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題名 | 氣喘病人之舌象表現=The Tongue Image of Asthma Patients |
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編 次 | 全程總報告 |
作 者 | 戴承杰; | 書刊名 | 中醫藥年報 |
卷期 | 28:1 2010.09[民99.09] |
頁次 | 頁289-335 |
專輯 | 中醫診斷基準之研究 |
分類號 | 413.34 |
關鍵詞 | 電腦化舌象診察系統; 氣喘; 中醫; Tongue image; Asthma; Chinese medicine; |
語文 | 中文(Chinese) |
中文摘要 | 研究目的:預期達成1.發展診斷客觀化及定量化標準目標、2. 建立氣喘病患舌診研究之指標、3.促進中醫科學化、4.氣喘患者之療程追蹤、5.中西醫學的結合。 研究方法:此研究是使用國內自行研發之高解析度彩色攝影鏡頭來記錄並儲存病人舌影像,並將舌象特性進行量化分析,藉以提供客觀的診斷標準,並結合醫師的臨床觀察,對正常人及特定疾病病患之舌象作定性及定量分析,以便探討中醫理論之舌與臟腑的關係,這對中醫之基礎理論研究有十分正面的價值及影響。 氣喘病患也同時會接受問卷詢問其病史及治療之相關資料,中醫師也會 對其病證進行分期,希望能找出舌象變化與氣喘之關係。 結果與討論:氣喘是全世界最常見的慢性疾病之一,現在防治氣喘治療方面已越來越 受到重視,因此本計畫的目的是在於運用中醫之舌診,探討氣喘病人之舌象表現。以電腦化舌象診察系統這種非侵入式量化診察系統來分析,客觀地評估氣喘病患在不同時期下的舌象表現,並且比較氣喘病患與正常人的量化分析之差異性,以提供臨床醫師在診斷氣喘病患之參考。進而達到分析氣喘病患之體質,藉以輔助氣喘病患診斷後之治療,期望達到提升治癒率與降低復發率的效果。 目前完成收案,獲得氣喘病患之舌象資料並分析完成。本研究發現氣喘病人與正常人之舌色及苔色比例上無明顯的差異,在醫師的舌象診斷中氣喘各證型的舌象大多為舌淡苔白,與一般正常的舌象相同,在舌色、苔色方面是符合文獻及書籍上的氣喘舌象表現;而儀器診斷中發作期的寒飲伏肺病人及緩解期肺氣不足、脾氣虛弱及腎不納氣之病人的苔色皆為黃苔最高,而發作期的痰熱阻肺之病人是白苔為最高。 |
英文摘要 | Aim: The Aims of the present study are: 1. To develop an objective and quantitative standard base on diagnosis, 2. To establish a data bank of asthma tongue images, 3. To promote Chinese medicine scientific research. 4. To track the treatment course of asthma patients, and 5. To compare the Chinese and the West medicine. Method: In the present study, 50 asthma patients and 50 normal cases will be recruited in our research. Tongue Diagnostic System is domestically developed equipment, which automatically extracts vital tongue features to provide the objective diagnosis standard, and makes qualitative and the quantitative analysis on normal and asthma patients. The results of this study will further reveal the value of tongue diagnosis in Chinese medicine theory under the assistance of modern technology. This will have an extremely positive aspect and influence to the basic research of Chinese medicine. Results & Discussion: Asthma is one of the most common chronic diseases, and draws a lot of attention in prevention and treatment. Therefore, the goal of this plan is to explore the tongue image of the asthma patients using Tongue Diagnostic System (TDS). Tongue Diagnostic System (TDS) is a non- invasive and computer based system, which is able to examine and analyze tongue images taken at different time points for objective evaluation and comparison. This system may provide a valuable clinic reference in the diagnosis of asthma. We finished case collection and the data analysis. There are not conspicuously different at the color of tongue between asthma and normal people. In physicians’ diagnosis, the most of tongue are pale, and the most of fur are white in each type of asthma. It is similar to the normal tongue image. Our findings conform to the references. In Tongue Diagnostic System, the tongue images in four types of asthma patients have yellow furs. Just one type of asthma patient has white fur. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。