『中醫舌診標準化之研究(3-1)－舌苔判讀標準化之研究』

陳健仲
中國醫藥學
中醫舌診以患者之舌質及舌苔的變化為主要診斷項目，是臨床辨證的一種重要指標，但其作業過程缺乏客觀標準，不易進行精確的測量與驗證。而本研究計畫之目的，在於建立中醫診斷學舌診中的舌苔量化分析及判讀標準，藉由中醫門診及健康檢查之民眾舌診的檢查，以歸納出舌苔顏色及性質的特徵，並訂出判讀標準。
本研究由中國醫藥學院附設醫院中醫部門診病患及家庭醫學科健檢中心之中醫健康檢查的民眾當中篩選研究對象，男女不拘，年齡介於18-50歲，共分為苔色和苔質等二大組，苔色又分成黃苔及白苔二小組，苔質又分成厚苔及薄苔二小組，每組各選擇120名患者。。納入本研究的患者除了詢問基本資料表、中醫體質問卷表外，並進行舌象攝影。
舌診之影像由經由教學醫院三位臨床三年以上之中醫師分別診斷並經由舌診判讀表仔細討論其舌診，若有爭議則交由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呈現，將其結果儲存並建立虛證舌診資料庫。
經本研究我們期待能得到中醫舌診中舌苔的基本資料庫並進一步建立基本舌苔的診斷標準。並建立教學與推廣現代化舌診系統及培養舌診及中醫研究人才。
關鍵字：中醫診斷、辨證、舌診、舌苔、影像處理

『Standardized Tongue Diagnosis（3-1）— Quantitive Study and to Standardized Reading of Tongue-Diagnosis about the coating of toung』

Jian-Jung Chen
China Medical College Hospital
The purpose of this study is to establish an objective diagnostic system for tongue-diagnosis in Chinese-medicine practice, by analyzing the relationship between tongue image and the coating of tongue. We also design a questionnaire to evaluate the relationship bewteen some selected herb that are prescribed in Chinese medicine practice and tongue image. 
The study subjects will be selected from the Department of Chinese Medicine, Health Center of Chinese Medical College hospital. We will establish the color of tongue coating ,the thin of tongue coating of each subjects and according to their readings, assign them into tow groups with 240 patients in each group. 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, standard color path will
關鍵字： Diagnosis in Chinese medicine, Bian-Zheng, Tongue diagnosis, Image analysis, The coating of tongue