Jinpeng Chen 1 and Josiah Poon 2 and Simon K. Poon 2 and Ling Xu 3 and Daniel M. Y. Sze 4
Academic Editor:Kenji Watanabe
1, School of Computer Science and Engineering, BeiHang University, Beijing, China
2, School of Information and Technologies, University of Sydney, Sydney, NSW, Australia
3, Shanghai University of Traditional Chinese Medicine, Shanghai, China
4, RMIT University, Melbourne, VIC, Australia
Received 30 October 2014; Revised 26 January 2015; Accepted 27 January 2015; 8 June 2015
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
1. Introduction
Traditional Chinese medicine (TCM) has a long history and has been accepted as one of the main medical approaches in China [1]. Many of the herbal medicines used in today's clinical practice and some of the traditional Chinese medicine preparation has been used in human patients for thousands of years, which has been successfully applied to the treatment of many diseases, such as insomnia, diabetes, infertility, and Tourette syndrome. Unlike the western medical approach where a drug is prescribed against specific symptoms of patients, TCM treatment has a unique step, which is called syndrome differentiation (SD). It is argued that SD is, in fact, patient classification because, prior to the personalization of the most appropriate formula, a practitioner has to label a patient belonging to a particular class (syndrome) for a set of relevant formulae. Hence, to detect the patterns between herbs and symptoms via syndrome is a challenging problem; finding these patterns can help prepare a prescription that contributes to the efficacy of a treatment.
In recent years, interest in TCM has increased globally and the application of data mining to TCM [2-4] is also getting more attention. However, most of the previous research was related to the extraction of core herbs or to mine herb-herb relationships [1, 5, 6] from a network of herbs. We term this kind of network as a homogeneous information network, that is, network consisting of only one type of objects (herb in this example). When a network contains different types of objects (such as herbs, symptoms, and syndromes), we refer to them as heterogeneous information networks. Since heterogeneous information networks are not well studied, this has become the motivation of our work.
In general, a homogeneous information network can be derived from a heterogeneous information network, for example, an herb-herb network can be derived from a symptom-syndrome-herb network by a projection on herbs only. A heterogeneous information network is different from a homogeneous information network because it carries richer information than its corresponding projected homogeneous information networks. Therefore, it aimed to discover herb-symptom patterns, via syndromes, from a heterogeneous information network, which contains different types of attribute values associated with objects. To the best of our knowledge, this is the first attempt towards mining herb-symptom patterns in TCM utilizing heterogeneous information networks.
In this research, we construct the heterogeneous information network leveraging the tripartite graph. Our heterogeneous information network contains multiple types of objects, such as herb, symptom, syndrome, and multiple types of links defining different relations among these objects, such as links existing between herbs and syndromes, between syndromes and symptoms, and between symptoms and herbs. Thus, the number of different types of objects there are in the network can be found out, as well as the identification of the possible links existing among objects. Furthermore, we can detect the patterns between herbs and symptoms.
The major contributions of this paper are summarized.
(1) We construct the TCM heterogeneous information network utilizing the tripartite graph.
(2) We study the problem of the symptom-herb relationship prediction in TCM heterogeneous information network.
(3) We propose a novel three-step prediction approach based on the TCM heterogeneous information network to discover symptom-herb patterns.
(4) Experiments on real TCM patient records indicate that our proposed method can mine symptom-herb relationships with high accuracy.
(5) Treatments are proven to be more effective than a direct symptom-herb relationship; that is, classifying patients into different syndromes is a crucial step in TCM treatment.
The remaining of the paper is organized as follows. We first introduce the background and preliminaries on TCM heterogeneous information networks and denote the task of symptom-herb pattern prediction in Section 2. In Section 3, we obtain some interesting observations based on TCM heterogeneous information network. We next present a novel three-step mining approach to discover the symptom-herb patterns in Section 4. We report our experiments and results in Section 5, discuss related work in Section 6, and conclude the study in Section 7.
2. Preliminaries and Problem Definition
2.1. Notations Definitions
In this work, we need to consider three types of entities: a set of herbs [figure omitted; refer to PDF] , a set of syndromes [figure omitted; refer to PDF] , and a set of symptoms [figure omitted; refer to PDF] . We assume that there are [figure omitted; refer to PDF] herbs, [figure omitted; refer to PDF] syndromes, and [figure omitted; refer to PDF] symptoms. Here, symptoms refer to something that can be observed and measured, such as fever, nausea, coughing, and weight loss. Syndrome is a special phenomenon in TCM. A TCM doctor will base upon the patient's symptoms and classify them into one or two syndromes. After that, formulas will be prescribed according to the syndrome.
2.2. Heterogeneous Information Network
We first introduce the definitions of heterogeneous information network [7, 8], tripartite graph [9], and tritype information network, so as to study the characteristic of TCM and discuss how to find or predict symptom-herb patterns in TCM information network.
Definition 1 (heterogeneous information network).
A heterogeneous information network is denoted as a directed graph [figure omitted; refer to PDF] with an entity type mapping function [figure omitted; refer to PDF] and a link type mapping function [figure omitted; refer to PDF] , where each entity [figure omitted; refer to PDF] belongs to one particular entity type [figure omitted; refer to PDF] , each link [figure omitted; refer to PDF] belongs to a particular relation type [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] is a weight mapping from an edge [figure omitted; refer to PDF] to a real number [figure omitted; refer to PDF] . Notice that, when the types of entities [figure omitted; refer to PDF] and also the types of relations [figure omitted; refer to PDF] , the network is called heterogeneous information network.
Definition 2 (tripartite graph).
A graph [figure omitted; refer to PDF] can be called as tripartite, if a set of graph nodes decomposed into three disjoint sets such that no two graph nodes within the same set are adjacent; that is, [figure omitted; refer to PDF] .
Definition 3 (tritype information network).
Given three types of objects sets [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] , where [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] , graph [figure omitted; refer to PDF] is called a tritype information network on types [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] , if [figure omitted; refer to PDF] and [figure omitted; refer to PDF] , where [figure omitted; refer to PDF] .
Let [figure omitted; refer to PDF] (or [figure omitted; refer to PDF] or [figure omitted; refer to PDF] ) be the adjacency matrix of links, where [figure omitted; refer to PDF] equals the weight of link [figure omitted; refer to PDF] , which is the observation number of the link, and we thus use [figure omitted; refer to PDF] to define this tritype information network with weight. In the following, we use [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] denoting the object set and their type name. For convenience, we decompose the link matrix into four blocks: [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] (or [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] or [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] ), each denoting a subnetwork of objects between types of the subscripts. [figure omitted; refer to PDF] can be denoted as [figure omitted; refer to PDF]
This tritype information network, one of the heterogeneous information networks, denotes the rules of how entities exist and how links should be created. And, through analyzing this tritype information network, we can know how many types of objects there are in the network and where the possible links exist. In the following, we give an example of tritype information network, which is showed in Figure 1. Here, as an abbreviation, we utilize the special letters to define these entity types, namely, [figure omitted; refer to PDF] representing herbs, [figure omitted; refer to PDF] representing symptoms, and [figure omitted; refer to PDF] representing syndromes. Notations and similarity relations used in definitions as well as the rest part of the paper can be found in Notation section.
Figure 1: Tripartite graph structure of TCM. Here, instances of different objects are represented by different colour nodes and links among different objects are represented by different line styles. [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] represent the number of symptom, the number of syndrome, and the number of herb, respectively.
[figure omitted; refer to PDF]
2.3. Target Relationship Prediction
Based on the previous definitions, our goal of this work can be summarized as follows: given a tritype network [figure omitted; refer to PDF] , the target type [figure omitted; refer to PDF] , and a set of herbs [figure omitted; refer to PDF] , our goal is to find or predict the most reasonable herbs for each symptom [figure omitted; refer to PDF] , that is, how to predict the target relationship [figure omitted; refer to PDF] , where [figure omitted; refer to PDF] .
Different from symptom-syndrome patterns and syndrome-herb patterns, which are directed relationships (because patients' syndromes are derived from a set of patients symptoms and herbs are configured by doctors according to the patients' syndromes, symptom-syndrome patterns and syndrome-herb patterns are directed relationships.), symptom-herb patterns are undirected relationships. Intuitively, the herb-symptom relationship detection is an implicit relationship mining, which is more difficult to detect than an explicit relationship mining. However, if new herb-symptom relationships can be discovered, they are beneficial for doctors configuring the prescriptions.
2.4. Dataset
In this work, our experiments were performed on four real TCM datasets: Insomnia, Infertility, Diabetes, Tourette. These four datasets were provided by Guang'anmen Hospital, China Academy of Chinese Medical Sciences. These four datasets include the symptoms, the syndromes, and prescription information of outpatients. Here, edges are formed among objects belonging to the same prescription. Properties of these four datasets are shown in Table 1.
Table 1: Properties of four TCM data sets. Here, "-" represents that this attribute can not be included in this data set.
| Insomnia | Infertility | Diabetes | Tourette |
Number of prescriptions | 460 | 852 | 1674 | 670 |
Number of herbs | 111 | 251 | 204 | 189 |
Number of symptoms | 155 | 389 | 186 | - |
Number of syndromes | - | 106 | 178 | 98 |
Symptoms per herb | 82.58 | 71.64 | 84.72 | - |
Syndromes per herb | - | 24.34 | 29.56 | 20.56 |
Herbs per symptom | 59.14 | 46.4 | 33.89 | - |
Herbs per syndrome | - | 57.41 | 92.91 | 71.13 |
3. Observation
In this section, we conduct following observations based on the four TCM datasets in order to get a better understanding on the symptom-syndrome-herb patterns and structural properties of TCM tripartite network.
3.1. Entity Distribution
We first study the distribution of each entity frequency. Figure 2 plots the distribution in a log-log scale based on the Infertility dataset. In Figure 2(a), the [figure omitted; refer to PDF] -axis represents the 251 unique herbs, ordered by descending herb frequency. The [figure omitted; refer to PDF] -axis refers to the herb frequency. As reported by other authors [5, 10], we find the herb frequency to follow a power law distribution with few herbs being responsible for a high number of prescriptions. Here, the probability of a kind of herb having herb frequency [figure omitted; refer to PDF] is proportional to [figure omitted; refer to PDF] . It indicates that most herbs are rarely used, while only a small number of the herbs are frequently used. In other words, the head of the power law contains herbs that would be used more frequently and the very tail of the power law contains the infrequent herbs. The most frequent herbs were used more than 530 times by different prescriptions altogether. Similarly, same distributions can be found in Figures 2(b) and 2(c).
Figure 2: Distribution of the entity frequency in Infertility Dataset. Here, in (a), the [figure omitted; refer to PDF] -axis represents the 251 unique herbs, ordered by descending herb frequency. The [figure omitted; refer to PDF] -axis refers to the herb frequency. In (b), the [figure omitted; refer to PDF] -axis represents the 389 unique symptoms, ordered by descending symptom frequency. The [figure omitted; refer to PDF] -axis refers to the symptom frequency. In (c), the [figure omitted; refer to PDF] -axis represents the 106 unique syndromes, ordered by descending syndrome frequency. The [figure omitted; refer to PDF] -axis refers to the syndrome frequency.
(a) Herb-frequency
[figure omitted; refer to PDF]
(b) Symptom-frequency
[figure omitted; refer to PDF]
(c) Syndrome-frequency
[figure omitted; refer to PDF]
In addition to the infertility dataset, we carried on similar statistical analysis with other three datasets, and the same pattern is observed in the vast majority of cases.
3.2. Link Distribution
So far, there is some existing work that explicitly addresses herb-herb patterns [5, 6]. They indicated that there are common herb pairs frequently used in the regular TCM herb prescriptions. However, few works focus on studying symptom-herb, symptom-syndrome, and syndrome-herb patterns. In this work, we extract these patterns and analyze what distribution they obey.
Figure 3 shows that the distribution of these patterns (symptom-herb, symptom-syndrome, and syndrome-herb patterns) also follows a power law distribution. In Figure 3(a), the [figure omitted; refer to PDF] -axis represents the 17,910 symptom-herb patterns, ordered by their cooccurrence frequency (descending). The [figure omitted; refer to PDF] -axis refers to the symptom-herb frequency. Furthermore, we find that 80% of all symptom-herb patterns appear only 1-3 times in the infertility dataset. Here, the probability of a kind of symptom-herb pattern having symptom-herb pattern frequency [figure omitted; refer to PDF] is proportional to [figure omitted; refer to PDF] . This indicates that there are common herb-symptom pairs frequently used in the regular TCM herb prescriptions. If we can predict these common herb-symptom pairs, it is very useful for a doctor configuring a formulae. Again, the same law distributions can be found in Figures 3(b) and 3(c).
Figure 3: Distribution of the link frequency in Infertility Dataset. Here, in (a), the [figure omitted; refer to PDF] -axis represents the 17,910 symptom-herb patterns, ordered by descending symptom-herb frequency. The [figure omitted; refer to PDF] -axis refers to the symptom-herb frequency. In (b), the [figure omitted; refer to PDF] -axis represents the 6,085 syndrome-herb patterns, ordered by descending syndrome-herb frequency. The [figure omitted; refer to PDF] -axis refers to the syndrome-herb frequency. In (c), the [figure omitted; refer to PDF] -axis represents the 7,897 symptom-syndrome patterns, ordered by descending symptom-syndrome frequency. The [figure omitted; refer to PDF] -axis refers to the symptom-syndrome frequency.
(a) Symptom-herb distribution
[figure omitted; refer to PDF]
(b) Syndrome-herb distribution
[figure omitted; refer to PDF]
(c) Symptom-syndrome distribution
[figure omitted; refer to PDF]
3.3. Relationship Distribution
Furthermore, we study the relationship among symptom, syndrome, and herb. Here, the relationship also exists among symptom, syndrome, and herb. It is a one-to-many relationship, that is, the number of herbs each symptom is associated with, the number of syndromes each herb is associated with, and so forth. Figure 4 shows that the distribution of the number of herbs per symptom (syndromes per herb or syndromes per symptom) also follows a power law distribution. In Figure 4(a), the [figure omitted; refer to PDF] -axis represents the 389 unique symptoms, ordered by the number of herbs per symptom (descending). The [figure omitted; refer to PDF] -axis refers to the number of herbs per symptom. The probability of having [figure omitted; refer to PDF] herbs per symptom is proportional to [figure omitted; refer to PDF] . We can find each symptom to be labeled with 46.4 herbs on average. Also, it can be found for the occurrence frequencies of herbs per symptom where 23.2% of all herbs link to the Top 1% of symptoms. Similarly, the same law distributions can be found in Figures 4(b) and 4(c).
Figure 4: Distribution of relationship of objects in Infertility Dataset. Here, in (a), the [figure omitted; refer to PDF] -axis represents the 389 unique symptoms, ordered by the descending number of herbs per symptom. The [figure omitted; refer to PDF] -axis refers to the number of herbs per symptom. In (b), the [figure omitted; refer to PDF] -axis represents 251 unique herbs, ordered by descending number of syndromes per herb. The [figure omitted; refer to PDF] -axis refers to the number of syndromes per herb. In (c), the [figure omitted; refer to PDF] -axis represents the 389 unique symptoms, ordered by the descending number of syndromes per symptom. The [figure omitted; refer to PDF] -axis refers to the number of syndromes per symptom.
(a) Herbs per symptom
[figure omitted; refer to PDF]
(b) Syndromes per herb
[figure omitted; refer to PDF]
(c) Syndromes per symptom
[figure omitted; refer to PDF]
4. Prediction Method Based on Tripartite Graph
In this section, we will introduce a novel three-step prediction approach based on the tripartite graph ( [figure omitted; refer to PDF] - [figure omitted; refer to PDF] ). First, we extract two types of paths, which carry different semantic meanings. In terms of these two paths, we draw three matrices, which represent different cooccurrence relationship. And then, we propose an unsupervised prediction method in order to discover symptom-herb patterns.
4.1. Extracting Paths
In a tripartite network, two entities can be connected by different paths, which carry different semantic meanings. In this work, we choose two kinds of paths in order to find the reasonable symptom-herb patterns. These two kinds of paths are taken as follows: [figure omitted; refer to PDF] Path [figure omitted; refer to PDF] extracts the direct target relationship; it looks like the way western medicine often adopts. In western medicine, medical doctors and other healthcare professionals (such as nurses, pharmacists, and therapists) treat diseases using drugs, radiation, or surgery according to symptoms [11]. Path [figure omitted; refer to PDF] extracts the indirect target relationship, it is a common way TCM often adopts. In TCM, doctors first choose a series of syndromes in terms of patients' symptoms, and, then, configure herbs on the basis of syndromes.
4.2. Constructing Matrix
After extracting paths from the tripartite graph, we can further construct matrices describing the relationship among different entities, such as symptom-herb, symptom-syndrome, and syndrome-herb. In this work, we build the three matrices, namely, symptom-herb matrix based on the path [figure omitted; refer to PDF] , symptom-syndrome matrix, and syndrome-herb matrix based on the path [figure omitted; refer to PDF] .
In addition, we also build matrices depicting the relationship among same entities, such as herb-herb, symptom-symptom, and syndrome-syndrome, in order to promote the similarity measure and find some useful symptom-herb patterns. These three matrices can be extracted based on the homogeneous information networks (here, if two herbs (or symptoms, syndromes) belong to the same prescription and they produce the positive effect when used together, we can connect these two herbs. According to this rule, the homogeneous information networks can be constructed), including herb, symptom, and syndrome homogeneous information networks.
In order to build aforementioned matrices, we define and implement multiple measurement strategies in this work. These strategies can be introduced as follows.
(i) Frequency ( [figure omitted; refer to PDF] ). Frequency is a basic strategy, which is an observation number of cooccurrence of two entities ( [figure omitted; refer to PDF] and [figure omitted; refer to PDF] ), such as symptom-herb, symptom-syndrome, and syndrome-herb. It can be defined as [figure omitted; refer to PDF] : [figure omitted; refer to PDF]
(ii) Jaccard Coefficient ( [figure omitted; refer to PDF] ). According to the Jaccard coefficient [12], we can normalise the cooccurrence of two entities [figure omitted; refer to PDF] and [figure omitted; refer to PDF] by calculating [figure omitted; refer to PDF]
: The coefficient takes the number of intersections between the two entities, divided by the union of the two entities. The Jaccard coefficient is known to be useful to measure the relevance between two objects or sets. In general, we can use symmetric measures, like Jaccard, to induce whether two entities have a related meaning.
(iii): Asymmetric Measure ( [figure omitted; refer to PDF] ). The cooccurrence of two entities [figure omitted; refer to PDF] and [figure omitted; refer to PDF] can be normalised leveraging the frequency of one of the entities [13-15], for instance, using equation [figure omitted; refer to PDF]
: [figure omitted; refer to PDF] captures how often the entity [figure omitted; refer to PDF] cooccurs with entity [figure omitted; refer to PDF] normalised by the total frequency of entity [figure omitted; refer to PDF] . We can interpret this as the probability of a patient being diagnosed with entity [figure omitted; refer to PDF] given entity [figure omitted; refer to PDF] occuring.
(iv) [figure omitted; refer to PDF] . It is often used as a weighting factor in information retrieval and text mining [16]. In this work, we denote [figure omitted; refer to PDF] , which is the frequency of two entities ( [figure omitted; refer to PDF] and [figure omitted; refer to PDF] ) cooccurrence and define [figure omitted; refer to PDF] , which measures the importance of [figure omitted; refer to PDF] - [figure omitted; refer to PDF] patterns for the entity [figure omitted; refer to PDF] (or [figure omitted; refer to PDF] ). Thus, [figure omitted; refer to PDF] can be denoted as follows: [figure omitted; refer to PDF]
: where [figure omitted; refer to PDF] is the frequency of [figure omitted; refer to PDF] (or [figure omitted; refer to PDF] ).
4.3. Symptom-Herb Patterns Prediction Method
In this subsection, we first show two similarity measures. And then, we introduce a relevance function. Finally, we proposed an unsupervised prediction method.
4.3.1. Similarity Measures
A similarity measure is a real-valued function that quantifies the similarity between two objects. In this work, taking the symptom as an example, if two symptoms are similar, they are likely to have similar frequency of symptom-herb patterns. Given symptom [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and herb [figure omitted; refer to PDF] , if [figure omitted; refer to PDF] is similar to [figure omitted; refer to PDF] , and there exists the [figure omitted; refer to PDF] - [figure omitted; refer to PDF] pattern, we can infer that there exists the pattern [figure omitted; refer to PDF] - [figure omitted; refer to PDF] .
As mentioned previously, we have extracted two kinds of paths and built three matrices. Also, we have built other three homogeneous matrices. Based on them, we proposed two strategies measuring the similarity of entities of the same type.
(i) [figure omitted; refer to PDF] based similarity: On basis of the symptom-herb matrix and symptom-symptom matrix, we use cosine similarity [figure omitted; refer to PDF] and [figure omitted; refer to PDF] to compute symptoms similarity, respectively. By combining [figure omitted; refer to PDF] and [figure omitted; refer to PDF] , we can get [figure omitted; refer to PDF] based similarity. It can be denoted as [figure omitted; refer to PDF]
: where [figure omitted; refer to PDF] and [figure omitted; refer to PDF] . [figure omitted; refer to PDF] reflects the frequency similarity of symptom-herb patterns. In other words, if two symptoms are similar, they are likely to have similar frequency of symptom-herb patterns. [figure omitted; refer to PDF] reflects the frequency similarity of symptom-symptom patterns. In other words, if two symptoms belong to the same prescription, they are likely to be similar.
(ii) [figure omitted; refer to PDF] based on similarity: In terms of the symptom-syndrome matrix, syndrome-herb matrix, and syndrome-syndrome matrix, we can obtain two syncretic syndrome similarities, [figure omitted; refer to PDF] and [figure omitted; refer to PDF] . Furthermore, through combining these two syncretic syndrome similarities, [figure omitted; refer to PDF] based on similarity can be formalized as [figure omitted; refer to PDF]
: where the definition of [figure omitted; refer to PDF] and [figure omitted; refer to PDF] is simlar to [figure omitted; refer to PDF] , but their only difference is that [figure omitted; refer to PDF] and [figure omitted; refer to PDF] are based on the symptom-syndrome matrix, syndrome-herb matrix, and syndrome-syndrome matrix. Here, [figure omitted; refer to PDF] = [figure omitted; refer to PDF] + [figure omitted; refer to PDF] and [figure omitted; refer to PDF] = [figure omitted; refer to PDF] + [figure omitted; refer to PDF] . Note that, [figure omitted; refer to PDF] and [figure omitted; refer to PDF] and [figure omitted; refer to PDF] , [figure omitted; refer to PDF] .
4.3.2. Relevance Function
In our datasets, the outcomes of all the prescriptions are classified into two categories: good and bad. When a treatment was effective, which means that if the patient recovered completely or partly from diseases in the next encounter, then the prescription of the current encounter would be categorized as "good"; otherwise, the prescription would be categorized as "bad." In other words, when the outcome of a prescription is good, the patterns in this prescription, such as symptom-herb, symptom-syndrome, herb-herb, and others, make the positive role; otherwise, the patterns make a negative role.
In this work, relevance function is used to filter out the patterns with bad outcome. Here, the relevance function is parameterized with "relevance threshold" [figure omitted; refer to PDF] to provide a range of tolerance to bad outcomes. In particular, given a relevance function [figure omitted; refer to PDF] , the relevance threshold [figure omitted; refer to PDF] is used for creating the parameterized version of this relevance function, [figure omitted; refer to PDF] , that is formalized as [figure omitted; refer to PDF] where [figure omitted; refer to PDF] changes over different datasets. [figure omitted; refer to PDF] and [figure omitted; refer to PDF] . Here, [figure omitted; refer to PDF] refers to the total number of this pattern working effectively, and [figure omitted; refer to PDF] is the total number of this pattern having no effect on patients. In the next section, patterns of symptom-herb that are predicted above relevance threshold [figure omitted; refer to PDF] (i.e., [figure omitted; refer to PDF] ) are sorted according to predicted rating, while patterns of symptom-herb that are below [figure omitted; refer to PDF] (i.e., [figure omitted; refer to PDF] ) are ignored.
4.3.3. Proposed Method
Up to now, we have given a systematic way to extract and build the topological features in the tripartite networks. In this subsection, we will introduce our prediction algorithm ( [figure omitted; refer to PDF] - [figure omitted; refer to PDF] ). Our prediction method is as follows: first, we discover [figure omitted; refer to PDF] nearest entities according to the similarity measures, [figure omitted; refer to PDF] or [figure omitted; refer to PDF] ; then, we predict rating for each potential entity pair; subsequently, we get Top- [figure omitted; refer to PDF] predicted patterns by ranking prediction rating; lastly, we get Top- [figure omitted; refer to PDF] list by filtering the patterns of bad outcome using relevance function. The pseudocode of [figure omitted; refer to PDF] - [figure omitted; refer to PDF] is shown in Algorithm 1.
Algorithm 1: Tri-TSPA.
Input: Weight Matrix [figure omitted; refer to PDF]
Output: Top- [figure omitted; refer to PDF] List
(1) Define Tri-TSPA( [figure omitted; refer to PDF] )
(2) Begin
(3) queue [arrow left] Discover [figure omitted; refer to PDF] nearest entities using the similarity measures
(4) Case 1. for [figure omitted; refer to PDF] do
(5) [figure omitted; refer to PDF] +
(6) [figure omitted; refer to PDF]
(7) End for
(8) Case 2. for [figure omitted; refer to PDF] do
(9) [figure omitted; refer to PDF] = [figure omitted; refer to PDF] +
(10) [figure omitted; refer to PDF]
(11) End for
(12) Top- [figure omitted; refer to PDF] list [arrow left] Get the predicted patterns list in the term of
(13) [figure omitted; refer to PDF] or [figure omitted; refer to PDF]
(14) Top- [figure omitted; refer to PDF] list [arrow left] Filter the Top- [figure omitted; refer to PDF] list using relevance function
(15) Return Top- [figure omitted; refer to PDF] list
(16) End
In Algorithm 1, we only show the [figure omitted; refer to PDF] measurement strategy to calculate the rating. Actually, we can replace [figure omitted; refer to PDF] with [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] , respectively. In addition, [figure omitted; refer to PDF] based on symptom-herb patterns mining is shown in Line 4-line 7, and [figure omitted; refer to PDF] based on symptom-herb patterns mining is shown in Line 8-Line 11.
5. Experiments
In this section, we conduct many experiments to evaluate the effectiveness of the proposed algorithm. We show that our proposed three step prediction approach can mine a reasonable set for each symptom on the TCM networks.
5.1. Experiment Setup
We first convert these datasets into heterogeneous tripartite information networks. We construct four TCM networks from TCM datasets, which consist of three types of objects: symptoms, syndromes, and herbs. Links exist between symptoms and syndromes, syndromes and herbs, and herbs and symptoms.
In order to effectively mine symptoms-herbs patterns, we adopt two kinds of strategies: [figure omitted; refer to PDF] based strategy and [figure omitted; refer to PDF] based strategy. For each strategy, we apply four different measurement methods to set each term of each matrix related to this [figure omitted; refer to PDF] (or [figure omitted; refer to PDF] ). By combining these two kinds of strategies and four measurement methods together, we get total 8 different predicted methods. In the following section, a series of experiments will be carried on in order to find which predicted method can get the best performance.
In this work, we adopt twofold cross-validation (i.e., half training and half testing) to evaluate the performance of the prediction for each TCM network. In the training stage, we first extract two kinds of paths, symptom-herb path and symptom-syndrome-herb path. In terms of these two paths, we further build five matrices (in Section 4) according to the measurement method aforementioned ( [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] ). After collecting all associated features, a training model is then built to learn the best coefficients associated with different features in deciding the symptom-herb patterns by performing multiple experiments. In the test stage, we utilize the learned coefficients to predict the potential patterns between symptoms and herbs and record whether this pattern is to appear in the test dataset.
In addition, the Insomnia and Tourette dataset lacks the object of syndrome and symptom, respectively. In this case, we assume some virtual objects (representing syndromes or symptoms) which can be constructed according to the next method. Here, we take the Insomnia dataset as an example to explain how to construct the virtual objects, namely, syndromes. First, we can get the existing patterns based on the [figure omitted; refer to PDF] from Infertility and Diabetes datasets, such as [figure omitted; refer to PDF] , [figure omitted; refer to PDF] ; meanwhile, we can obtain the existing patterns based on the [figure omitted; refer to PDF] from Insomnia dataset, such as [figure omitted; refer to PDF] , [figure omitted; refer to PDF] . Second, we can further check whether the patterns based on the [figure omitted; refer to PDF] from Insomnia dataset exist in the dataset Insomnia or Tourette. If they exist (i.e., [figure omitted; refer to PDF] , [figure omitted; refer to PDF] ), we can assume a virtual syndrome [figure omitted; refer to PDF] and construct the edge between [figure omitted; refer to PDF] and [figure omitted; refer to PDF] and the edge between [figure omitted; refer to PDF] and [figure omitted; refer to PDF] (or the edge between [figure omitted; refer to PDF] and [figure omitted; refer to PDF] ). Otherwise, we only assume a virtual syndrome [figure omitted; refer to PDF] and produce the edges between [figure omitted; refer to PDF] and other symptoms (or the edges between [figure omitted; refer to PDF] and other herbs). Similarly, we can construct the tripartite graph based on the Tourette dataset.
5.2. Evaluation Metrics
Our proposed algorithm computes a ranking score for each candidate herb and returns the top- [figure omitted; refer to PDF] highest ranked herbs as the predicted list for a target symptom. To evaluate the prediction accuracy, we focus on how many symptoms-herbs patterns previously removed in the preprocessing step reappear in the predicted results. Therefore, we apply two popular performance metrics, namely, [figure omitted; refer to PDF] and [figure omitted; refer to PDF] [17-20], to capture the performance of our proposed algorithm.
[figure omitted; refer to PDF] is the ratio of recovered symptoms-herbs patterns to the [figure omitted; refer to PDF] predicted symptoms-herbs patterns. [figure omitted; refer to PDF] is the ratio of recovered symptoms-herbs patterns to the set of symptoms-herbs patterns deleted in preprocessing. We divide the symptoms-herbs patterns into two sets: the test set [figure omitted; refer to PDF] and the Top- [figure omitted; refer to PDF] set [figure omitted; refer to PDF] . Symptoms-herbs patterns that appear in both sets are members of the hit set. [figure omitted; refer to PDF] and [figure omitted; refer to PDF] are defined as follows: [figure omitted; refer to PDF]
5.3. Parameter Tuning
In our experiments, we divide each dataset into two parts: training set and test set. We further split the training data to validation data to optimize the parameters [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] . We have varied the neighborhood size from 10 to 50 by an interval of 10 and the other nine parameters from 0 to 1 by an interval of 0.1. Using the validation data (in Infertility dataset), we have found the best [figure omitted; refer to PDF] to be 0.8, [figure omitted; refer to PDF] to be 0.2, [figure omitted; refer to PDF] to be 0.7, [figure omitted; refer to PDF] to be 0.8, [figure omitted; refer to PDF] to be 0.2, [figure omitted; refer to PDF] to be 0.3, [figure omitted; refer to PDF] to be 0.8, [figure omitted; refer to PDF] to be 0.2, [figure omitted; refer to PDF] to be 0.5, and [figure omitted; refer to PDF] to be 30. In addition, we have different values for these parameters in the other three datasets, but we get the similar experimental results. Here, we do not list all the values for these parameters because of the limitation of space.
In Figure 5, we take the neighborhood size [figure omitted; refer to PDF] as an example to explain how to install optimal value for each parameter. From Figure 5(a), we can see that for each Top- [figure omitted; refer to PDF] list the [figure omitted; refer to PDF] changes over the neighborhood size [figure omitted; refer to PDF] . We can further observe that when the neighborhood size [figure omitted; refer to PDF] equals 30, our proposed method gets the best performance. Also, from Figure 5(b), we have the similar results. Therefore, we set the neighborhood size [figure omitted; refer to PDF] as 30.
Figure 5: Selecting the optimal neighborhood size in Infertility Dataset. Here, in (a), the [figure omitted; refer to PDF] -axis represents Top- [figure omitted; refer to PDF] prediction. The [figure omitted; refer to PDF] -axis refers to Precision. In (b), the [figure omitted; refer to PDF] -axis represents Top- [figure omitted; refer to PDF] prediction. The [figure omitted; refer to PDF] -axis refers to Recall. These two figures can be obtained by using [figure omitted; refer to PDF] based strategy, which applies the measurement method [figure omitted; refer to PDF] . In this experiment, we set [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] as 0.8, 0.2, and 0.5, respectively.
(a) Precision
[figure omitted; refer to PDF]
(b) Recall
[figure omitted; refer to PDF]
5.4. Result and Analysis
In this section, we first evaluate the performance of four different measurement methods for two kinds of paths. And then, we compare the performance of [figure omitted; refer to PDF] based strategy and [figure omitted; refer to PDF] based strategy by using the optimal measurement method.
5.4.1. The Optimal Measurement Method
It is worth noting that a comprehensive set of experiments was conducted using every measurement method in conjunction with every evaluation metric on every dataset, and the results are very consistent across all experiments. Because of the space limitations, we show the results based on the Infertility dataset in the Figures 6 and 7. From Figure 6(a), we can see that the measurement method [figure omitted; refer to PDF] apparently beats all the other three measures and produces the best prediction performance in terms of [figure omitted; refer to PDF] . Specifically speaking, [figure omitted; refer to PDF] has its average [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] better than [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] , respectively. From Figure 6(b), according to [figure omitted; refer to PDF] , [figure omitted; refer to PDF] also significantly outperforms other three measures. [figure omitted; refer to PDF] , respectively, achieves a [figure omitted; refer to PDF] , a [figure omitted; refer to PDF] , and a [figure omitted; refer to PDF] improvement over [figure omitted; refer to PDF] , [figure omitted; refer to PDF] , and [figure omitted; refer to PDF] . Here, an interesting result is observed that JC gets the worst performance. Contrary to [figure omitted; refer to PDF] being known to be more useful to measure the similarity between two same type of objects, it may be due to the existence of different type of objects. Similarly, from Figure 7, we can also observe that [figure omitted; refer to PDF] is the best measurement method. Therefore, we should use [figure omitted; refer to PDF] to help choose the best value for each term in each matrix so that the mining of symptoms-herbs patterns can produce the best results.
Figure 6: Selecting the optimal measurement method in Infertility Dataset. Here, in (a), the [figure omitted; refer to PDF] -axis represents Top- [figure omitted; refer to PDF] prediction. The [figure omitted; refer to PDF] -axis refers to Precision. In (b), the [figure omitted; refer to PDF] -axis represents Top- [figure omitted; refer to PDF] prediction. The [figure omitted; refer to PDF] -axis refers to Recall. These two figures can be obtained by using [figure omitted; refer to PDF] based strategy.
(a) Precision
[figure omitted; refer to PDF]
(b) Recall
[figure omitted; refer to PDF]
Figure 7: Selecting the optimal measurement method in Infertility Dataset. Here, in (a), the [figure omitted; refer to PDF] -axis represents Top- [figure omitted; refer to PDF] prediction. The [figure omitted; refer to PDF] -axis refers to Precision. In (b), the [figure omitted; refer to PDF] -axis represents Top- [figure omitted; refer to PDF] prediction. The [figure omitted; refer to PDF] -axis refers to Recall. These two figures can be obtained by using [figure omitted; refer to PDF] based strategy.
(a) Precision
[figure omitted; refer to PDF]
(b) Recall
[figure omitted; refer to PDF]
5.4.2. The Performance of Proposed Method
In this section, we will estimate the performance of our presented [figure omitted; refer to PDF] - [figure omitted; refer to PDF] based on two kinds of paths.
First, we illustrate how our [figure omitted; refer to PDF] - [figure omitted; refer to PDF] can serve as a powerful model for predicting potential symptom-herb relationships. The prediction processing performance results can be found in Figures 8(a) and 8(b). We use two prediction processing measures to evaluate the performance of each method on four TCM datasets, which are Precision at top 30 prediction results and Recall at top 30 prediction results, denoted as [figure omitted; refer to PDF] and [figure omitted; refer to PDF] , respectively. In terms of these two measurements, one can observe that our proposed [figure omitted; refer to PDF] - [figure omitted; refer to PDF] based on [figure omitted; refer to PDF] can find more symptom-herb relations than the one based on [figure omitted; refer to PDF] , in general.
Figure 8: Prediction performance of our proposed method [figure omitted; refer to PDF] - [figure omitted; refer to PDF] . Here, in (a), the [figure omitted; refer to PDF] -axis represents Top- [figure omitted; refer to PDF] prediction. The [figure omitted; refer to PDF] -axis refers to Precision. In (b), the [figure omitted; refer to PDF] -axis represents Top- [figure omitted; refer to PDF] prediction. The [figure omitted; refer to PDF] -axis refers to recall. [figure omitted; refer to PDF] - [figure omitted; refer to PDF] adopts [figure omitted; refer to PDF] to install the reasonable value to each term for each matrix.
(a) Precision
[figure omitted; refer to PDF]
(b) Recall
[figure omitted; refer to PDF]
From Figure 8(a), we notice that our proposed method [figure omitted; refer to PDF] - [figure omitted; refer to PDF] based on [figure omitted; refer to PDF] improves [figure omitted; refer to PDF] @30 by [figure omitted; refer to PDF] compared with the one based on [figure omitted; refer to PDF] . In addition, from Figure 8(b), we also see that our proposed method [figure omitted; refer to PDF] - [figure omitted; refer to PDF] based on [figure omitted; refer to PDF] improves [figure omitted; refer to PDF] @30 by [figure omitted; refer to PDF] when compared with [figure omitted; refer to PDF] . Therefore, we can conclude that [figure omitted; refer to PDF] based prediction method gives a good performance overall. Here, we can see that when [figure omitted; refer to PDF] reaches 30, the precision of both algorithms is optimal. Meanwhile, although [figure omitted; refer to PDF] @50 of both algorithms reaches optimal value, the gap between [figure omitted; refer to PDF] @30 of both algorithms and [figure omitted; refer to PDF] @50 of both algorithms is very small. So we take [figure omitted; refer to PDF] as an optimal value to achieve optimal prediction power for the Infertility dataset.
In addition to the Infertility dataset, we tested the proposed algorithm with other three datasets, and the same pattern is observed in the vast majority of cases.
5.4.3. Discussion
The symptoms in TCM are related to the body as a whole. A certain subset of symptoms belongs to a certain syndrome, and the typical treatment of a syndrome usually follows a therapeutic principle, which refers to the use of a certain combination of herbs [21].
So far, we have mined a Top- [figure omitted; refer to PDF] list of herbs for each symptom (see Table 2). However, our aim is to discover an effective combination of interacting herbs for each symptom, which is useful for healing the sick. In this section, we will introduce a matching function ( [figure omitted; refer to PDF] ) in order to achieve our aim.
Table 2: An Example of Top-30 List. This table can be obtained by using [figure omitted; refer to PDF] based strategy. Here, the third column represents symptom-herb ranking rating produced by Algorithm 1.
Symptom | Herb | Rating |
Stomachache | Chiretta | 7.567 |
Radix Paeoniae Rubra | 6.765 | |
Bupleurum | 6.70 | |
Ligustrum Japonium | 6.43 | |
Epimedium Herb | 6.397 | |
Paeonia sterniana Fletcher in Journ | 6.396 | |
Radix Polygoni Multiflori | 6.167 | |
Rhizoma Atractylodis Macrocephalae | 6.0 | |
Salvia | 5.989 | |
Astragali Radix | 5.973 | |
Tuckahoe | 5.915 | |
Licorice Roots Northwest Origin | 5.899 | |
Dioscoreae | 5.659 | |
Homo sapiens | 5.549 | |
Rehmannia root | 5.438 | |
Motherwort Fruit | 5.357 | |
Tortoise Shell | 5.347 | |
Himalayan Teasel Root | 5.327 | |
Tangerine Peel | 5.209 | |
Nutgrass Galingale Rhizome | 5.176 | |
Palmleaf Raspberry Fruit | 5.165 | |
Diverse Wormwood Herb | 4.97 | |
Plantain Seed | 4.934 | |
Bitter Orange | 4.92 | |
Safflower | 4.905 | |
Hyacinth Bean | 4.876 | |
Finger Citron | 4.844 | |
Towel Gourd Vegetable Sponge | 4.819 | |
Common Macrocarpium Fruit | 4.736 | |
Zedoary | 4.736 |
Our matching function is as follows: first, we find all the patterns of good outcome in the dataset and then, we match the Top- [figure omitted; refer to PDF] list with each existed pattern, and find a longest chain, namely, a maximum effective set of interacting herbs. Our matching function is described in Algorithm 2. Here, the differences between the relevant function and the matching function are as follows: the relevant function is used for filtering the bad patterns (i.e., symptom-herb); the matching function is used for finding a maximum effective set of interacting herbs for each symptom. By using [figure omitted; refer to PDF] , we get an effective combination of interacting herbs for each symptom (see Table 3). Stomachache is a manifestation of various syndromes according to Chinese medicine diagnosis. The aim of Chinese medicine is to address the root cause of disease that is a syndrome rather than a single symptom; as a result, multiple herbs are used to treat a particular syndrome. According to the assessment from a TCM practitioner, the herbs in Table 3 are appropriate to stomachache and they have the properties of relieving pain or stomach-related problems. Each of these herbs has different functions, including Regulate Qi (Nutgrass Galingale Rhizome, Tangerine Peel, Dioscoreae, Rhizoma Atractylodis Macrocephalae, Bupleurum), Regulate fluid (Plantain Seed, Tuckahoe), Clear heat (Radix Paeoniae Rubra, Chiretta), Regulate blood (Motherwort Fruit, Salvia), and Nourish Yin (Himalayan Teasel Root). Here, we think our approach works in view of TCM, because when we check the original Infertility dataset, we find that most of the combinations of our Top- [figure omitted; refer to PDF] list of herbs exist in the original dataset.
Table 3: An effective combination of interacting herbs for symptom [figure omitted; refer to PDF] . Based on Table 2, this table can be obtained by using Algorithm 2.
Symptom | Herb | Rating |
Stomachache | Chiretta | 7.567 |
Radix Paeoniae Rubra | 6.765 | |
Bupleurum | 6.70 | |
Ligustrum Japonium | 6.43 | |
Epimedium Herb | 6.397 | |
Paeonia sterniana Fletcher in Journ | 6.396 | |
Rhizoma Atractylodis Macrocephalae | 6.0 | |
Salvia | 5.989 | |
Tuckahoe | 5.915 | |
Licorice Roots Northwest Origin | 5.899 | |
Dioscoreae | 5.659 | |
Motherwort Fruit | 5.357 | |
Himalayan Teasel Root | 5.327 | |
Tangerine Peel | 5.209 | |
Nutgrass Galingale Rhizome | 5.176 | |
Palmleaf Raspberry Fruit | 5.165 | |
Plantain Seed | 4.934 | |
Hyacinth Bean | 4.876 | |
Common Macrocarpium Fruit | 4.736 |
Algorithm 2: MF.
Input: Dataset (D) and Top- [figure omitted; refer to PDF] List (L)
Output: A set of herbs (S)
(1) Define MF(D, L)
(2) Begin
(3) [figure omitted; refer to PDF] [arrow left] Discover the existed patterns of good outcome in D
(4) S [arrow left] Match L with each one of [figure omitted; refer to PDF] , and delete patterns of bad
(5) outcome in L.
(6) Return S
(7) End
6. Related Work
TCM network and its properties are researched in many fields. One of these fields is how to explore the complex relationships amongst different components of TCM clinical prescriptions. So far, there are some attempts that explicitly address this aspect.
In [22], authors proposed a new methodology of clinical decision of pulmonary tuberculosis, which can adapt the features of TCM and can be applied to other contagious diseases. This method increased the possibility and accuracy of online diagnosis and treatment especially on contagious diseases. In [23], they presented a new approach to systematically generate combinations of interacting herbs that might lead to good outcome. Their approach was tested on a dataset of prescriptions for diabetic patients to verify the effectiveness of detected combinations of herbs. Their approach is able to detect effective higher orders of herb-herb interactions with statistical validation. In this work, we also consider the factor of good outcome, but we focus on how to improve the algorithm accuracy using good outcome. In [24], they introduced a framework to explore the complex relationships amongst herbs in TCM clinical prescriptions using Boolean logic. In [25], authors put forward a framework which can be used to extract synergistic herbal combinations in a variety of clinical situations. They found that not only the herbs (present herbs) necessary for a positive outcome, but the choice of some other herbs (absent herbs) may have a negative impact on the outcome. In [5], they introduced a two-stage analytical approach. This method first uses hierarchical core subnetwork analysis to preselect the subset of herbs that have high probability in participating in herb-herb interactions and, then, detects strong attribute interactions in the preselected subset by applying MDR. In [26], a new parameter-free algorithm was designed to systematically generate a set of combinations of interacting herbs that leads to good outcome. So far, most of these researches were related to how to extract core herbs or mine herb-herb relationships, which focused on the homogeneous information networks consisting of only one type of objects. In this work, we try to extract the symptom-herb relationships based on the heterogeneous information network.
Another line similar to our research problem is the relationship mining task in heterogeneous information network [27, 28], which involves different types of objects and relations. However, these studies have a different focus compared with our work. In [27], they constructed a heterogeneous biological information network by combining multiple different databases and interaction information in order to find multidrug prescriptions that are effective and safe. In [28], they proposed MedRank, a new network-based algorithm that ranks heterogeneous objects in a medical information network. In this work, we aim at mining symptom-herb patterns in the TCM heterogeneous information network.
7. Conclusion
In this work, we put forward a novel three-step prediction approach to mine symptom-herb relationships effectively and efficiently. Experiments on the TCM network show that our method can find symptom-herb relationships with much higher accuracy using heterogeneous topological features. The results have shown that the performance is indeed superior when the symptoms are mapped to herbs via syndromes, rather than a direct mapping between symptoms and herbs. In other words, syndrome differentiation (patient classification) is a crucial step to a successful treatment in TCM. In the future, we intend to extend our work in the following three directions. Firstly, a new measure to estimate the performance in the proposed method should be explored. Secondly, another novel similarity measure method should be studied to capture the rich topological features. Thirdly, a new matching function to improve the predictive performance should be sought.
Notations
[figure omitted; refer to PDF] :
Symptom
[figure omitted; refer to PDF] :
Syndrome
[figure omitted; refer to PDF] :
Herb
[figure omitted; refer to PDF] :
The path of symptom-herb
[figure omitted; refer to PDF] :
The path of symptom-syndrome-herb
[figure omitted; refer to PDF] :
The similarity based on [figure omitted; refer to PDF] _Path
[figure omitted; refer to PDF] :
The similarity based on [figure omitted; refer to PDF] - [figure omitted; refer to PDF] matrix
[figure omitted; refer to PDF] :
The similarity based on [figure omitted; refer to PDF] - [figure omitted; refer to PDF] matrix
[figure omitted; refer to PDF] :
The similarity based on [figure omitted; refer to PDF] _Path
[figure omitted; refer to PDF] :
The similarity based on [figure omitted; refer to PDF] - [figure omitted; refer to PDF] matrix
[figure omitted; refer to PDF] :
The similarity based on [figure omitted; refer to PDF] - [figure omitted; refer to PDF] matrix
[figure omitted; refer to PDF] :
The similarity based on [figure omitted; refer to PDF] - [figure omitted; refer to PDF] matrix.
Acknowledgments
This work was done when the first author was a visiting student in the University of Sydney. This work is supported by the project of National Natural Science Fund (no. 81173226), National Natural Science Foundation of China under Grant no. 61202238, the Graduate School of Beihang University Scholarship Fund, and the award from the China Scholarship Council (student no. is 201406020044). The assessment of the effective set of herbs was also contributed by Dr. Diana Jun.
Conflict of Interests
The authors declare that there is no conflict of interests regarding the publication of this paper.
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Abstract
Unlike the western medical approach where a drug is prescribed against specific symptoms of patients, traditional Chinese medicine (TCM) treatment has a unique step, which is called syndrome differentiation (SD). It is argued that SD is considered as patient classification because prior to the selection of the most appropriate formula from a set of relevant formulae for personalization, a practitioner has to label a patient belonging to a particular class (syndrome) first. Hence, to detect the patterns between herbs and symptoms via syndrome is a challenging problem; finding these patterns can help prepare a prescription that contributes to the efficacy of a treatment. In order to highlight this unique triangular relationship of symptom, syndrome, and herb, we propose a novel three-step mining approach. It first starts with the construction of a heterogeneous tripartite information network, which carries richer information. The second step is to systematically extract path-based topological features from this tripartite network. Finally, an unsupervised method is used to learn the best parameters associated with different features in deciding the symptom-herb relationships. Experiments have been carried out on four real-world patient records (Insomnia, Diabetes, Infertility, and Tourette syndrome) with comprehensive measurements. Interesting and insightful experimental results are noted and discussed.
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