A method and system for health management based on zhongjing system before disease truncation

Abstract

The application discloses a health management method and system based on Zhongjing system, and belongs to the field of traditional Chinese medicine intelligent health management. The application specifies three major chronic diseases, namely cardiovascular and cerebrovascular diseases, malignant tumors and chronic respiratory diseases. The progress of such diseases is hidden and deteriorates gradually, and existing health management intervention lags behind, lacking a standardized blocking system. The application relies on the prevention of disease in the Treatise on Febrile Diseases, establishes a three-level major chronic disease blocking model of the ascending and descending of qi in the middle jiao, takes the stagnation of the middle jiao and the abnormal ascending and descending of qi as the common pathogenesis, and divides the intervention into three layers, namely, germination, phlegm and blood stasis and severe cases. With the help of AI quantitative syndrome differentiation, the Zhongjing classical prescription is intelligently matched for layered treatment. The application can block the deterioration of chronic diseases gradually, and the process is standardized and easy to be digitalized.

Description

Technical Field

[0001] This invention relates to the fields of TCM disease prevention and health management, early intervention for chronic diseases, and artificial intelligence digital diagnosis. Specifically, it is a health management method and intelligent management system based on the academic system of Zhang Zhongjing in "Treatise on Febrile Diseases" and "Synopsis of Prescriptions of the Golden Chamber", and based on Zhang Zhongjing's three-level model of the ascending and descending of Qi in the middle Jiao to block the transmission of major chronic diseases. It targets three types of highly lethal chronic diseases: cardiovascular and cerebrovascular diseases, malignant tumors, and chronic respiratory diseases. Background Technology

[0002] Recent national resident mortality monitoring data shows that cardiovascular and cerebrovascular diseases, malignant tumors, and chronic respiratory diseases rank among the top three causes of death among residents, accounting for approximately 80% of all deaths in China. The major chronic diseases discussed in this invention specifically refer to these three highly lethal chronic diseases: cardiovascular and cerebrovascular diseases, malignant tumors, and chronic respiratory diseases, hereinafter referred to as major chronic diseases. According to the official definition in the State Council's "Medium- and Long-Term Plan for the Prevention and Control of Chronic Diseases in China," these three types of diseases are all chronic non-communicable diseases, possessing the unified pathological characteristics of insidious onset, long course, gradual development, progressive deterioration, lack of typical organic symptoms in the early stages, and irreversible damage in later stages. These major chronic diseases do not develop suddenly; they all have a long-term, continuous, and traceable chain of disease progression: in the initial stage of the disease, only organ dysfunction and qi disorder are manifested, without organic lesions; as pathological products continue to accumulate, mild abnormal indicators, small lesions, and mild physical symptoms gradually appear; if there is no intervention, it can progress step by step to critical diseases such as coronary heart disease, cerebral infarction, malignant tumors, and end-stage lung disease, forming a fixed transmission path of functional disorder → mild lesions → chronic disease solidification → critical terminal illness. Current modern medical interventions and routine health management methods are mostly implemented after organic lesions have appeared in the body, laboratory indicators have become significantly abnormal, and the disease has been clearly diagnosed, which is a late intervention point. In the early stages of disease, when there is sub-health with disordered Qi and mild phlegm and blood stasis, there is a lack of effective and standardized pre-intervention methods, which cannot stop the natural course of chronic disease deterioration. Traditional Chinese medicine treatment methods have three technical limitations: First, they often target single symptoms and lack a unified theoretical system to support the pathogenesis, resulting in a fragmented treatment logic; second, they have not established a disease transmission and prevention mechanism that aligns with the "prevention of disease" concept in the *Synopsis of Prescriptions of the Golden Chamber*, and lack a standardized, step-by-step chronic disease prevention model; third, intervention measures are mostly concentrated in the mature stage of chronic diseases, and do not address the root cause of all major chronic diseases, namely, the dysfunction of the Qi in the middle Jiao. According to the pathogenesis principles of Zhang Zhongjing's classic prescriptions, the clinical manifestations, locations, and underlying deficiencies of the three types of highly lethal chronic diseases differ, but they share a common initial underlying pathogenesis: the spleen and stomach in the middle jiao (middle burner) are the pivot of the body's qi movement. Improper diet, emotional imbalance, and overwork or lack of rest first lead to stagnation in the middle jiao, causing the spleen to fail to ascend clear qi and the stomach to fail to descend turbid qi, resulting in abnormal qi circulation throughout the body. Prolonged qi stagnation leads to abnormal fluid metabolism and the generation of phlegm and dampness; phlegm obstructs the meridians, hindering qi flow and gradually causing blood stasis; combined with a constitution prone to cold stagnation and deficiency of vital qi, phlegm and blood stasis become difficult to disperse. Phlegm and dampness ascending to the lungs and diaphragm can eventually lead to chronic respiratory diseases; phlegm and blood stasis obstructing the blood vessels of the heart and brain can gradually induce and aggravate chronic cardiovascular diseases; prolonged qi stagnation and the undispersed combination of phlegm, blood stasis, and cold can gradually lead to nodules and masses, which, over time, can progress to malignant tumor-related lesions. The first chapter of *Jinkui Yaolue* (Essentials from the Golden Cabinet) quotes the *Nan Jing* (Classic of Difficult Issues) concept of "superior physicians treat disease before it manifests," establishing it as the core principle of disease prevention throughout the book. It emphasizes predicting disease progression, blocking transmission, and strengthening the foundation before disease occurs, achieving prevention before disease develops, preventing disease progression, and preventing recurrence after recovery. Zhang Zhongjing's formulas for regulating qi, chest pain, and phlegm retention all use the core logic of clearing the middle jiao and harmonizing ascending and descending qi, aligning with the intervention needs for the gradual progression of chronic diseases. Currently available technologies lack a three-tiered chronic disease transmission blocking model based on Zhang Zhongjing's qi-regulating principles, and have not formed a standardized pre-treatment intervention system for three major fatal chronic diseases, indicating a clear technological gap. Existing TCM health management largely relies on manual diagnosis by physicians, lacking standardized intelligent systems with digital tools for automatic grading and matching of classical formulas. Summary of the Invention

[0003] 1. Technical problem to be solved by the invention: Existing health management technologies for major chronic diseases are characterized by delayed intervention, fragmented intervention logic, lack of a unified pathogenesis model, and lack of a standardized and digitally applicable step-by-step disease blocking system that adapts to the gradual development of chronic diseases. They are unable to prevent the progression of mild and chronic diseases to major fatal diseases from the source of Qi imbalance. 2. Core Original Model of this Invention: Zhongjing's Three-Tier Major Chronic Disease Transmission and Blocking Model. Based on the progressive characteristics of major chronic diseases, this invention constructs a standardized disease transmission and blocking model, unifying the occurrence, development, and deterioration patterns of three types of highly lethal chronic diseases, establishing three fixed blocking nodes, and matching the characteristics of the entire course of chronic diseases. The model's disease transmission chain (adapted to national-level chronic disease progression patterns): Dietary, emotional, and work-rest imbalances (inducing factors) → Stagnation in the middle jiao, abnormal qi flow (functional disorder stage) → Qi stagnation leading to phlegm production, and prolonged blood stasis (pathological accumulation stage) → Sub-health state manifestation → Phlegm and blood stasis accumulation forming mild lesions → Pathological consolidation evolving into chronic organic diseases → Progression into severe cardiovascular and cerebrovascular diseases, malignant tumors, and end-stage respiratory diseases. 3. The model sets three fixed blocking points (corresponding to the three stages of chronic disease): (1) Source blocking point (early stage of chronic disease): the stage of disordered Qi without organic lesions, clearing the middle Jiao, restoring ascending and descending, blocking the generation of phlegm and blood stasis pathological products, and cutting off the source of chronic disease. (2) Trend blocking point (progression stage of chronic disease): the stage of phlegm and blood stasis initially forming mild symptoms, dispersing the initially accumulated pathogenic Qi, blocking the continuous accumulation of mild symptoms and the transmission to organic chronic disease. (3) Malignant disease blocking point (severe stage of chronic disease): the stage of diagnosed chronic disease, continuously harmonizing Qi, resolving residual pathological products, inhibiting the progression, recurrence and malignant transformation of chronic disease, and delaying the occurrence of terminal lesions. 4. Three-tiered major chronic disease interception and pre-treatment health management method S1 Qi mechanism pre-treatment interception steps (source cut-off point, chronic disease initiation intervention) is suitable for sub-healthy people without organic lesions and only have symptoms of Qi mechanism disorder. Priority is given to using Si Ni San and Ling Gui Zhu Gan Tang to regulate the Qi mechanism of the middle Jiao and restore the spleen ascending and stomach descending functions. For those with simple spleen deficiency and Qi stagnation without fluid retention, Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang can be added to eliminate the pathogenesis basis of phlegm and blood stasis and block the initiation and onset of major chronic diseases. S2. The "Intervention Steps for Initial Stages of Phlegm and Blood Stasis" (Intervention at the Critical Junction for Chronic Disease Progression) is suitable for individuals with mild symptoms such as small nodules, borderline abnormal indicators, and intermittent chest tightness, cough, and wheezing. For those with chest tightness due to phlegm and abnormal cardiopulmonary indicators, the "Ju Zhi Jiang Tang," "Fu Ling Xing Ren Gan Cao Tang," and "Zhi Shi Xie Bai Gui Zhi Tang" are used to clear phlegm and dredge the Qi mechanism in the chest and diaphragm. For phlegm nodules in the neck and throughout the body, synergistic intervention with methods to soften and disperse nodules is necessary to prevent the continued accumulation and solidification of pathological changes in mild cases into chronic organic diseases. S3. The "Intervention Steps for Severe Cases" (Intervention at the Critical Junction for Stabilizing Chronic Diseases) is suitable for individuals diagnosed with cardiovascular and cerebrovascular diseases, COPD, tumors, and other chronic diseases. Long-term regulation of the ascending and descending functions of the middle Jiao (middle burner) continuously resolves residual pathological products, inhibits the progression, recurrence, and deterioration of chronic lesions, and delays the progression of the disease to its terminal stage. 5. The major chronic disease interception and pre-intervention health management system is used to implement the above three-level intervention methods. It is fully adapted to the progressive development law of major chronic diseases and the three-level interception model. It includes four functional modules with data interconnection and collaborative operation between modules: (1) Qi mechanism ascending and descending abnormal AI quantitative assessment module: collects tongue appearance, pulse appearance and symptom information, quantitatively judges the basic classification of spleen failure to ascend clear qi, stomach failure to descend turbid qi, and qi stagnation in the middle jiao, and simultaneously identifies the complex pathogenesis of water retention, cold coagulation, heat stagnation and deficiency of vital qi, and outputs the model classification results. (2) Zhongjing major chronic disease transmission knowledge base module: stores the logic of the three-level transmission model, the evolution rules of chronic disease pathogenesis, the corresponding relationship of classical prescriptions and the classification intervention standards. (3) Classification classical prescription intervention matching module: matches the corresponding classical prescription intervention plan and treatment plan according to the AI ​​classification results. (4) Full cycle health record tracking module: stores the assessment data and intervention records of each time, and realizes dynamic monitoring and continuous pre-intervention management of chronic diseases. 6. Beneficial Effects (1) Based on the official definition of chronic diseases in China, this invention, for the first time, unifies the three most lethal chronic diseases under the core pathogenesis of abnormal Qi movement in the middle Jiao, establishes a unified and complete TCM pathogenesis theory system for chronic diseases, and fills the gap of fragmented pathogenesis in existing technologies. (2) Constructs a three-level blocking model adapted to the progressive development characteristics of chronic diseases, accurately matches the entire course of chronic disease initiation, progression, and severity, clarifies the step-by-step transmission path and fixed intervention nodes, and fills the gap of existing technologies lacking standardized step-by-step prevention models for chronic diseases. (3) The intervention process is clearly graded, the steps are fixed, and it conforms to the long-term development law of chronic diseases. It can be standardized and digitally modeled, and is suitable for the implementation and large-scale replication of intelligent system programs. (4) Based on the intervention of classic prescriptions of Zhang Zhongjing, the plan is standardized, the pathogenesis is clearly corresponding, and it is layered and adapted to different stages of chronic diseases. The intervention is safe and adaptable. (5) Blocking nodes can be set in the three core stages of chronic disease initiation, progression, and severity, and the pathogenesis of chronic diseases can be suppressed step by step to form a complete pre-prevention technology system covering the entire cycle of major chronic diseases. This invention uses a computer system to automatically complete the diagnosis and classification of chronic diseases and intelligently recommend intervention plans. It is an information-based health management method that does not directly perform disease diagnosis and treatment operations. It breaks through the limitations of traditional manual diagnosis and can be implemented digitally on a large scale. Attached Figure Description Figure 1 Schematic diagram of the three-stage model of the ascending and descending Qi mechanism in the middle Jiao of Zhang Zhongjing, representing the blockage and transmission of major chronic diseases. Figure 2 : Schematic diagram of the three-level major chronic disease interception and intervention process. Figure 3 : Hierarchical architecture diagram of the intelligent health management system. Figure 1 It demonstrates the complete and progressive transmission pathway of chronic diseases from causes, pathogenesis, pathological products, mild symptoms, severe symptoms to terminal diseases, as well as the three-layer blocking nodes. Figure 2 It demonstrates the complete closed-loop process of data collection, evaluation, classification and judgment, tiered intervention, and record updating. Figure 3 The system demonstrates its four-layer module architecture and bidirectional data interaction relationships. Specific Implementation Example 1 Intervention at the Source: Pre-treatment of Qi Circulation (Blocking the Early Stages of Chronic Diseases) Subjects had no organic abnormalities on physical examination but presented with symptoms such as chest tightness, abdominal distension, excessive phlegm, and emotional distress. The diagnosis indicated Qi stagnation in the middle Jiao and disordered ascending and descending Qi, belonging to the functional disorder of the early stages of chronic disease. Without long-term intervention, the Qi stagnation would continue to produce phlegm, dampness, and blood stasis, gradually accumulating pathological changes and potentially developing into mild chronic diseases such as dyslipidemia, nodules, and chest pain, with a tendency to further progress to chronic cardiovascular and cerebrovascular diseases. After treatment with Si Ni San and Ling Gui Zhu Gan Tang, the symptoms of Qi stagnation improved, blocking the pathogenesis of chronic diseases. Example 2 Intervention at the Critical Junction: Early Stages of Phlegm and Blood Stasis (Prevention of Chronic Disease Progression) The subject presented with microthyroid nodules, borderline high blood lipids, and intermittent chest tightness, indicating phlegm obstruction and impaired Qi flow—signs of early-stage chronic disease progression. Without timely intervention, the phlegm and blood stasis would accumulate and solidify, potentially leading to nodule enlargement, worsening chest tightness, and a trend towards coronary heart disease and tumors. After treatment with Jujube and Ginger Decoction and Poria, Apricot Kernel, and Licorice Decoction, combined with auxiliary treatments to soften and disperse nodules, the chest tightness symptoms were relieved, the nodules did not enlarge, and the further accumulation and transformation into organic chronic disease was prevented. Example 3 Intervention to Stabilize Severe Chronic Diseases (Intervention in the Severe Stage of Chronic Diseases): Subjects had a history of old cerebral infarction and COPD, with long-term cough, wheezing, and dizziness, indicating dysfunction of the middle jiao (middle burner) in the ascending and descending functions of chronic diseases. If left untreated, qi stagnation and phlegm-blood stasis would repeatedly occur, leading to continued progression of the chronic pathology, exacerbating the original condition, increasing the frequency of relapses, and showing a tendency to progress towards end-stage chronic disease. Through long-term regulation of the middle jiao qi mechanism, symptoms stabilized, and the progression of the chronic disease was effectively suppressed.

Claims

1. A method for recommending a health management program for the early intervention of major chronic diseases based on the Zhang Zhongjing system, characterized in that, The method is executed by an intelligent health management system, relying on the Zhongjing (Zhongjiao) Three-Level Major Chronic Disease Blocking and Transmission Model to complete the solution output. The major chronic diseases specifically refer to three national-level major chronic diseases: cardiovascular and cerebrovascular diseases, malignant tumors, and chronic respiratory diseases. The model records standardized disease transmission chains and three-level blocking points. The intelligent health management system includes an AI quantitative assessment module for Qi movement abnormalities, a Zhongjing major chronic disease transmission knowledge base module, a graded classical prescription intervention matching module, and a full-cycle health record tracking module. The method includes the following computer execution steps: S1 Qi budding grading assessment steps: The AI ​​quantitative assessment module collects user tongue appearance, pulse appearance, and physical symptom data to identify sub-healthy individuals who only have abnormal Qi movement in the middle Jiao and no organic lesions. It retrieves basic intervention plans such as Si Ni San and Ling Gui Zhu Gan Tang from the knowledge base. For individuals with spleen deficiency and Qi stagnation without fluid retention, it matches them with Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang, outputting recommended conditioning plans for the budding stage of chronic diseases; S2 The steps for grading and assessing mild cases of phlegm and blood stasis are as follows: The AI ​​quantitative assessment module identifies users with mild cases who have small nodules, borderline abnormal indicators, and intermittent chest tightness, cough, and wheezing. It calls upon the formulas of Juzhijiang Decoction, Fuling Xingren Gancao Decoction, and Zhishi Xiebai Guizhi Decoction from the knowledge base, and simultaneously matches a softening and dispersing auxiliary conditioning plan for phlegm nodules throughout the body, outputting a recommended plan to block the progression of chronic diseases. The steps for grading and assessing severe cases of stagnation and blood stasis are as follows: The AI ​​quantitative assessment module determines the chronic disease population who have been diagnosed with cardiovascular and cerebrovascular diseases, COPD, and tumors, and matches a medium- to long-term stabilization conditioning plan to harmonize the middle jiao and resolve phlegm and blood stasis, outputting intervention suggestions to inhibit the deterioration of lesions. The knowledge base pre-stores the three-level major chronic disease blocking and transmission model data corresponding to the theory of disease prevention in the "Essential Prescriptions of the Golden Chamber". It uses the stagnation of the middle jiao and the abnormal rise and fall of qi as the unified initial basic pathogenesis of the three types of highly lethal chronic diseases, and stores complete disease transmission rules and stratified intervention standards. The classification data and recommended intervention plans generated by each assessment are simultaneously stored in the full-cycle health record tracking module to form a dynamic monitoring file of the user's chronic diseases.

2. The method for recommending a health management plan according to claim 1, characterized in that: Step S1 matches classical formulas including Si Ni San, Ling Gui Zhu Gan Tang, Hou Po Sheng Jiang Ban Xia Gan Cao Ren Shen Tang, etc.; Step S2 matches classical formulas including Ju Zhi Jiang Tang, Fu Ling Xing Ren Gan Cao Tang, Zhi Shi Xie Bai Gui Zhi Tang, etc.

3. The method for recommending a health management plan according to claim 1, characterized in that, The three-tiered major chronic disease transmission model is built into the knowledge base module. The transmission chain of the model is as follows: dietary, emotional, and work-rest imbalances cause stagnation in the middle jiao and abnormal qi flow. Over time, qi stagnation leads to phlegm and dampness, which in turn obstructs the meridians and causes blood stasis. The pathology accumulates continuously, gradually forming mild lesions from a sub-healthy state, solidifying into chronic organic chronic diseases, and eventually developing into severe cardiovascular and cerebrovascular diseases, malignant tumors, and end-stage respiratory diseases. The model uses data from the three levels of checkpoints to systematically classify and match different intervention programs.

4. A smart health management system for the early intervention of major chronic diseases based on the Zhang Zhongjing system, characterized in that, The method for recommending a health management program according to any one of claims 1–3 includes: an AI quantitative assessment module for Qi dysregulation, a knowledge base module for the transmission of major chronic diseases according to Zhang Zhongjing, a graded classical prescription intervention matching module, and a full-cycle health record tracking module.

5. The intelligent system according to claim 4, characterized in that: The AI ​​quantitative assessment module for Qi movement disorder is used to quantitatively distinguish three basic Qi movement disorder syndromes: spleen failing to ascend clear Qi, stomach failing to descend turbid Qi, and Qi stagnation in the middle Jiao. It also simultaneously identifies complex pathogenesis of water retention, cold coagulation, heat stagnation, and deficiency of vital Qi, and outputs model grading results. The Zhongjing major chronic disease transmission knowledge base module has built-in complete three-level major chronic disease blocking transmission model data and chronic disease grading intervention rules.

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