Cognitive Rules Based On Complexity Science And Its Methodology Of Chinese Medicine Clinics

In the process of traditional Chinese medicine(TCM)diagnosis and treatment,doctors obtain patients' information by TCM observation,smell,inquisition,Pulse-feeling and Palpation,on the basis of the internal relationship of syndrome,then analyze and compare to search the origin and essence of disease,using various syndrome differentiation methods, such as eight class(Yin-Yang,exterior and interior,cold and heat,asthenia and sthenia ) and six meridians.At last,doctors image modeling through an analysis of representation,carring through syndrome differentiation and treatment,under the guidance of TCM theory.The connotation of informatics embodies in each stage,including the acquisition,expression, classification and cognition of the information,along with the generation and Optimization of strategy.In the dynamic and complex process,doctors are the cognitive subject and patients are the cognitive object.Always different doctors have different opinion even if they face the same patient.Thus,doctor's cognition is the key.This article investigates the cognitive regulation of TCM under the guidance of basic theory of TCM,based on the system complexity science and its methodology.The article discusses from four aspects,such as research on the process of TCM diagnosis,treatment and information processing based on the system complexity science,study on the cognition characteristics of TCM doctors and the recovery of common thinking.Meanwhile, meta-synthesis hall is established,which can describe andrecord the TCM doctors' mind and form the common predetermined plan of TCM diagnosis and treatment in order to guide the clinical practice.1 Object1.1 Study on the decision-making role of doctor's cognition in the process of TCM diagnosis and treatment based on the system complexity science.1.2 Revealing doctor's own cognitive characteristics and information analysis method based on the intelligent information treatment technique.1.3 Establishing meta-synthesis discussion system facing to the process of TCM diagnosis and treatment and doctor's cognition,obtaining common thinking preparedness, investigating a new method to establish the standard of diagnosis and treatment meanwhile to inherit TCM thingking.2 Methods and Results2.1 TCM diagnosis and treatment is an open and complex system,which has the characteristics of openness,complexity,dynamics,giant,level,unity,emergence and nonlinearity.Thus,TCM,TCM doctors and patients are the central contents of TCM diagnosis and treatment under the perspective of system complexity science.In the view of generation epistemological,the thinking method of TCM also has the characteristics of integrity,system,level,image,harmony and nonlinearity.TCM doctors become the open and complex system because they have more characteristics of society and thinking except of nature in the process of diagnosis and treatment.Patients are also considered to the open and complex system because of physiology,living environment,structure of emotion and psychology and clinical symbolism.Different doctor probably has different conclusion of diagnosis and treatment even if facing with the same patients because of different cognition pattern.Therefore,the cognition patterns of doctors are the key in the TCM clinical process.2.2 Information is the objective existence,which includes two levels——ontological information and epistemological information.In the process of TCM diagnosis and treatment,patients' clinical symbolism belongs to the ontological information,while epistemological information includes patients' information processing and doctors' own cognitive regulation.To study ontological information,EBM and epidemiology are used for reference to collect data information,meanwhile,statistical analysis method is used to grasp the implicit inner regularity of data.2.3 When we want to analysis how doctors obtain patients' uncertain information,grey theory and software DPS7.55 are both the effective methods.2.4 Scale study can grasp doctors' cognition characteristics,which is one effect method of cognitive psychology.Known from the study,doctor's emotion,psychology,thinking, method,knowledge structure etc.factors play important role of the decision-making of TCM diagnosis and treatment.Furthermore,doctors' clinical thinking can be grasped and inherited.2.5 Meta-synthesis hall from qualitative analysis to quantitative analysis is the method of open complex giant system,and is the only one method to solve the open complex problem, whose theory foundation is the thinking science.The meta-synthesis hall can describe different doctors' cognition and assemble the contents of cognition by quantitative calculation and repeated comparison,making qualitative cognition to upward quantitative one,which generates intelligent leap like 1+1 >2 and transforms doctors' clinical experience from recessive knowledge into dominant one to obtain common opinions of diagnosis and treatment,that is the full completion of intelligence.3 Conclusions3.1 TCM and TCM diagnosis and treatment are all open complex giant system. Meanwhile,doctors and patients are open and complex.Furthermore,doctors' cognition are the key in the progress of TCM diagnosis and treatment.3.2 Statistical analysis can reveal the internal hidden regularity of data as a suitable method to deal patients'data information,but different analysis model should be choosen according to different characteristics of data.3.3 The doctor's mind of diagnosis and treatment can be described and inherited.Scale is an important method of cognitive psychology,and can be used to measure doctor's cognitive characteristics at the level of nature person.3.4 Information includes certainty and uncertainty.Grey system theory is a method to treat uncertainty information.3.5 Meta-synthesis is the only method to solve the complex problem and form the common diagnosis and treatment thinking by transform recessive knowledge to dominant knowledge.