Study on the Adaptability of Traditional Chinese Medicine Prescriptions under Integrated Traditional Chinese and Western Medicine: A Case Study of Common Chronic Diseases (Hypertension, Diabetes Mellitus, Chronic Gastritis)

Abstract

Based on a TCM prescription database containing 81,219 valid records, this study focused on three

clinically high-incidence chronic diseases (hypertension, diabetes mellitus, and chronic gastritis),

constructed an evaluation system and quantitative model for the adaptability of TCM prescriptions

in the diagnosis and treatment scenario of integrated traditional Chinese and Western medicine

(TCM-WM), and systematically explored the adaptive application rules and characteristics of TCM

prescriptions in this diagnosis and treatment mode. Combining text mining technology, statistical

analysis and model verification methods, the study conducted an in-depth analysis from three core

dimensions: prescription source distribution, drug composition characteristics, and quantitative

adaptability score. The results showed that there were 4,428 hypertension-related prescriptions with

an average adaptability score of 4.15; 1,659 diabetes-related prescriptions with an average

adaptability score of 3.92; and 2,885 chronic gastritis-related prescriptions with an average

adaptability score of 3.83. A significant positive correlation was found between the number of drugs

and the adaptability score (r=0.118, p<0.001), and there were extremely significant statistical

differences in the adaptability scores of TCM prescriptions for different chronic diseases (F=58.974,

p<0.001). The research results can provide solid data support and scientific methodological reference

for the precise screening and standardized application of TCM prescriptions in integrated TCM-WM

diagnosis and treatment, and offer new ideas for the optimization of integrated TCM-WM treatment

regimens for chronic diseases.