天津中醫藥大學 針灸推拿學 碩士
天津中醫藥大學 中醫內科學 博士
美國自然醫學會 自然醫學 醫師
世界中醫藥學會聯合會 中醫適宜技術評鑒及推廣委員會 理 事
尼克國際開發事業集團 董 事 長
電子郵箱 : email@example.com
Apply Four Diagnostic Theory of Traditional Chinese Medicine into Elderly Home Health Digital Service Platform
Currently, the elderly healthcare services use the wearable device to carry out their "surveillance" service, because of its disturbing type of design, the elderly have no sense of respect. After all, the elderly cannot be treated as the patient. Elderly healthcare does not necessarily need to use the physical function monitoring equipment, this issue is indeed need to be concerned more further. The use of a comfortable service, collecting and combining multiple digital information and then analyzing the big data, the final digital analysis will provide the information about the elderly need immediate or non-immediate healthcare service, then determine the need of providing the immediate intervention or keep ongoing service. Those data services, acting as the guard of the old age, its life, live and survival – the three essential elements of ecology, happen to be suitable for the application of a long history of ancient medicine. This comprehensive science employs the theory and the practical experience of Traditional Chinese medicine as the main subject, and studies human life activities in health and disease transformation and its prevention, diagnosis, treatment, rehabilitation and health care.
The four diagnostic methods of the Traditional Chinese medicine, there is an old saying "To know it by observation, it is god; To know it by auscultation and olfaction, it is holy; To know it by interrogation, it is an artisan; To know it by pulse feeling and palpation, it is skillful." These four methods of diagnosis represent different levels. “Observation" is observing the five-color of the face and the shape of the limbs, the diagnosis of various abnormal changes of the body parts to know his condition. “Auscultation and olfaction” is to listen to its voice and smell the smell, the ancient doctors consider the fine notes of Traditional Chinese music are the foundation of the auscultation and olfaction. Such as in the ancient music, the “gong”, “shang”,“jiao”, “zheng”, “yu” represent the sound of the five scales. Apply these five scales to the medicine and correspond to the five elements and the five internal organs, with the ears to identify his changes to determine his disease; smell the smell, the smell of the sick and the smell of the ward, both refers to the disease-related odor, to the smell of the disease, you can smell the patient's breath to know the status of their disease. " Interrogation ", is interrogating the patient's diet, living style and the beginning of the sickness and the symptoms, etc. to know where the disease originated. “Pulse feeling and palpation ", is through the pulse diagnosis, abdominal diagnosis, meridian acupuncture points and palpation to know the cold, heat, deficiency and excess of the disease, and the originated organ of the disease. Not only the above four kinds of disease comprehensive diagnostic methods do not require the complex diagnostic procedure of the complex instruments, but can also directly and quickly and comprehensively do an accurate diagnosis of the disease, which is the principle of analyzing the big data application, we cannot help but admire the wisdom of our ancients.
Traditional Chinese medicine uses yin-yang five elements as its theoretical foundation, regards the human body as the unity of qi, body, spirit. Through the “observation”, “auscultation and olfaction”, “interrogation”, “pulse feeling and palpation”, four diagnostic methods, to explore the cause of the disease, the character of the disease, the location of the disease, and analyze the change of the pathogenesis, internal organs, the meridian and the joints, qi, blood and body fluids, to determine the exuberance of healthy and pathogenic qi, thus identify the diagnosis of the disease and conclude the symptoms of the disease, etc. This concept can combine with the idea of using big data analysis for the elderly digital healthcare service platform, thus the author conducts this designated study by using four diagnostic methods of Traditional Chinese medicine as the main axis of this article
In recent years, the development of digital services for the elderly is still in the early stage, the application scale has been limited, why? What kinds of development bottlenecks need to be solved?
Digital Service is a big platform setting by the cooperation of the multiple functional systems. However, in the current market, some of the technology and products can only provide single task, the different products between each brand also make it difficult to effectively work with each other, thus resulting in fighting among those manufacturers and increasing market chaos. More importantly, at the design level, due to the lack of top-level design, not having the same standard and enough technology, a set of effective management service platform has not been established, this leads a serious limitation to the development of digital healthcare services for the elderly.
Therefore, many companies pay more attention to technology research and development, spend most of the effort on the product itself, but inadvertently ignore the actual demand for the elderly. Resulting in less real practical products in the current market, even though there are many digital elderly heath care services products.
What kind of digital services do the elderly need? First of all, in order to achieve the convergence between different products, the standards of a unified device interface, data format and transmission protocol need to be established, digital terminal equipment need to be provided. Second, to utilize the platform system and the big data to improve the efficiency of elderly care institutions and maximize the reduction of labor costs, a digital information system platform with efficient management services need to be established and a variety of intelligent devices need to be integrated into the platform.For the elderly home healthcare, we should pay attention to enhance the technological element of the elderly digital service products. In Japan, for example, the government encourages the development of the family life support robots, the elderly daily activities and movement, walking assistance, excretion, loss prevention and warning and some other problems found in the elderly home care can be resolved through the robots.
In summary, this author believes that everyone should be aware of any elderly digital service products need a "experimental field". To achieve the needs of the elderly in line with the needs of the elderly services, the developer should personally get involve with the elderly's daily life, and find out one of the "pain point" problem, understand the actual needs of the elderly.
「Improving the utilization of elderly service resources 」
Elderly care service is a sensor network system and information platform for elderly home healthcare, community and elderly care institutions, and is on this basis to provide real-time, fast, efficient, low-cost, physical, interconnected, intelligent digital services for the elderly. Through the Internet of Things (IoT), Big data, digital terminal equipment and other advanced technology and products instead of traditional manpower, Elderly digital care service not only greatly reduces on the need of the number of the community, institutions service staff to further reduce labor costs, but also effectively meet the need of the majority of the elderly care, to maximize the use of intelligent resources. In fact, some smart technologies and products have been applied to the daily life of the elderly. Such as wearable smart bracelet, to achieve real-time positioning, emergency calls, dangerous warning and other functions; intelligent mattress can be real-time monitoring of the elderly's sleep status and physiological indicators and other data. Children of the elderly or the elderly institutions can utilize these intelligent equipment, keep track of the dynamics of the elderly at any time. But no interfere with their daily life and no monitoring their behavior, to show the respect to the elderly is a must.
「The development of service system platform」
"Apply four diagnostic methods of Traditional Chinese medicine into the elderly home healthcare service platform ", which is a concept based on the use of IoT. It bases on the core technology of IoT, through a variety of precision digital assembly device for multi-level data collection, and then by the actual experience parameters to analyze the data, final service instructions will be instructed and executed. This system can be developed into a comprehensive service platform, available to more other service systems. Through the system platform to obtain the digital information, many elderly service applications can be developed, such as: food use services, energy use services, daily necessities services, etc., these will be an extension application of the products
Through analysis and induction of the computer system, the Four diagnostic methods create a multi-level digital database, as an effective implementation of the instructions and immediate provision of services. This service is divided into "direct intervention services" and "indirect information services". The former is directly providing services for the elderly, the later provides information services for the equipment manufacturers. " Observation " is the concept of observation and inspection, and the principle of the need for the elderly is to help, rather than restrictions and constraints. The system connects with community cameras or home care equipment to understand the movement of the elderly (the goal is to not to invade their privacy). " Auscultation and olfaction " and “interrogation” combine together, mean the active care, the staff from the service center will take the initiative and interactive care by using remote video or voice device, it can also be used to collect the data to establish parameters, so that case information can be monitored and corrected if necessary, to ensure its accuracy. “Pulse feeling and palpation” is a dynamic service, provides the moving, warm and caring health care services as the pulse-like movement by the provision of the service team directly visiting the elderly home.
The overall service platform uses the terminal information devices, namely, "Digital Traffic Unit", "Power Digital Transmission Module", "Water Digital Transmission Module", "Environmental Digital Message Transmission Module", "Fuel Digital Transmission Module" , "Smart Toilet", "Smart Pad Information Transmission Device", "Intelligent Lighting Transmission Module" and so on, and through the regional service center, remote care service center, data analysis and decision center to build a safe, peaceful and caring equipment, 24 hours a day of information collection, and constantly carry out the regular daily life maintenance services and abnormal intervention services for elderly.
The digital service platform has been running for up to seven years, of 1000 elderly households, crosse- comprising over 12,586 digital information, built and analyzed the relationship among temperature, electricity and behavior space, and the link among time, water usage and behavior space, and so on. Finally, the collected information was analyzed and summarized to establish a variety of elderly behavior models, each elderly’s normal and abnormal lifestyle, habits information are saved in the system, via the regional service center, remote care service center, data analysis and decision center, etc. to provide information of alarm, service, report, analysis, and management, etc. The goal of this comprehensive service is to achieve disease prevention, provide multiple diagnostic information and remote base emergency treatment information, rehabilitation services advice and health care information.
Is the elderly digital health care service worth looking forward? With the country further liberalizing the elderly market, the importance of the intelligent elderly home health care system is growing, the relevant information and technology continues to improve, the prospect of the intelligent elderly home health care system is getting brighter. If one wants to accomplish “supporting the elderly, making the elderly feel the sense of belonging and happy”, certainly, that we need not only to create a characteristics platform of the elderly digital health care service industry, but also need to introduce "broadband network " into the elderly network industry. An open broadband network for the elderly digital healthcare service is undoubtedly has introduced new vitality into the elderly service industry.
In order to facing the current harsh situation of the elderly healthcare industry, the digital system platform of the Golden Apple Intelligent Technology Co., Ltd., has provided the integrated information aggregator, it will be from the "non-wearable device equipment" and then lately develop into the "wearing equipment", while in the meantime, each district will establish a small "Life science detection device" to improve the platform services. At the same time combined with social elderly healthcare industry resources, government resources, information resources, with the assistance of the platform of IoT, broadband network technology and various types of intelligent terminals (digital watch, digital bracelet, digital blood pressure meter, digital blood glucose meter, digital crutches, digital mattresses, digital toilets, etc.) to provide the following four services for the elderly and their families: call assistance, home healthcare, health services, health records. The needs of the system platform service will joint together with the offline service agencies, the government and the needs of the elderly service will connect together with the market force, then, all together, the government, the industry, the society develop the structure of the "three in one" elderly community home healthcare system.
Arthur C.K. Huang
E-Mail : firstname.lastname@example.org
Master of Acupuncture and Massage Tianjin University of Traditional Chinese Medicine University
Doctor of Traditional Chinese Internal Medicine Tianjin University of Traditional Chinese Medicine University
Natural medicine physician American Society of Natural Medicine
Member of the council World Federation of Chinese Medicine Societies
Chairman of the board Nick International Development Group.