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中医舌诊隐性知识的认知特点与实证研究路径探析

Cognitive Characteristics and Empirical Research Paths of Tacit Knowledge in Tongue Inspection of Traditional Chinese Medicine

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【作者】 赖敏; 贾春华; 晋瑜霞; 胡影; 邓媛;

【Author】 LAI Min;JIA Chunhua;JIN Yuxia;HU Ying;DENG Yuan;School of Traditional Chinese Medicine,Chongqing University of Chinese Medicine;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine;

【通讯作者】 邓媛;

【机构】 重庆中医药学院中医学院; 北京中医药大学中医学院;

【摘要】 舌诊隐性知识是影响诊断结果却难以显性化的内容,其认知特点体现为根植于象思维与具身性,通过意象映射构建舌象与病机的多维关联,并依赖医者的身体感知、临床情境及长期实践不断内化。针对当前中医隐性知识研究忽视隐性传递以及对个体动态认知过程的捕捉现状,提出融合认知神经科学的实证研究路径,即运用事件相关电位(ERP)和眼动追踪(ET)技术,捕捉专家与新手在执行不同舌诊认知任务时的脑电活动与眼动轨迹;通过整合行为学、ERP成分和ET指标等多模态认知数据,呈现专家在知觉、映射与决策等舌诊认知阶段的内隐认知优势,并分析通过视觉认知迁移训练实现隐性知识转化的可能性。探析舌诊隐性知识认知机制的实证研究路径,对中医学传承具有重要意义。

【Abstract】 Tacit knowledge of tongue inspection is content that affects diagnostic results but is difficult to be explicit. Its cognitive characteristics are rooted in xiang thinking and embodiment. It constructs multidimensional associations between tongue manifestations and disease mechanisms through imagery mapping, and it relies on the practitioner’s bodily perception, clinical context, and long-term practice for continuous internalization. In response to the neglect of tacit transmission and individual cognitive processes in current traditional Chinese medicine(TCM) tacit knowledge research, an empirical research framework integrating cognitive neuroscience is proposed. Specifically, event-related potential(ERP) and eye tracking(ET) technologies can be used to capture the brain electrical activity and eye movement trajectories of experts and novices in different tongue diagnosis cognitive tasks. By integrating multimodal cognitive data such as behaviorism, ERP components, and ET indicators, the implicit cognitive advantages of experts in the perception, mapping, and decision-making stages of tongue diagnosis are presented, and the possibility of achieving tacit knowledge transformation through visual cognitive transfer training is explored. Exploring empirical pathways to uncover the cognitive mechanisms of tongue diagnosis tacit knowledge is of great significance for the inheritance of traditional Chinese medicine.

【基金】 国家自然科学基金(82074582)
  • 【文献出处】 中医杂志 ,Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2026年13期
  • 【分类号】R241.25
  • 【下载频次】60
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