中医舌诊电脑化教学与评量 - 影像处理实验室 - 国立中山大学.doc

中醫舌診電腦化教學與評量 A Web-Based Teaching and Evaluation System For The Traditional Chinese Tongue Diagnosis 陳冠臻1 蔣依吾2 陳建仲3 林宏任4 1,2國立中山大學資訊工程系 3,4中國醫藥學院附設醫院 中醫內科 1,2Department of Computer Science Engineering Nation Sun Yat-Sen University 3,4 Department of Chinese Internal Medicine China Medical College Hospital 摘要 本文旨在應用中醫舌診電腦化系統所得之成果，發展一套在網際網路應用的線上學習能力測驗系統。目前中醫舌診在教學上，還是以傳統的教材教法為主，而相關的舌診影像除了親眼所見，再來就是依靠圖譜了，舌診是醫師以人眼觀察舌頭上的變化作為診斷依據，而人眼的的視覺觀察過程與攝影的影像產生過程非常類似，所以，以數位影像資料為依據，配合舌診電腦化系統，建立一套中醫舌診教學與評量系統，透過全球資訊網(World Wide Web)及電腦網路的應用，將其應用於中醫舌診學習能力測驗的範疇，讓學生透過電腦及網路，從已經建立好的數位影像資料庫中，來完成在舌診項目上的學習測驗與評量，不僅提供了更具彈性的教學評量環境，對教學者或學習者而言，更是提供了一個多元化的學習資源及新的學習測驗管道。 關鍵字：舌診電腦化系統；線上測驗系統；數位影像；影像資料庫；網際網路。 Abstract The tongue diagnosis in traditional Chinese medicine concentrates on differentiating the tongue characteristics of the patient. However, the diagnostic result usually is based solely on the subjectively visual inspection of the various features presented. This process is questionable in terms of the highly variable lighting condition, the artificial coloring of tongues by drinks, and different quantitative judgments evolved through individual experience. In this paper, a web-based computerized learning and testing environment for the tongue diagnosis is presented. Feasible both as a teaching and evaluation tools, an automatic feature extraction of a patient’s tongue from the image database based on the RGB color components is proposed. The color differences in tongue and its surrounding areas are enhanced and discriminated by a contour extraction procedure. Once the boundary of the tongue is located, two primal characteristics utilized in the next stage fuzzy classification, tongue granularity and smoothness, are extracted. The color, thickness, area of distribution, peeling conditions, spottiness and cracks are then derived and employed as features to diagnose diseases. Questions prepared target on the quantitative measure and the relevant prognosis may be imposed to further enhance the teac