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Optimizing prescription of chinese herbal medicine for unstable angina based on partially observable markov decision
Yan Feng1, Yu Qiu, Xuezhong Zhou
1Department of General Practice, Anzhen Hospital, Capital Medical University, Beijing 100029, China.
Insights
This study optimized Chinese herbal medicine prescriptions for unstable angina (UA) using a partially observable Markov decision process (POMDP) model. Key herbal combinations were identified for specific UA syndrome patterns, aiding future treatment development.
Area of Science:
- Integrative and Complementary Medicine
- Cardiovascular Medicine
- Computational Medicine
Background:
- Unstable angina (UA) management requires effective therapeutic strategies.
- Traditional Chinese Medicine (TCM) offers complex herbal prescriptions for UA.
- Objective evaluation of TCM prescriptions for UA is needed.
Purpose of the Study:
- To optimize Chinese herbal medicine prescriptions for unstable angina (UA).
- To apply a partially observable Markov decision process (POMDP) model for prescription optimization.
- To identify effective herbal combinations for specific UA syndrome patterns.
Main Methods:
- Utilized a partially observable Markov decision process (POMDP) model.
- Performed data mining and analysis on hospitalized UA patients with qi deficiency, blood stasis, and turbid phlegm syndromes.
- Objectively evaluated diagnosis and treatment data to optimize prescriptions.
Main Results:
- Identified optimal herbal combinations for UA with specific syndrome elements.
- Recommended Milkvetch Root + Tangshen + Indian Bread + Largehead Atractylodes Rhizome (ADR = 0.96630) for qi deficiency, blood stasis, and phlegm syndrome.
- Provided other optimized prescriptions with associated ADR values for different syndrome combinations.
Conclusions:
- The study provides initial optimized Chinese herbal medicine prescriptions for UA based on POMDP.
- These optimized prescriptions can serve as a valuable reference for future UA treatment development in TCM.
- The POMDP model offers a data-driven approach to refining TCM prescriptions.
Abstract:
Objective. Initial optimized prescription of Chinese herb medicine for unstable angina (UA). Methods. Based on partially observable Markov decision process model (POMDP), we choose hospitalized patients of 3 syndrome elements, such as qi deficiency, blood stasis, and turbid phlegm for the data mining, analysis, and objective evaluation of the diagnosis and treatment of UA at a deep level in order to optimize the prescription of Chinese herb medicine for UA. Results. The recommended treatment options of UA for qi deficiency, blood stasis, and phlegm syndrome patients were as follows: Milkvetch Root + Tangshen + Indian Bread + Largehead Atractylodes Rhizome (ADR = 0.96630); Danshen Root + Chinese Angelica + Safflower + Red Peony Root + Szechwan Lovage Rhizome Orange Fruit (ADR = 0.76); Snakegourd Fruit + Longstamen Onion Bulb + Pinellia Tuber + Dried Tangerine peel + Largehead Atractylodes Rhizome + Platycodon Root (ADR = 0.658568). Conclusion. This study initially optimized prescriptions for UA based on POMDP, which can be used as a reference for further development of UA prescription in Chinese herb medicine.
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