中醫舌診在電子病歷系統之作業標準研究

張恒鴻
長庚紀念醫
歷經數年的研究，舌診儀在穩定性、可重覆性、臨床符合度三部分已達到一定水準。基於此項成果，我們將進一步研究如何將舌診專家的經驗流傳下來，自長庚醫院中醫分院門診中選定非特定的病人，以校正後達穩定的麥金塔電腦及數位相機蒐集舌象圖片，經由4-5位專家們分別判定，並予以圈選其中特定範圍之舌色、苔色，計算出其相對應數值，以此作為參考值，可供下一步研究及教學用。
延續以往所做之色彩訓練的計劃，今年將更進一步蒐集更多醫師的訓練結果資料，並加以分析比較，和臨床舌診判讀作比較相關性。
同時為病歷電子化工作做預備，將舌診判讀表作細部修訂，使其更符合臨床看診要求。
關鍵字：舌診

Standard procedure for TCM tongue diagnosis in e-Hospital

Hen-Hong Chang
Chang-Gung Memirial Hospital
The tongue Diagnosis Machine has got to a satisfied level in stability and repeatability, so we will use it to record the professional experience of tongue diagnosis.
We collect the patients’ picture of tongue from Chang Gung Memorial Hospital by the corrected and stablized Mactonish computer and digital camera. These pictures will be diagnosed by 4 or 5 professionals, and the areas with specific meanings in Traditional Chinese Medicine of tongue and coating color will be selected . We will calculate and record these data, and use them as reference, to educate and for studying.
Proceeding with the previous program on “Training of difference of color”, this year, we will collect more doctors’ data and analyze with their clinical reading of tongue.
Preparing for the electricalization of sheet in clinical, we will make a further correction to correspond more with the clinical requirements.
關鍵字：tongue diagnosis