『中醫舌診標準化之研究(3-1)—舌色判讀標準化之研究』

張恆鴻
長庚紀念醫
本計劃之目的，在於建立中醫診斷學中舌診的客觀指標，藉由舌診儀來探討平常人及數種常見疾病的舌色表現，並且利用中醫診察紀錄來了解中醫證型與舌色之間的關係，以達到舌診客觀化的目的。
舌診是中醫重要的診斷依據，不論是外感內傷等疾病，常須藉以處方用藥，但以往的辨證過程常依賴主觀判斷，缺乏儀器的客觀輔佐。本計劃擬以電腦化的舌象診察系統來對舌診進行定性、定量的分析，藉由門診病患及健康檢查的民眾之舌診影象來蒐集診斷參數量化所需的資料，建立舌象量化數據資料庫，以歸納出舌診的性質與特徵，訂出判讀標準。
舌診的檢查主要觀察舌質和舌苔的變化，而舌質方面的觀察，最重要的是顏色變化，本研究擬由長庚醫院中醫門診病患及家庭醫學科健檢中心之健康檢查民眾當中篩選研究對象，男女不拘，年齡大於10歲，選擇300名患者，納入本研究，依其舌質為淡白、淡紅、紅、絳、紫、黯、瘀等組別。患者除了詢問基本資料表、中醫診察紀錄表外，並進行舌象攝影。
舌診之影像由經由教學醫院三位臨床五年以上之中醫師分別判讀，若意見一致，則再交由中醫舌診資深專家研議，若有爭議則召開資深中醫舌診專家會議來決定，最後定案之影像資料經轉換後以數據化資料儲存並建立舌診資料庫。
關鍵字：中醫、舌診、舌質

『Standardized Tongue Diagnosis (3-1)— the Color of the Tongue Body』

Hen-Hong Chang
Chang Hung Memorial Hospital
The purpose of this study is to establish an objective diagnostic system for tongue-diagnosis in Chinese-medicine practice, by analyzing the tongue image and the color of tongue. We also design a questionnaire to evaluate the association bewteen some disease and tongue image. 
The study subjects will be selected from Chang Gung Traditional Chinese medicine hospital. We will establish the image of the tongue body for each subject and according to their readings, assign them into different categories. When the patients are recruited, a standerized interview by a structured questionnaire will be carried out by trained interviewers and a photography of tongue will be arranged.
Tongue image will be taken under controlled condition, tongue examination device, standard color-temperature light and standard color path will be performed in this study. The image of tongue will be first analyzed by senior Chinese medicine specialists, and then analyzed by a specialist of image treatment
關鍵字：Traditional Chinese medicine, Tongue diagnosis, The color of tongue body