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从“法-药-人”角度探讨经方药物警戒思想 被引量:3
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作者 韩宇 张冰 +3 位作者 张晓朦 林志健 吕锦涛 王雨 《河北中医药学报》 2023年第1期44-47,52,共5页
目的:挖掘经方《伤寒论》《金匮要略》中药物警戒思想,传承中医药安全用药思想,指导现代临床安全合理用药,推动中医药传承发展。方法:从法、药、人多角度全面系统梳理《伤寒论》和《金匮要略》中有关用药安全内容,并分类归纳,探讨其警... 目的:挖掘经方《伤寒论》《金匮要略》中药物警戒思想,传承中医药安全用药思想,指导现代临床安全合理用药,推动中医药传承发展。方法:从法、药、人多角度全面系统梳理《伤寒论》和《金匮要略》中有关用药安全内容,并分类归纳,探讨其警戒措施,提炼经方警戒思想与方法。结果:从“法-药-人”角度探讨经方中药药物警戒思想,经方依据汗、吐、下、消、温、清、补、和八法各治法特点,药物本身的特性,以及患者的体质差异具有相应的警戒措施。结论:经方中蕴含的中药药物警戒内容丰富,对现代临床用药具有指导意义。 展开更多
关键词 经方 物警戒 安全用 《伤寒论》 《金匮要略》 法-药-人
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“病-理-法-方-药”现代中医诊疗程式的探讨
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作者 闫梦元 何伟峰 +4 位作者 金政 吴彤 李俊龙 吴伟 卿立金 《中西医结合心脑血管病杂志》 2024年第17期3257-3258,共2页
“理-法-方-药”是传统中医辨证论治的核心临床思维模式。吴伟教授在传承国医大师邓铁涛教授“五诊十纲”理论基础上,结合临床经验,提出“病-理-法-方-药”是现代中医临床诊疗程式,衷中参西,病证结合,具有重要的临床指导意义。
关键词 ---- 辨病辨证辨治 中医诊疗程式
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基于“理-法-方-药-术”体系探讨分期论治带状疱疹经验 被引量:4
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作者 李梅 陶方泽 +2 位作者 叶静静 陈宁刚 陈雷 《浙江中医药大学学报》 CAS 2023年第8期863-868,共6页
[目的]探讨基于“理-法-方-药-术”体系分期论治带状疱疹(herpes zoster,HZ)的经验。[方法]通过文献学习、理论分析及临床经验总结,根据西医分期理论,探讨HZ在疹前期、疱疹期、疹后期、后遗症期的病因病机、治则治法、组方遣药和外治措... [目的]探讨基于“理-法-方-药-术”体系分期论治带状疱疹(herpes zoster,HZ)的经验。[方法]通过文献学习、理论分析及临床经验总结,根据西医分期理论,探讨HZ在疹前期、疱疹期、疹后期、后遗症期的病因病机、治则治法、组方遣药和外治措施,并举验案佐证。[结果]疹前期:此期以“风毒”为主,治以疏风泻热解毒,选用菊花茶调散、银翘散、升降散等加减,治疗以浅刺为主。疱疹期:此期以肝经湿热为主,治以清肝解毒、通络止痛,方用龙胆泻肝汤加减,治疗以火针配合拔罐加围刺、电针夹脊穴为主。疹后期:此期血瘀正亦虚,治以祛瘀止痛为主,辅以益气活血,可选用补阳还五汤或补中益气汤合金铃子散和(或)瓜蒌甘草红花汤等加减,治疗以刺络拔罐放血结合围刺、电针夹脊穴为主。后遗症期:此期阴虚血涩,治以养阴柔肝通络止痛,可选一贯煎加减,治疗以针刺加艾灸为主。所举医案为临床HZ典型病例,初诊时辨证为疱疹期-肝经湿热证,处方以龙胆泻肝汤加减,并予以火针联合拔罐,浅刺围刺加电针夹脊穴;二诊时辨证为疹后期-气虚血瘀证,处方以补阳还五汤化裁,并采用梅花针、拔罐,围刺、电针夹脊穴,疗效显著。回归临床,以案示理,表明临床运用“理-法-方-药-术”体系分期诊治HZ便捷效佳。[结论]基于“理-法-方-药-术”体系分期辨治HZ,采取相应的内外兼治方案,疗效显著,值得推广。 展开更多
关键词 “理----术”体系 带状疱疹 分期论治 内外合治 经验 验案
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Determination of Loratadine in Human Plasma by High Performance Liquid Chromatography-Electrospray Mass Spectrometry and Studies on Its Pharmacokinetics and Relative Bioavailability 被引量:3
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作者 陈钧 高科攀 +5 位作者 史振祺 陆伟 蒋新国 荣征星 黄霞 陈红专 《Journal of Chinese Pharmaceutical Sciences》 CAS 2002年第4期137-141,共5页
A new HPLC MS method to determine loratadine in human plasma was established. The method involved extracting drug with organic solvent under basic conditions. The samples were seperated by ODS column and determined ... A new HPLC MS method to determine loratadine in human plasma was established. The method involved extracting drug with organic solvent under basic conditions. The samples were seperated by ODS column and determined by mass detector. The calibration curve of loratadine was linear within the range of 0.4~100 ng·mL -1 with r=0.9995 . The recovery of this method was within 95%~104%, within day and between day RSD were less than 12%. To study the pharmacokinetics and relative bioavailability of loratadine tablets, two formulations of loratadine tablets were given to 18 healthy male volunteers according to a randomized 2 way cross over design. The C max , AUC 0 t and T max values of the two formulations were 51.89±20.18 ng·mL -1 and 52.48±22.35 ng·mL -1 ; 140.75±88.42 ng·h·mL -1 and 147.24±92.33 ng·h·mL -1 ; 0.81±0.35 h and 0.81±0.27 h respectively. Results from statistic analysis showed that there were no significant difference between the C max , AUC 0-t and T max values of the two formulations. The relative bioavailability of tablets I with respect to tablets II was 97%±13% from the AUC 0 t measurement. Bioequivalance was observed between the two tablets. 展开更多
关键词 LORATADINE HPLC MS PHARMACOKINETICS BIOAVAILABILITY
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HPLC Determination of Captopril in Human Plasma with Pre-column Derivation and Solid-phase Extraction and Studies on Its Pharmacokinetic and Relative Bioavailability
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作者 丁劲松 张毕奎 +2 位作者 李焕德 刘义钊 邓航 《Journal of Chinese Pharmaceutical Sciences》 CAS 2001年第3期152-156,共5页
A new pre-column derivation HPLC method with solid-phase extraction to determine captopril in human plasma was established. Derivation products were extracted by a solid-phase extraction method after the reagent, p-a-... A new pre-column derivation HPLC method with solid-phase extraction to determine captopril in human plasma was established. Derivation products were extracted by a solid-phase extraction method after the reagent, p-a-dibromoacetophenone(p-BPB), was added in the plasma samples. The samples were analyzed in a VP-ODS column with UV-detector. The calibration curve of captopril was linear within the range of 5~1000 ngmL-1 with r=0.9987, the recovery of this method was 98.652.04%, within day and between day RSD were no more than 3.4% and 8.4% respectively. To study the pharmacokinetics and the relative bioavailability of captopril tablets, two formulations of captopril tablets were given to 18 healthy male volunteers according to a randomized 2-way cross-over design with a 1-week washout period. The respective AUC0~6 , Cmax and Tmax values of the two formulations were 424.5125.7 and 439.4113.3 mghL-1; 505.9244.6 and 504.8172.2 mgL-1; 0.6620.181 and 0.5280.176 h. Results from statistics analysis showed that there were no significant difference between the AUC0~6 , Cmax and Tmax values of the two formulations, The relative bioavailability of tablets I with respect to II was 96.114.6% from AUC0~6 measurement. Bioequivalance was observed between the two tablets. 展开更多
关键词 CAPTOPRIL Solid-Phase Extraction HPLC PHARMACOKINETICS BIOAVAILABILITY
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INFLUENCE OF ELECTROACUPUNCTURE ON ARTIFICIAL ABORTION- INDUCED SIDE EFFECTS
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作者 田丽颖 《World Journal of Acupuncture-Moxibustion》 2001年第1期27-29,共3页
In the present study, the effect of electroacupuncture (EA) of acupoints of Ren, Spleen and Stomach Meridians on artificial abortion induced side effects was observed in 100 artificial abortion women. In comparison wi... In the present study, the effect of electroacupuncture (EA) of acupoints of Ren, Spleen and Stomach Meridians on artificial abortion induced side effects was observed in 100 artificial abortion women. In comparison with 45 artificial abortion women in the control group (who had not accepted EA treatment), EA possessed significant effects in relieving abdominal pain, reducing vaginal bleeding duration, lowering infection rate and infertility rate after artificial abortion operation. 展开更多
关键词 Electroacupuncture Ren Meridian Spleen Meridian Stomach Meridian Artificial abortion
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TREATMENT OF ANGINA PECTORIS WITH MEDICINAL PLASTER FIXED AT ACUPOINTS -A Report of 54 Cases 被引量:2
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作者 刘彦荣 王婷婷 张军 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1998年第1期12-14,共3页
That the diseases in the interior can be treated at the exterior is one of the therapeutic methods of traditional Chinese medicine. Pretty good results has been obtained in treating the patients of angina pectoris wit... That the diseases in the interior can be treated at the exterior is one of the therapeutic methods of traditional Chinese medicine. Pretty good results has been obtained in treating the patients of angina pectoris with medicinal plaster fixed at acupoints. This is reported as follows. 展开更多
关键词 Acupuncture Points Moxibustion Adult Aged Angina Pectoris Drugs Chinese Herbal ELECTROCARDIOGRAPHY Female Humans Male MICROCIRCULATION Middle Aged NAILS
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“药-浴-膏”疗法治疗血热证斑块型银屑病临床观察
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作者 商婷 张燕 +3 位作者 王建超 肖秀丽 唐明会 李斌 《世界临床药物》 CAS 2023年第11期1190-1194,共5页
目的评价“药-浴-膏”疗法治疗斑块型银屑病血热证的临床疗效及安全性。方法77例患者按随机数字表法分为试验组(39例)和对照组(38例)。两组均给予牛1方,试验组加用消银1号汤药浴。观察两组患者治疗前后的临床疗效,以及银屑病皮损面积及... 目的评价“药-浴-膏”疗法治疗斑块型银屑病血热证的临床疗效及安全性。方法77例患者按随机数字表法分为试验组(39例)和对照组(38例)。两组均给予牛1方,试验组加用消银1号汤药浴。观察两组患者治疗前后的临床疗效,以及银屑病皮损面积及严重程度指数(psoriasis area and severity index,PASI)评分,并评估不良反应及复发率。结果试验组治疗总有效率高于对照组(92.31%vs 78.94%,P<0.05)。治疗后,两组PASI总分均低于治疗前,且试验组浸润、脱屑指数均降低,差异均有统计学意义(P<0.05);组间比较显示,试验组浸润、脱屑及PASI总分均低于对照组,差异有统计学意义(P<0.05)。两组复发率比较,差异无统计学意义(7.69%vs 7.89%,P=0.923)。两组均未见明显不良反应。结论“药-浴-膏”疗法治疗血热证斑块型银屑病具有较好的临床疗效和安全性。 展开更多
关键词 --膏” 斑块型银屑病 血热证
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中医精准医疗的智慧 被引量:11
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作者 胡昌江 陈志敏 +2 位作者 吴珊珊 胡麟 杨卓 《中华中医药学刊》 CAS 北大核心 2018年第1期7-10,共4页
精准医疗作为一种个性化医疗于近年来受到极大关注。而中医药学凝聚了数千年的的哲学智慧和健康养生理念及其实践经验,它的诊疗全过程无不体现出精准医疗的智慧。从中医辨证、论治、组方、用药以及中药的随证加减、炮制品选用、剂量剂... 精准医疗作为一种个性化医疗于近年来受到极大关注。而中医药学凝聚了数千年的的哲学智慧和健康养生理念及其实践经验,它的诊疗全过程无不体现出精准医疗的智慧。从中医辨证、论治、组方、用药以及中药的随证加减、炮制品选用、剂量剂型、煎煮以及治未病等各个方面进行探讨,论述中医诊疗过程中的精准医疗智慧,有利于提高中医药临床诊疗的精准性。 展开更多
关键词 精准医疗 中医 --- 治未病
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Pharmacokinetics of Oxiracetam in Healthy Volunteers 被引量:6
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作者 魏春敏 王本杰 郭瑞臣 《Journal of Chinese Pharmaceutical Sciences》 CAS 2005年第1期29-32,共4页
Aim To study the pharmacokinetics of oxiracetam after single and multipleintravenous administrations in healthy volunteers. Method A HPLC method was used to determine theserum concentration of oxiracetam after intrave... Aim To study the pharmacokinetics of oxiracetam after single and multipleintravenous administrations in healthy volunteers. Method A HPLC method was used to determine theserum concentration of oxiracetam after intravenous single dose and daily dose of 2 000 mg for 7 din ten Chinese healthy volunteers. Pharmacokinetic analysis was carried out using Drug And Statisticsoftware. Results The AUC_(0-12), AUC_(0-∞), K_e, t_(1/2), MRT after a single dose of 2 000 mgoxiracetam were 256.26 ± 16.84 μg·mL^(-1)·h, 276.74 ±18.11 μg·mL^(-1)·h, 0.18 ±0.03 h^(-1),3.84±0.64 h, and 4.39 10.39 h, and after multiple doses of oxiracetam were 259.36 ±25.43μg·mL^(-1)·h, 285.59 ±27.38 μg·mL^(-1)·h, 0.17 ±0.04 h^(-1), 4.14 ± 0.82 h, and 4.87 ±0.69 h, respectively. Conclusion The pharmacokinetic parameters of oxiracetam do not differremarkably after single and multiple intravenous administration and there is accumulation in serumafter 2 000 mg multiple intravenous administration once a day fof 7 d. 展开更多
关键词 OXIRACETAM high performance liquid chromatography PHARMACOKINETIC
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Albendazole versus metronidazole treatment of adult giardiasis:An open randomized clinical study 被引量:2
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作者 OguzKarabay AliTamer +3 位作者 HuseyinGunduz HuseyinArinc HarikaCelebi Derya Kayas 《World Journal of Gastroenterology》 SCIE CAS CSCD 2004年第8期1215-1217,共3页
AIM:To investigate the efficacy and tolerability of albendazole and metranidazole treatment in giardiasis. METHODS:The open comparative randomized trial was carried out prospectively from December 1999 to July 2001 in... AIM:To investigate the efficacy and tolerability of albendazole and metranidazole treatment in giardiasis. METHODS:The open comparative randomized trial was carried out prospectively from December 1999 to July 2001 in Duzce City of Turkey.The diagnosis was based on the presence of signs and symptoms compatible with giardiasis including a positive stool examination of giardia cysts or trophozoite.Metranidazole group consisted of 29 patients and was given metranidazole 500 mg,three times a day for 5 d and albendazole group was consisted of 28 patients and was given albendazole 400 mg/d for 5 d. RESULTS:There were no significant differences in demographical and therapeutical effects and patient's compliance between both groups.But side effects were seen more in metranidazole group than in albendazole group. CONCLUSION:Albendazole is as effective as metranidazole in adults' giardiasis.Albendazole has less side effect potentials than metranidazole in the treatment of giardiasis. 展开更多
关键词 ADULT ALBENDAZOLE DOSAGE Antiprotozoal Agents Antitrichomonal Agents Comparative Study Female GIARDIASIS Humans Male METRONIDAZOLE Middle Aged Prospective Studies Treatment Outcome
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Clinical Study on the Treatment of Male Immune Infertility with Sheng Jing Zhong Zi Tang 被引量:2
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作者 杨保存 张彩霞 +4 位作者 杜雷 闪小海 邹鹏 党清和 叶环 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2002年第2期102-103,共2页
Using Sheng Jing Zhong Zi Tang (生精种子汤Decoction for Promoting Generation of Vital Energy), we have in recent years treated 90 cases of masculine infertility and obtained quite good therapeutic effects. A report fo... Using Sheng Jing Zhong Zi Tang (生精种子汤Decoction for Promoting Generation of Vital Energy), we have in recent years treated 90 cases of masculine infertility and obtained quite good therapeutic effects. A report follows. 展开更多
关键词 PHYTOTHERAPY ADULT Drug Combinations Drugs Chinese Herbal Humans Immunoglobulin A Immunoglobulin G Immunoglobulin M Infertility Male MALE
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Gastric stimulation for weight loss 被引量:4
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作者 Meir Mizrahi Ami Ben Ya'acov Yaron Ilan 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第19期2309-2319,共11页
The prevalence of obesity is growing to epidemic proportions,and there is clearly a need for minimally invasive therapies with few adverse effects that allow for sustained weight loss.Behavior and lifestyle therapy ar... The prevalence of obesity is growing to epidemic proportions,and there is clearly a need for minimally invasive therapies with few adverse effects that allow for sustained weight loss.Behavior and lifestyle therapy are safe treatments for obesity in the short term,but the durability of the weight loss is limited.Although promising obesity drugs are in development,the currently available drugs lack efficacy or have unacceptable side effects.Surgery leads to long-term weight loss,but it is associated with morbidity and mortality.Gastric electrical stimulation(GES) has received increasing attention as a potential tool for treating obesity and gastrointestinal dysmotility disorders.GES is a promising,minimally invasive,safe,and effective method for treating obesity.External gastric pacing is aimed at alteration of the motility of the gastrointestinal tract in a way that will alter absorption due to alteration of transit time.In addition,data from animal models and preliminary data from human trials suggest a role for the gut-brain axis in the mechanism of GES.This may involve alteration of secretion of hormones associated with hunger or satiety.Patient selection for gastric stimulation therapy seems to be an important determinant of the treatment's outcome.Here,we review the current status,potential mechanisms of action,and possible future applications of gastric stimulation for obesity. 展开更多
关键词 Obesity Gastric stimulation Gastric motil-ity External pacing Gastric pacing Intestinal pacing
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BENEFICIAL EFFECTS OF CAPTOPRIL ON PROGNOSIS IN ELDERLY PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
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作者 蔡煦 沈卫峰 +1 位作者 李明洲 龚兰生 《Chinese Medical Sciences Journal》 CAS CSCD 1998年第2期107-111,共5页
Objective. This study sought to investigate the effects of early and long-term intervention with an- giotensin-converting enzyme(ACE) inhibitor captopril on the elderly patients with acute myocardial in farc- tion(AMI... Objective. This study sought to investigate the effects of early and long-term intervention with an- giotensin-converting enzyme(ACE) inhibitor captopril on the elderly patients with acute myocardial in farc- tion(AMI), and observe its in-hospital and post-hospital outcomes during serial follow-up of 54 months. Methods. 631 elderly patients(60~75 years old) with AMI and without cardiogenic shock were hospi- talized within 72 hours of symptoms and were randomly allocated to captopril (n = 361;treatment group) and conventional treatment (n = 270; control group). The survival and cardiac events (congestive heart fail- ure, reinfarction, severe arrhythmias and cardiac death)of each group were determined during hospitaliza-tion and follow-up. Results. During hospitalization, the survival was higher in treatment group than in control group(p< 0. 0001 ). On the other hand, in treatment group lower mortality was true for patients with anterior my- ocardial infarction(p < 0. 001 ) or with anterior+inferior myocardial infarction (P= 0. 026 ), but not statis- tically significant in ones with inferior myocardial infarction (P= 0. 061 ). During follow-up, the occurrence of cardiac death, heart failure, reinfarction and severe arrhythmias were lower in treatment group (P = 0. 0001, P = 0. 05, P = 0. 0004 and P = 0. 027). So higher survival (P = 0. 005 ) and lower total cardiac events(p= 0. 0008) could be seen in treatment group over this period. Conclusions. Early and long-term treatment with captopril in the elderly patients with AMI has bene-ficial outcomes in both in-hospital and follow-up periods. 展开更多
关键词 ELDERLY acute myocardial infarction angiotensin-converting enzyme inhibitor
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Application of Bu Zhong Yi Qi Tang According to TCM Differentiation of Syndromes
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作者 谢甦 毛树章 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2002年第2期99-101,共3页
  Bu Zhong Yi Qi Tang (补中益气汤Decoction for Reinforcing the Middle-jiao and Replenishing Qi) is an effective formulated recipe commonly used for treating a variety of diseases with the manifestations of kidney-qi...   Bu Zhong Yi Qi Tang (补中益气汤Decoction for Reinforcing the Middle-jiao and Replenishing Qi) is an effective formulated recipe commonly used for treating a variety of diseases with the manifestations of kidney-qi deficiency. In my opinion, however, it is also very effective for the conditions of which the symptoms of kidney-qi deficiency is not noticeable, but its mechanism lies in dysfunction of the spleen. The following are some examples.…… 展开更多
关键词 Diagnosis Differential Medicine Chinese Traditional PHYTOTHERAPY Adult Aged Drug Therapy Combination Drugs Chinese Herbal Female Glossitis Hernia Hiatal Humans Male QI Urination Disorders
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基于大数据偏序结构生成原理探讨“精准化中医”可行模式 被引量:18
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作者 刘超男 邓烨 +2 位作者 李赛美 洪文学 张楠 《中华中医药杂志》 CAS CSCD 北大核心 2016年第5期1778-1781,共4页
"精准医疗"是时下国内最受关注和热议的话题。文章参考"精准医疗"新模式,以大数据采集、大数据处理、准确化诊断与个性化治疗为结合点,发挥中医自古以来辨证论治和个性化诊疗特色,基于大数据偏序结构生成原理,建立&... "精准医疗"是时下国内最受关注和热议的话题。文章参考"精准医疗"新模式,以大数据采集、大数据处理、准确化诊断与个性化治疗为结合点,发挥中医自古以来辨证论治和个性化诊疗特色,基于大数据偏序结构生成原理,建立"病-证-法-方-药-量"知识库,提出"精准化中医"可行模式。以期进一步继承和发展传统中医药"精准性"的优势,为人类健康事业作出更大贡献。 展开更多
关键词 大数据偏序结构生成原理 精准化中医 精准医疗 “病-----量”知识库
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