用多智能体推理解析中医隐喻,打通中西医概念鸿沟
From Metaphor to Mechanism: How LLMs Decode Traditional Chinese Medicine Symbolic Language for Modern Clinical Relevance
- 设计中医与西医专家智能体协同,通过思维链逐步推理解析隐喻
- 构建富含隐喻的中医数据集,实现从象征语言到病理机制的映射
- 适合中西医融合研究、临床辅助决策及医学教育场景使用
中医中充斥着大量隐喻表达,以文化丰富的抽象术语传递复杂的疾病机制与整体健康观念。将这些隐喻与基于解剖的西医概念对接,对自动化语言处理和临床实践均构成重大挑战。为此,我们提出一种新型多智能体与思维链(CoT)框架,旨在准确解读中医隐喻并将其映射至西医病理生理学。具体而言,该方法结合领域专精智能体(中医专家、西医专家)与协调智能体,利用分步思维链提示确保推理透明性与冲突解决。我们详述了构建富含隐喻的中医数据集的方法,讨论了多智能体协作与思维链推理的有效整合策略,并阐明了跨不同医学范式进行隐喻解读的理论基础。本文呈现了一个完整的系统设计,强调了该方法的潜在优势与局限性,同时为未来实验验证预留接口。本工作旨在支持临床决策、跨体系教育及整合医疗研究,最终为弥合中医象征语言与西医机制导向之间的鸿沟提供坚实框架。
原文摘要 · Abstract (English)
Metaphorical expressions are abundant in Traditional Chinese Medicine (TCM), conveying complex disease mechanisms and holistic health concepts through culturally rich and often abstract terminology. Bridging these metaphors to anatomically driven Western medical (WM) concepts poses significant challenges for both automated language processing and real-world clinical practice. To address this gap, we propose a novel multi-agent and chain-of-thought (CoT) framework designed to interpret TCM metaphors accurately and map them to WM pathophysiology. Specifically, our approach combines domain-specialized agents (TCM Expert, WM Expert) with a Coordinator Agent, leveraging stepwise chain-of-thought prompts to ensure transparent reasoning and conflict resolution. We detail a methodology for building a metaphor-rich TCM dataset, discuss strategies for effectively integrating multi-agent collaboration and CoT reasoning, and articulate the theoretical underpinnings that guide metaphor interpretation across distinct medical paradigms. We present a comprehensive system design and highlight both the potential benefits and limitations of our approach, while leaving placeholders for future experimental validation. Our work aims to support clinical decision-making, cross-system educational initiatives, and integrated healthcare research, ultimately offering a robust scaffold for reconciling TCM's symbolic language with the mechanistic focus of Western medicine.
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