TCM_DiffPR: Graph Knowledge Diffusion Model for Traditional Chinese Medicine Personalized Recommendation

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The paper studies an AI approach for Traditional Chinese Medicine (TCM) prescription herb recommendation that aims to incorporate patient-specific personalized attributes rather than relying on models that ignore clinical diagnosis and treatment context. Using a combination of prompt fine-tuning with prompt-oriented comparative learning, and a generative knowledge graph diffusion framework augmented to address misinterpretation of symptom preferences in the knowledge graph, the authors further add a collaborative knowledge graph convolution mechanism to guide diffusion with symptom–herb interaction patterns. Experiments on two public datasets and one clinical dataset report that the proposed TCM_DiffPR model outperforms existing TCM prescription recommendation methods. The paper’s main limitation, explicitly stated in the text provided, is that it is a preprint/journal publication status with editorial steps noted, rather than providing peer-reviewed certainty. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Abstract With the rapid development of modern Chinese medicine prescription recommendation technology based on artificial intelligence technology, the existing herb recommendation model lacks attention to the personalized attributes of the patient, ignoring the important factors of the clinical diagnosis and treatment process of Traditional Chinese medicine (TCM). To address this problem, we propose a novel Graph Knowledge Diffusion Model for Traditional Chinese Medicine Personalized Recommendation (TCM_DiffPR). Firstly, the patient's personalized attribute information is used to obtain symptom representations by means of ‘prompt fine-tuning’, and the prompt is enhanced by pre-training model with prompt-oriented comparative learning. Secondly, the algorithm combines the generative model with the data augmentation paradigm based on knowledge graph diffusion, which compensates for the misinterpretation of symptom preferences in the knowledge graph (KG) to achieve powerful knowledge learning. Finally, we introduce a collaborative knowledge graph convolution mechanism, which combines collaborative signals reflecting the symptom-herbal medication interaction patterns, to guide the knowledge graph diffusion process. In this study, experimental comparative analyses are conducted on two public datasets and a clinical dataset, and the results show that the present algorithm outperforms existing TCM prescription recommendation methods and provides an effective reference basis for clinical diagnosis and decision support.
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TCM_DiffPR: Graph Knowledge Diffusion Model for Traditional Chinese Medicine Personalized Recommendation | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article TCM_DiffPR: Graph Knowledge Diffusion Model for Traditional Chinese Medicine Personalized Recommendation ChaoBo Zhang, Long Tan This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6047566/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 18 Oct, 2025 Read the published version in Journal of Intelligent Information Systems → Version 1 posted 10 You are reading this latest preprint version Abstract With the rapid development of modern Chinese medicine prescription recommendation technology based on artificial intelligence technology, the existing herb recommendation model lacks attention to the personalized attributes of the patient, ignoring the important factors of the clinical diagnosis and treatment process of Traditional Chinese medicine (TCM). To address this problem, we propose a novel Graph Knowledge Diffusion Model for Traditional Chinese Medicine Personalized Recommendation (TCM_DiffPR). Firstly, the patient's personalized attribute information is used to obtain symptom representations by means of ‘prompt fine-tuning’, and the prompt is enhanced by pre-training model with prompt-oriented comparative learning. Secondly, the algorithm combines the generative model with the data augmentation paradigm based on knowledge graph diffusion, which compensates for the misinterpretation of symptom preferences in the knowledge graph (KG) to achieve powerful knowledge learning. Finally, we introduce a collaborative knowledge graph convolution mechanism, which combines collaborative signals reflecting the symptom-herbal medication interaction patterns, to guide the knowledge graph diffusion process. In this study, experimental comparative analyses are conducted on two public datasets and a clinical dataset, and the results show that the present algorithm outperforms existing TCM prescription recommendation methods and provides an effective reference basis for clinical diagnosis and decision support. Personalized recommendation Prompt fine-tuning Herb recommendation Knowledge graph diffusion Clinical diagnosis and decision support Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 18 Oct, 2025 Read the published version in Journal of Intelligent Information Systems → Version 1 posted Editorial decision: Revision requested 28 Jul, 2025 Reviews received at journal 24 Jul, 2025 Reviewers agreed at journal 04 Jul, 2025 Reviewers agreed at journal 25 Jun, 2025 Reviews received at journal 23 Mar, 2025 Reviewers agreed at journal 07 Mar, 2025 Reviewers invited by journal 02 Mar, 2025 Editor assigned by journal 19 Feb, 2025 Submission checks completed at journal 19 Feb, 2025 First submitted to journal 17 Feb, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. 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