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随着中医药文化的不断发展，名中医学术思想作为中医药传承的核心组成部分，其传承方式正逐步从传统模式向数字化、智能化方向转变，但仍面临数据收集与处理的标准化不足、传承效能低、传承异化等问题。深入探讨智慧传承“智-传-模-链”的构建路径：“智”，即通过智能感知技术实现名中医辨证论治信息的精准采集与分类标准研究，为数字化传承奠定基础；“传”，即运用人工智能技术进行名中医临证经验的知识挖掘与智慧传承，构建“流派个性+群体共性”活态传承体系；“模”，即结合多流派学术思想与优势病种，开展名中医智慧诊疗模型研究，形成个性化诊疗方案；“链”，即基于区块链与生成智能融合的名中医临床辅助决策系统构建策略，建立名中医诊疗知识的AI数字化模型。“智-传-模-链”传承模式不仅可为中医学术流派的数字化传承提供新思路，也可为中医药现代化与国际化进程提供有力支撑。
Abstract：As traditional Chinese medicine(TCM) culture evolves, the academic thoughts of these practitioners, being a core component of TCM inheritance, are gradually shifting from traditional models to digital and intelligent approaches. However, this process faces challenges, including insufficient standardization of data collection and processing, low inheritance efficiency, and the risk of inheritance alienation. To address these issues, this paper proposed the construction of an intelligent platform following the "intelligence-transmission-modeling-linkage" path. "Intelligence" involves using smart perception technologies to accurately collect and classify diagnostic and therapeutic information from famous TCM practitioners, laying the foundation for digital inheritance; "transmission" focuses on leveraging artificial intelligence to mine and inherit the clinical experience of famous TCM practitioners, thereby establishing a "regional academic schools+group commonality" dynamic inheritance system; "modeling" integrates the academic thoughts and advantageous diseases of multiple schools to develop intelligent diagnostic and therapeutic models of famous TCM practitioners, resulting in personalized treatment plans; "linkage" involves constructing a clinical decision support system of famous TCM practitioners by integrating blockchain and generative intelligence, creating an AI digital avatar of TCM diagnostic and therapeutic knowledge. The "intelligence-transmission-modeling-linkage" intelligent inheritance model not only provides new ideas for the digital inheritance of TCM academic schools, but also offers strong support for the modernization and internationalization of TCM.
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基本信息:
DOI：10.13288/j.11-2166/r.2025.14.002
中图分类号:R2-03
引用信息:
[1]陈秋平,周航,陈菊等.名中医学术思想和诊疗经验的“智-传-模-链”传承模式探讨[J].中医杂志,2025,66(14):1419-1423.DOI:10.13288/j.11-2166/r.2025.14.002.
基金信息:
国家自然科学基金（82374314）; 四川省哲学社会科学基金（SCJJ24ND210）