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DOI: 10.1055/a-2590-6348
TCMSF: A Construction Framework of Traditional Chinese Medicine Syndrome Ancient Book Knowledge Graph
Funding This study was supported by the National Key R&D Program of China (2023YFC3502900).

Abstract
Background
Syndrome is a unique and crucial concept in traditional Chinese medicine (TCM). However, much of the syndrome knowledge lacks systematic organization and correlation, and current information technologies are unsuitable for TCM ancient texts.
Objectives
We aimed to develop a knowledge graph that presents this knowledge in a more orderly, structured, and semantically oriented manner, providing a foundation for computer-aided diagnosis and treatment.
Methods
We developed a construction framework of TCM syndrome knowledge from ancient books, using a pretrained model and rules (TCMSF). We conducted fine-tuning training on Enhanced Representation through Knowledge Integration (ERNIE), Bidirectional Encoder Representation from Transformers pretrained language models, and chatGLM3–6b large language models for named entity recognition (NER) tasks. Furthermore, we employed the progressive entity relationship extraction method based on the dual pattern feature combination to extract and standardize entities and relationships between entities in these books.
Results
We selected Yin deficiency syndrome as a case study and constructed a model layer suitable for the expression of knowledge in these books. Compared with multiple NER methods, the combination of ERNIE and Conditional Random Fields performs the best. By utilizing this combination, we completed the entity extraction of Yin deficiency syndrome, achieving an average F1 value of 0.77. The relationship extraction method we proposed reduces the number of incorrectly connected relationships compared with fully connected pattern layers. We successfully constructed a knowledge graph of ancient books on Yin deficiency syndrome, including over 120,000 entities and over 1.18 million relationships.
Conclusion
We developed TCMSF in line with the knowledge characteristics of ancient TCM books and improved the accuracy of knowledge graph construction.
* These authors contributed equally to this work.
Publikationsverlauf
Eingereicht: 09. Mai 2024
Angenommen: 09. April 2025
Accepted Manuscript online:
17. April 2025
Artikel online veröffentlicht:
15. Mai 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
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