基于机器学习的阴阳二十五人手诊体质辨识模型探索

Exploration of a Machine Learning Based Body Constitution Model for Identifying the Twenty-five People of Yin and Yang through Hand Diagnosis

  • 摘要:
    目的 结合机器学习的手诊图像分析,探索阴阳二十五人体质辨识模型的构建,以期丰富体质辨识特征输入。
    方法 基于阴阳二十五人理论,采用自主研发的手诊采集设备,对542名心血管科就诊患者的手部图像进行标准化采集。通过Mediapipe手掌关键点算法提取手部关键点,利用几何学分割手掌区域,得出不同部位的长度和色域特征,并由具有资质的医师根据电子病历确定患者的阴阳二十五型体质,对比随机森林、逻辑回归、Xgboost算法和LightGBM,对患者进行体质辨识。
    结果 成功构建了基于手部特征的中医体质辨识模型,能够辨识包括金木、金火、金水、金土、木火、木水、木土、水火、水土和火土在内的十种基础体质类型。在样本均衡化处理后,随机森林模型在体质辨识中表现最佳,准确率达到了0.69,这一结果显著优于其他模型。
    结论 基于手部特征的中医手诊体质辨识模型能够实现中医五行人体质辨识,但是由于仅使用中医望诊之一的手诊数据,准确率有待提升。相较于传统的体质量表更加具有客观性,具有便捷、高度稳定、一致性强的特点。未来可与面诊、全身躯体望诊等进行多模态融合,促进中医体质辨识技术的精准性、智能化和多维度评估能力。

     

    Abstract:
    OBJECTIVE To explore the construction of the physical identification model of twenty-five people of yin and yang by combining the hand diagnosis image analysis of machine learning, in order to enrich the input of physical identification features.
    METHODS Based on the theory of twenty-five people of yin and yang, the hand images of 542 patients with cardiovascular disease were collected by self-developed hand diagnosis acquisition equipment. The key points of the hand were extracted by the Mediapipe palm key point algorithm, and the palm area was segmented by geometry to obtain the length and color gamut characteristics of different parts. The physician with clinical license was used to determined the patient's yin and yang twenty-five constitution according to the electronic medical record, and the patient's constitution was identified by comparing Random Forest, Logistic Regression, Xgboost algorithm and Light GBM.
    RESULTS This study successfully constructed a TCM constitution identification model based on hand characteristics, which can identify ten basic constitution types including gold wood, gold fire, gold water, gold soil, wood fire, wood water, wood soil, water fire, water soil and fire soil. After sample equalization, the Random Forest model performed best in physical identification, with an accuracy rate of 0.69, which was significantly better than other models.
    CONCLUSION The constitution identification model of TCM hand diagnosis based on hand characteristics can realize the constitution identification of the five elements of TCM. However, due to the use of only hand diagnosis data of TCM, the accuracy needs to be improved. Compared with the traditional body mass scale, it is more objective, convenient, highly stable and consistent. In the future, multimodal integration with face diagnosis and whole body inspection can be carried out to promote the accuracy, intelligence and multi-dimensional evaluation ability of TCM constitution identification technology.

     

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