【論文摘要】自動化舌診系統在中醫診斷上的結合應用

【論文摘要】Application of Automatic Tongue Diagnostic System on Traditional Medicine

廖翊翔(Yi-Hsiang Liao) ； 張育佳(Yuh-Chia Chang) ； 林正哲(Cheng-Che Lin)

《台灣中醫臨床醫學雜誌》 26卷1期 (2021/01) Pp. 29-+37

https://doi.org/10.6968/TJCCM.202101_26(1).0003

摘要

「辨證論治」為中醫診斷精髓所在，其中「辨證」以望、聞、問、切四診為依據，望診居四診之首，舌診又為中醫望診之重要依據之一。臨床上中醫師多依個人知識及經驗，透過眼睛觀察舌頭各部位顏色深淺、整體形態及唾液多寡等特徵推斷病人身體證型病症，然而這樣的結果易受限於醫師經驗診斷技巧、顏色感知等主觀因素，導致判讀同一舌象，會因觀察者不同而有明顯差異。因此藉由科學方法輔助醫生診斷，依循標準化程序獲得數位化結果，提高中醫臨床應用價值，是故近來中醫舌診之自動化舌診分析系統在臨床應用上的發展逐漸受人重視，藉由自動化舌診系統的建立，降低外界干擾因素如環境光線，同時對舌象特徵進行定性、定量分析，再經整合分析後提供客觀診斷結果，探討可能的潛在病徵，最後運用於臨床疾病的診斷與後續治療的準備。

關鍵字

自動化舌診分析系統 ； 中醫 ； 舌診

並列摘要

Traditional Chinese medicine (TCM) has its own unique diagnostic and systematic methods to approach patients. Four examinations are correlated to physiological and pathological theory to create a comprehensive picture of the patient's overall condition. Tongue examination provides some of the most significant manifestations for pattern identification and syndrome differentiation, via observing a variety of tongue characters like the tongue size, the tongue color, the coating color and thickness, the crack depth, the red dots, the moisture of the tongue, the ecchymosis and the dental indentations. It is promising owing to its non-invasive nature as well. However, the disagreement and inconsistency of tongue inspections may occur due to environmental and subjective factors such as different illumination condition, which all lead to misdiagnosis. To eliminate the bias, automatic tongue diagnostic system (ATDS) is established to provide objective and quantitative results and to standardize the intra-and inter-agreements of tongue inspection. Here we reviewed the mechanism of tongue inspection, the development and the progress of ATDS and its application in TCM. With the aid of ATDS, possible clinical assessment could be implemented through the manifestation of the tongue. The article summarized the references and hopefully in the future, we could identify the pattern of the disease, perform preliminary screening, and treat patients in early stage in the assistance of the ATDS.

並列關鍵字

Automatic Tongue Diagnostic System (ATDS) ； Traditional Chinese Medicine (TCM) ； Tongue Diagnosis