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پاورپوینت کامل An Evidence-Based Approach to TCM Patient Class Definition and Differentiation 53 اسلاید در PowerPoint

اسلاید ۴: Spectrum of TCM ResearchPage 4A visit to TCM DoctorPatient Information Collection:Inspection ())Auscultation & Olfaction ())Inquiry ())Palpation ())Patient Classification:Syndrome differentiation ()Determine pattern of disharmonyTreatment:Herbal medicineAcupunctureTui Na, Cupping, Qigong, .., etc

اسلاید ۵: Spectrum of TCM ResearchPage 5A visit to TCM DoctorResearchPatient Information Collection:Inspection ())Auscultation & Olfaction ())Inquiry ())Palpation ())Instruments:…….Patient Classification:Syndrome differentiation ()Determine pattern of disharmonyTreatment:Herbal medicineAcupunctureTui Na, Cupping, Qigong, .., etc

اسلاید ۶: Spectrum of TCM ResearchPage 6A visit to TCM DoctorResearchPatient Information Collection:Inspection ())Auscultation & Olfaction ())Inquiry ())Palpation ())Instruments:…….Patient Classification:Syndrome differentiation ()Determine pattern of disharmonyTreatment:Herbal medicineAcupunctureTui Na, Cupping, Qigong, .., etcEfficacyEffective component of herbsAction mechanism Safety….

اسلاید ۷: Spectrum of TCM ResearchPage 7A visit to TCM DoctorResearchPatient Information Collection:Inspection ())Auscultation & Olfaction ())Inquiry ())Palpation ())Instruments:…….Patient Classification:Syndrome differentiation ()Determine pattern of disharmonySupervised learningLabeled Data: Symptoms & signs, class labels assigned by expertTreatment:Herbal medicineAcupunctureTui Na, Cupping, Qigong, .., etcEfficacyEffective component of herbsAction mechanism Safety….

اسلاید ۸: Spectrum of TCM ResearchPage 8A visit to TCM DoctorResearchPatient Information Collection:Inspection ())Auscultation & Olfaction ())Inquiry ())Palpation ())Instruments:…….Patient Classification:Syndrome differentiation ()Determine pattern of disharmonySupervised learningLabeled Data: Symptoms & signs, class labels assigned by expertOur work: cluster analysis Unlabeled Data: symptoms & signs Treatment:Herbal medicineAcupunctureTui Na, Cupping, Qigong, .., etcEfficacyEffective component of herbsAction mechanism Safety….

اسلاید ۹: Western Medicine vs TCM: A Layman viewWestern Medicine (Modern Biomedical Medicine )Human body: A machine with different parts, viewed at different levels: anatomic, biochemical, geneticDisease: malfunction of some partTCMHuman body: Dynamic system of energy and functions, holistic viewDisease: Disharmony Among yin, yang, qi, xu, zàng-f, meridians etc. and/orBetween of the human body and the environmentPage 9

اسلاید ۱۰: Patient ClassesBoth Modern Medicine and TCM divide patients into classesPatient classes in modern medicineCorrespond to diseases at certain stages: E.g., Stage 4 COPD Clearly definedHave gold standard for differentiationPatient classes in TCMCorrespond to pattern of disharmony (syndrome): Yang DeficiencyNot clearly definedDifferentiation heavily influenced by subjectivityPage 10

اسلاید ۱۱: Data-Driven Research on Syndrome DifferentiationSupervised learningLabeled Data: Symptoms & signs, class labels assigned by expertsProvides quantitative summarization of experts’ know-howsConducive to the improvement of TCM service. Reduce variance.However, it does not solve the subjectivity problem.Our work: cluster analysis Unlabeled Data: symptoms & signs onlyAim at finding natural clusters among patient population, whichCan be used as objective evidence for patient class definition.Page 11

اسلاید ۱۲: Our ObjectiveIn clinic practice, syndrome differentiation is heavily influenced by objectivity.Our objective to provide evidence to make syndrome differentiation as objective as possible.Page 12Status QuoOf Syndrome DifferentiationSubjectiveIdeal CaseObjective Gold StandardOur GoalReference StandardObjective Evidence +Subjective Judgment

اسلاید ۱۳: OutlineIntroductionStatistical validation of TCM postulatesProviding evidence for TCM patient class definition and differentiationConcluding remarksPage 13

اسلاید ۱۴: TCM PostulatesTCM has postulates to explain occurrence of symptoms:Kidney yang is the basis of all yang in the body. When kidney yang is in deficiency, it cannot warm the body and the patient feels cold, resulting in intolerance to cold, cold limbs, and cold lumbus and back.Key question:Do concepts such as “kidney yang deficiency” have scientific contents or are pure subjective notionEffor