Difficulties in the development of Chinese medical examination equipment

With the rapid development of modern science and technology, computer-led science and technology are widely used in various fields of academic research. This has also been fully reflected in the study of clinical modernization of Chinese medicine. In the past half century, Chinese scholars have devoted themselves to the research of TCM diagnostic instruments, such as tongue diagnosis instruments and pulse diagnosis instruments, and have achieved notable achievements so far. However, as far as the current situation is concerned, the clinical application of equipment such as tongue diagnosis instruments is not satisfactory.

Practical application research lacks breakthrough

Since the 1950s, many scholars and scientific researchers have solved many technical problems, and successively developed system instruments such as the tongue diagnosis expert system of the Chinese medicine, the ZM-III intelligent pulse apparatus, the MTY-A pulse apparatus, etc. The initial diagnosis of tongue images and pulse images was carried out. However, there are few breakthroughs in the application of traditional Chinese medical examination instruments. The specific problems are reflected in three aspects.

Instrument stability and poor reproducibility <br> <br> existing instruments tongue more in-depth study in the light control, color correction aspects of the tongue, but still can not be ruled out due to personal patient Shenshe posture, mood, disease status, etc. The influence of many human factors on the picture collection results in the poor comparability of the data collected by the tongue clinic.

The positioning and pressure adjustment of all kinds of existing pulse diagnosis equipments during pulse collection require doctors to manually perform the manual operation. The difference between pulse pattern and various monitoring data caused by personal experience and technique differences is inevitable, resulting in multiple acquisition results. No objective comparison can be made. At the same time, the patient's excitement, nervousness, and other aspects of the information acquisition interference also makes the instrument's stability and repeatability face a severe test.

Information analysis and processing, low level of comprehensive identification, and unclear classification criteria

At present, the study of tongue diagnosis instrument has been used to quantitatively analyze tongue color and tongue coating with RGB quantitative diagnosis, but the tongue shape, softness, stiffness, contraction, and fibrillation of old tender, fat, thin, tooth marks, prick, moistening, etc. There is little research on dynamic tongue image analysis of shaking and shaking, which to a certain extent limits the diagnosis of tongue images.

However, the analysis and processing of pulse diagnosis information is still at the stage of exploration. Sometimes, there are sometimes field analysis, frequency domain analysis, etc. There are analysis methods such as wavelet transform analysis, multi-sensor information fusion technology, and multi-scale estimation concepts that have broad development prospects. For instance, there are still no mature and widely used analysis and processing methods. At the same time, due to the inconsistency of the parameter standards and analysis methods of various instruments, it has been difficult to compare and verify a variety of pulse signals.

In addition, the existing traditional Chinese medical examination equipment lacks a comprehensive analysis of the correlation between tongue and pulse changes and clinical symptoms.

The methods and descriptions of tongue and vein image information diagnosis are lack of uniform objective indicators, and they mostly stay in the image description stage, which directly affects the promotion and application of TCM diagnosis objectively.

The pulse classification and naming standard of traditional pulse diagnosis are not uniform. The design of medical diagnosis of pulse diagnosis theory is stagnant and conceptual, and the subjective factors have a great influence on modeling. The model has large dispersion and poor stability. The criteria of pulse diagram are also Not yet established.

One-sided emphasis on the instrument must be automatically identified, four diagnostic parameters

The development of many instruments emphasizes the automatic identification of the instrument. Without a unified standard, the author believes that there can be no universal identification procedure, and it can be concluded that clinically recognized results can be obtained and that quantitative data can be converted into Qualitative data is also not desirable. Pulses and doctors' pulse are both different and related. The two are not exactly the same. We can imagine that if the inventor of the electrocardiogram must be required to restore every kind of electrocardiographic performance to the heart sound heard by the stethoscope, electrocardiogram technology cannot be developed today.

The four consultations and joint ginsengs are the basic principles for the diagnosis of TCM, but the four consultations and ginsengs are based on the fact that each diagnosis can correctly reflect the physiological and pathological changes of the body. If one of the consultations or more methods of diagnosis, the information obtained is not Accurate, the result of the joint reference is likely to mislead the doctor's judgment and cause serious consequences. Therefore, it is more important to adopt mature technologies and make joint decisions than to pursue everything.

R&D and clinical application derailment

Practice is the sole criterion for testing truth. Without forming a good R&D model and combining theory with practice, it is impossible to achieve outstanding research results. At present, various topics rarely support the use of clinical research in the application of traditional Chinese medical examination equipment, engineering colleges and universities developed the traditional Chinese medicine examination equipment used in the teaching of various professional schools, and scientific research units did not receive timely feedback on teaching practice and Improve it.

Some college teachers have published papers, pointing out that the electronic chip of the Chinese medical examination and teaching equipment is unstable, the materials are easy to age, the noise during the operation of the instrument is large, the supporting computer software is unstable, the back of the fuselage flashing light is exposed, the position of the diagnosis pulse is not clear, and clinical practice Some issues, such as large differences in senses, are suggested and solutions proposed; this should be the work that the relevant scientific research units should accomplish. It can be seen that many problems exposed in teaching practice have not yet been effectively solved, and how can it be widely used clinically?

In addition, some R&D personnel only consider the application of the instrument from the perspective of scientific research. Some R&D teams lack the participation of TCM personnel or Chinese medicine personnel who are engaged in clinical work. The analysis results are difficult to combine with clinical practice.

The condition of the instrument itself is limited and public awareness is insufficient

Tongue diagnosis equipment, pulse diagnosis instruments and other traditional Chinese medical examination equipment are more expensive and more complicated to operate. Due to the complexity of the hardware and software system structure of the instrument, and the lack of organization and training for test analysts, it is difficult for non-professionals to master the essentials of operation and learning and application are more difficult. Doctors often do not know how to use it.

At the same time, relevant departments, research institutes, and hospitals have little publicity and use of Chinese medical examination equipment. Manufacturers lack publicity channels, the country lacks related fees for the establishment of medical examination and payment systems, and the establishment of a medical insurance payment system. Patients also do not understand or accept. The main reason.

Lack of cross-professional, interdisciplinary TCM talent

The research of TCM medical examination equipment is scientific research that integrates comprehensive knowledge of multiple disciplines such as centralized medicine, western medicine, physical mechanics, mathematics, bioinformatics, tissue engineering, and computer science. It requires a large number of interdisciplinary talents and talents from various disciplines to make extensive efforts. Cooperation, and the need for more funds, long production cycle. However, there are relatively few cutting-edge technology resources available in the country, mainly in Tier 1 and Tier 2 cities such as Beijing, Shanghai and Tianjin. In recent years, although there have been many R&D achievements in these regions, there are relatively few research results in other regions of the country, and they are often at low levels of repetition, causing great waste of human and financial resources.

At present, there are many general talents trained in TCM, and professionals who purposely cultivate TCM diagnosis techniques are far from starting. To promote the development of TCM, it is necessary for visionary leaders to value this work.

Only when there is competition can there be progress. Only when there is more competition can there be development. Research and development of traditional Chinese medical examination equipment to achieve a breakthrough, you need a competitive research environment. The author suggests that a nationwide platform for joint R&D and information exchange should be established to focus on displaying various types of research results and sharing resources; researchers from all parts of the country should complement each other, make progress together, and continue to meet the requirements for the development of Chinese medical examination equipment.

At the same time, it is necessary to develop a group of interdisciplinary TCM talents who are mainly Chinese medicine practitioners who are both involved in TCM engineering and technology and who can take on TCM clinical testing tasks. This is an inevitable trend in the development of TCM and the promotion of TCM diagnostic instruments, and it is further to achieve seamless multidisciplinary research. To jointly develop an objective research on TCM diagnosis and produce an important step that is more suitable for clinical high-end products.

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