinese and Western medicine analysis module and the intervention plan generation module based on the feedback information from target patients on the hypertension prevention and management plan.

[0076] This module can statistically analyze the blood pressure control status of different patient groups, analyze the intervention effects of different syndrome types, assess the relationship between compliance and blood pressure control, and provide data support for the improvement of guidelines, standards and clinical pathways for the prevention and treatment of hypertension using integrated traditional Chinese and Western medicine.

[0077] The following are some application examples of the integrated management system for individualized prevention and treatment of hypertension based on the combination of traditional Chinese and Western medicine provided by this invention.

[0078] Example 1: Individualized Management of Outpatient Hypertension Patients When patients visit the hospital outpatient clinic, doctors or nurses enter the patient's basic information, blood pressure level, past medical history, medication history, and relevant test results into the system. Simultaneously, the system collects information from traditional Chinese medicine (TCM) consultations, tongue examination, pulse diagnosis, and symptom analysis. After a comprehensive assessment, the system determines the patient's blood pressure classification, cardiovascular risk level, and TCM syndrome type, and generates a hypertension prevention and management plan that includes blood pressure control targets, medication reminders, lifestyle interventions, TCM conditioning recommendations, and follow-up visit schedules. After discharge, patients continue to upload home blood pressure data and symptom changes via mobile devices, and the system sends alerts to doctors based on these data changes.

[0079] Example 2: Preventive Management of Hypertension in High-Risk Groups For individuals who have not yet been diagnosed with hypertension but have risk factors such as obesity, a high-salt diet, family history, high stress, and insufficient sleep, the system collects their basic health information, lifestyle information, and traditional Chinese medicine (TCM) constitution information to determine whether they belong to a high-risk group for hypertension. The system can generate preventative plans, including dietary adjustments, exercise recommendations, emotional regulation, sleep improvement, regular blood pressure monitoring, and TCM health preservation suggestions, thereby achieving early screening, early intervention, and early management.

[0080] Example 3: Comprehensive Management Inside and Outside the Hospital The hospital establishes a hypertension patient management database to manage patients in a tiered and categorized manner. Doctors can view patients' blood pressure trends, medication adherence, symptom changes, and follow-up records on the platform. Patients receive medication reminders, blood pressure monitoring reminders, and health education content through a mobile platform, and regularly upload information on their family blood pressure, symptoms, and lifestyle adherence. The system regularly generates periodic reports to help doctors quickly grasp changes in patients' conditions during follow-up visits and adjust existing hypertension prevention and management plans accordingly.

[0081] This invention provides a comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine. Through the systematic collaboration of data acquisition modules, profile construction modules, integrated analysis modules of traditional Chinese and Western medicine, and intervention plan generation modules, it constructs a closed-loop management path covering high-risk pre-disease, initial diagnosis, treatment and control, and rehabilitation and relapse prevention. It effectively connects in-hospital diagnosis and treatment with out-of-hospital home monitoring scenarios, enabling patients to receive continuous management services throughout the entire process from high-risk screening to long-term follow-up.

[0082] The data acquisition module collects basic demographic and clinical baseline information, objective quantitative data from Western medicine, laboratory and instrumental examination indicators, information on the four diagnostic methods of traditional Chinese medicine and physical constitution, and information on treatment response and safety monitoring. It integrates intelligent pulse diagnosis equipment and a mobile health platform to achieve long-term continuous collection and structured utilization of blood pressure, pulse, symptoms, and lifestyle data. The profile construction module integrates multi-dimensional information such as hypertension classification assessment, cardiovascular risk assessment, traditional Chinese medicine syndrome assessment, disease prevention status assessment, and compliance assessment to construct a health profile that includes blood pressure control status, cardiovascular risk level, major traditional Chinese medicine syndrome tendencies, lifestyle risk factors, and follow-up compliance. This allows management plans to no longer rely solely on a single blood pressure value, but to make a comprehensive judgment based on information such as traditional Chinese medicine constitution, syndrome status, emotional state, sleep, diet, and daily life, significantly improving the adaptability and accuracy of the plan to the individual's actual situation.

[0083] In the integrated analysis module of traditional Chinese and Western medicine, the disease identification analysis unit extracts disease state characteristics based on hypertension diagnostic criteria, blood pressure classification, risk factors, and complications, while the syndrome differentiation analysis unit extracts syndrome characteristics based on symptoms, tongue appearance, pulse appearance, and constitution information. The disease and syndrome differentiation integration unit combines the two for comprehensive analysis to obtain comprehensive assessment results such as high risk of pre-disease, newly diagnosed hypertension, poor control, comorbid complications, or stable follow-up. This mechanism organically combines Western medicine hypertension risk assessment with traditional Chinese medicine syndrome differentiation and treatment, making up for the limitations of simply monitoring Western medicine indicators or simply differentiating traditional Chinese medicine syndromes, and enabling prevention and treatment decisions to be targeted at both disease progression control and constitution regulation.

[0084] The intervention plan generation module generates individualized plans based on comprehensive assessment results, including Western medicine management suggestions, traditional Chinese medicine conditioning suggestions, suggestions for the combined use of traditional Chinese and Western medicine, lifestyle intervention plans, home blood pressure monitoring plans, follow-up plans, and health education content. This realizes a comprehensive management model that combines drug treatment with lifestyle intervention and physician experience with an intelligent platform, providing systematic intervention guidance covering multiple dimensions such as drug management, traditional Chinese medicine conditioning, lifestyle correction, and health education.

[0085] The follow-up management module continuously tracks and dynamically manages multidimensional health data. Its anomaly alarm unit provides tiered alerts based on the severity of abnormal data, assisting doctors in promptly identifying patients with poorly controlled blood pressure and elevated cardiovascular risk. This provides technical support for early intervention and treatment adjustments, effectively reducing the risk of complications caused by delayed management. Simultaneously, the in-hospital and out-of-hospital collaborative management module enables information linkage between hospitals, doctors, patients, and the intelligent platform, allowing patients to receive timely feedback and guidance. Home blood pressure monitoring plans and health education content provide clear behavioral guidance for patients' self-management in real-life scenarios, helping to improve medication adherence, monitoring adherence, and the effectiveness of lifestyle interventions. The system architecture supports various application scenarios, including hospital outpatient clinics, community chronic disease management, home blood pressure monitoring, follow-up at health management institutions, and screening of high-risk groups for hypertension. It is adaptable to different levels of medical institutions and health management environments, demonstrating broad applicability and scalability.

[0086] In addition, the data feedback optimization module receives patient feedback on the management plan and continuously optimizes the assessment rules, follow-up strategies and health education content, enabling the system to continuously accumulate experience and iterate and improve in practical applications, ultimately forming a systematic achievement system covering guidelines, intelligent platforms and patented technologies.

[0087] Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention, and not to limit them; although the present invention has been described in detail with reference to the foregoing embodiments, those skilled in the art should understand that modifications can still be made to the technical solutions described in the foregoing embodiments, or equivalent substitutions can be made to some of the technical features; and these modifications or substitutions do not cause the essence of the corresponding technical solutions to deviate from the spirit and scope of the technical solutions of the embodiments of the present invention.

Claims

1. A comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine, characterized in that, include: The data acquisition module is used to collect multidimensional health information of the target patients. The multidimensional health information includes: basic demographic and clinical baseline information, objective quantitative data from Western medicine, laboratory and instrument examination indicators, information on the four diagnostic methods of traditional Chinese medicine and physical constitution, and information on treatment response and safety monitoring. The profile building module is used to build a health profile of the target patient based on multidimensional health information. The integrated Chinese and Western medicine analysis module is used to extract disease state characteristics and syndrome characteristics based on health profiles, and obtain comprehensive evaluation results for target patients according to preset fusion order and priority rules; The intervention plan generation module is used to generate hypertension prevention and management plans for target patients based on comprehensive assessment results.

2. The comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine as described in claim 1, characterized in that, Basic demographic and clinical baseline information includes any one or any combination of the following: basic information, comorbidities, and target organ damage. Objective quantitative data in Western medicine include any one or any combination of the following: clinic blood pressure, home blood pressure monitoring, ambulatory blood pressure monitoring, heart rate, and activity level; Laboratory and instrumental test data include any one or any combination of the following: blood lipids, blood glucose, kidney function, uric acid, and electrocardiogram; Traditional Chinese medicine diagnostic methods and constitution information include any one or any combination of the following: tongue appearance, pulse appearance, symptoms, constitution classification, sleep, emotions, diet, and bowel movements; Treatment response and safety monitoring information includes: previous medication history and adverse reaction information.

3. The comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine as described in claim 2, characterized in that, The profile building module specifically standardizes and extracts features from multidimensional health information, and builds a health profile of the target patient based on pre-configured evaluation rules.

4. The comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine as described in claim 3, characterized in that, A health profile includes any one or any combination of the following information: diagnostic status, blood pressure level, blood pressure control status, blood pressure trend, cardiovascular risk level, risk factors, target organ damage, clinical complications, main TCM syndrome tendency, concurrent syndrome tendency, constitution type, lifestyle characteristics, medication adherence, monitoring adherence, follow-up adherence, treatment response, and safety risks.

5. The comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine as described in claim 2, characterized in that, The integrated traditional Chinese and Western medicine analysis module includes: The disease identification and analysis unit is used to call preset rules for hypertension diagnosis, blood pressure classification, cardiovascular risk, target organ damage, complications, and treatment safety, and match the disease state characteristics to obtain the disease identification and analysis results. The syndrome differentiation and analysis unit is used to match the symptom characteristics, tongue appearance characteristics, pulse characteristics, and constitution characteristics of the target patient with the pre-established syndrome rule template to obtain at least one candidate syndrome and the corresponding syndrome matching degree. The disease differentiation and syndrome differentiation fusion unit is used to integrate the results of disease differentiation analysis and syndrome differentiation analysis in the order of safety risk, complication status, blood pressure control status, cardiovascular risk, compliance status, and syndrome constitution characteristics.

6. The comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine as described in claim 5, characterized in that, The comprehensive assessment results include any one of the following information or any combination thereof: high risk before disease, newly diagnosed hypertension, poorly controlled hypertension, comorbidities, and stable follow-up.

7. The comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine according to any one of claims 1-6, characterized in that, A hypertension prevention and management program includes any one of the following or any combination thereof: Western medicine management recommendations, traditional Chinese medicine conditioning recommendations, tips for the combined use of Chinese and Western medicines, lifestyle intervention programs, home blood pressure monitoring plans, follow-up plans, and health education content.

8. The comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine according to any one of claims 1-6, characterized in that, Also includes: The follow-up management module is used to continuously track and dynamically manage the multidimensional health data of target patients.

9. The comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine according to any one of claims 1-6, characterized in that, Also includes: The in-hospital and out-of-hospital collaborative management module is used to enable information linkage between hospitals, doctors, patients, and the intelligent platform.

10. The comprehensive management system for individualized prevention and treatment of hypertension based on the integration of traditional Chinese and Western medicine according to any one of claims 1-6, characterized in that, Also includes: The data feedback optimization module is used to receive and continuously optimize the assessment rules, follow-up strategies, and health education content used in the integrated traditional Chinese and Western medicine analysis module and the intervention plan generation module based on the feedback information from target patients on the hypertension prevention and management plan.

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