How to realize the development of Chinese medical diagnosis and treatment equipment

The Chinese medicine diagnosis and treatment apparatus is based on the theory of traditional Chinese medicine, applying modern scientific and technological means to collect, analyze, and process information on the four observations of the diagnosis, reading, questioning, and cutting based on the diagnosis of traditional Chinese medicine. The modern Chinese medicine diagnosis and treatment instrument is derived from the first electronic tube electroacupuncture instrument developed by Down in 1934. In the following decades, the vein diagnosis instrument, electro-acupuncture instrument, moxibustion instrument, magnetic therapy instrument, pulse diagnosis instrument, tongue diagnosis instrument, and four diagnosis Instruments, etc. have come out in succession, marking a new stage of development for Chinese medical instruments. According to statistics, at present there are about 200 varieties of Chinese medicine diagnosis and treatment instruments, which are mainly used in scientific research and teaching. Recently, Ayi Network learned that: TCM medical instruments have been used in the astronaut medical examination, and provide information for the construction of the astronaut TCM health information database.

With the development of modern science and technology, Chinese medicine diagnosis and treatment instruments based on TCM syndrome differentiation theory have quietly entered people's lives. Based on examinations of pulse and tongue images, the instrument can automatically identify the examiner's physical state and body type, and provide tips. Directions for care and lifestyle advice. In the future, we can even monitor our health status at home through our mobile phone software and conduct preventive health care.

In the concept of Yang Zhimin, deputy dean and chief physician of Guangdong Provincial Hospital of Traditional Chinese Medicine, Chinese medicine diagnosis and treatment instruments can provide information on Chinese medicine for the government to grasp the basic physical fitness of the population through the application of regional health management agencies, and can provide individual and group basis for the hospital. The information of the four clinics laid the foundation for future community medical institutions to provide residents with “private doctor” type health management services. Just as many people measure blood pressure at home today, in the near future, portable Chinese medical instruments can provide anomalous information warning, health trend assessment, and even telemedicine monitoring at home.

Chen Kaixian, academician of the Chinese Academy of Sciences and president of Shanghai University of Traditional Chinese Medicine, once described the future of Chinese medicine diagnosis and treatment instruments. After the products of Chinese medicine diagnosis and treatment are realized, they can be allocated to Chinese medicine doctors, community doctors, rural primary doctors, and improve the treatment of various medical personnel. At the same time, households with needs can also be equipped with diagnosis and treatment equipment, as a home health management machine, provide daily TCM health advice, and if necessary, can also conduct “personal opportunity diagnosis” to achieve telemedicine.

Yang Zhimin believes that although there are still some unsatisfactory areas for the diagnosis and treatment of traditional Chinese medicine, she firmly believes that the clinical application of diagnosis and treatment equipment can achieve continuous self-monitoring and early warning through comprehensive analysis of healthy, non-healthy and disease state information collection. The purpose of evaluating the effect of TCM intervention. She hopes to gradually establish "healthy standards" such as tongue and pulse diagnosis criteria to measure the tongue diagnosis and pulse diagnosis indicators of non-healthy and different disease syndromes, and eventually establish an objective identification of health status with Chinese medicine characteristics. system".

Space medicine has its place
From June 3, 2010 to November 4, 2011, the Institute of Biomedical Problems of the Russian Academy of Sciences organized the Mars 500 Simulated Manned Flight Test, which is the first full-scale simulation of manned Mars flight and landing in human history. The ground simulation test is also the longest closed isolation test to date. During the period, 106 projects from more than 40 countries participated in the trial, and China also participated in the trial. “Mars500 Long-term Confined Environmental TCM Syndrome Differentiation Research” is one of them.

This study for the first time applied the objective diagnostic techniques of TCM to the field of manned spaceflights and provided new means for long-term flight-on-orbit monitoring. The project utilized digitalized TCM diagnostic and therapeutic instruments to realize the digitization and objective collection of TCM diagnostic information. The development of TCM syndrome symptom grading scale provided experience for TCM diagnostic criteria for aerospace medical problems. The study also acquired the characteristics and laws of the overall functional status (syndrome) of the 520-day long-term sealed environment, provided basis for the formulation of interventions for Chinese medicine, and provided interventions based on the individual characteristics of the astronauts and selected classic methods of health preservation to improve the overall quality. The level of health provides the basis.

The China Astronaut Research and Training Center Shi Hongzhi told the reporter of the Science and Technology Daily that the monitoring and evaluation of human conditions guided by the diagnostic principles of Chinese medicine provides a theoretical basis and guidance for the implementation of astronauts' traditional Chinese medicine safeguard measures. With the continuous development of aerospace medicine, it is necessary to establish a monitoring system based on digitalized TCM software products to obtain comprehensive and comprehensive TCM-specific health data and to dynamically analyze TCM diagnosis and treatment information.

It is understood that the research team’s goal in the future is to study the characteristics and laws of the human body's overall functional status through face-to-face consultation; to use tongue diagnosis information to provide basis for formulating Chinese medicine intervention measures; to explore the long-term astronaut’s health monitoring and assessment through pulse diagnosis and inquiry. New ideas and new methods.

The perfect combination of tradition and modernity

Yang Zhimin believes that the clinical application of Chinese medicine diagnosis and treatment instruments should be considered in several aspects. First of all, it is to objectively visualize, visualize, quantify, and standardize the information of Chinese medicine diagnosis and treatment instruments, and to change the conceptualization, subjectivity, and lack of quantification of the traditional Chinese medicine health field. At the same time, it should focus on how to fully integrate the diagnostic factors, provide accurate information for the four consultations, and make up for the missing status of the doctor's symptomatic information.

Western medicine focuses on "pathological changes," while Chinese medicine focuses on responding healthier "functional responses" and exposes them to four diagnostics. Yang Zhimin particularly emphasized that the Chinese medicine diagnosis and treatment instruments should reflect the "state of function reflection," so as to dynamically grasp changes in health status, conduct continuous monitoring and comparison, and use dynamic evaluation functions to determine the state of health transition from the concept of Chinese medicine.

The evaluation of clinical curative effect of TCM is also a major problem that needs to be solved in the development of TCM. It is the common expectation of the industry to use TCM diagnostic instruments to reflect the objective indicators used in clinical research to establish curative effects.

Just as telescopes allow us to experience the universe, microscopes allow us to observe microbes, and big data is changing the way we live and understand the world. Liu Baoyan, executive vice president of the China Academy of Chinese Medical Sciences, proposed to embrace big data and create a new situation in the research and development of Chinese medicine instruments. Western medicine has a lot of potential for big data. For example, the clinical effect of TCM academic schools is often based on the test of the full-sample effect of several generations of clinical practice, rather than the verification of accurate small data; TCM theory is an intervention measure and human health status. The elaboration of the relevant relationship answers the question of “what” in the balance of human health. It does not use the confirmation of the causal relationship to answer “why”; the era of big data will be a Chinese medicine with richer, more complex and more hierarchical information. Diagnostic equipment research provides more feasible methods and techniques. We hope that under the guidance of advanced technology, medical devices will help more patients to get rid of the problems of the disease.