臺灣博碩士論文加值系統

中醫辯證依望、聞、問、切作為疾病辯證之根據，中醫依據四種診斷結果推斷患者其體內健康狀況，其中望診居於四診之首，舌診為中醫望診中重要項目。過去中醫舌診辯證容易因經驗、診斷技巧、顏色感知及臨床辯證經驗等主觀判定所影響，同一舌象經不同位醫師判斷可能產生互異之判讀，且中醫根據八綱辨證法辨別患者健康狀況，但臨床上對特定疾病亦缺乏中醫客觀判斷指標。電腦科學蓬勃發展，中醫舌診已邁向現代化、便利化及標準化發展。自動化舌診系統(ATDS)透過科學方法，研發具標準化判別程序之系統，經科學、數據化方式輔助醫師診斷，提升診查結果之一致性、可靠性，達到疾病預防之功效。
基於自動化舌診系統與雲端舌診系統奠定雄厚根基，智慧手機舌診系統隨之衍伸而出。現今智慧手機不論是體積、重量、鏡頭畫素與傳輸，皆不亞於專業相機，因此擇此平台進行開發與研究。本研就搭配資訊雲端分析突破局限於單機作業之受限，避免舌診分析時需耗用大量硬體資源且有效提高效率，節省耗費大量手機硬體資源。本雲端舌診系統為微軟之Model View Controller架構，透過Web API與智慧形手機端進行資料傳遞，達到雲端運算功能。此外，分析資料皆能保存至雲端供日後查詢比對。智慧型手機舌診之研究可有效提升中醫舌診之普遍性及便利性，使民眾便於操作與即時分析。

The diagnosis of Traditional Chinese Medicine methods is generally based on four standard but not validated approaches, inquiry, smelling/listening, observation, and palpation. During the process of observation, the diagnosis of the tongue is one of the crucial diagnosing steps. In the past, traditional Chinese medicine tongue diagnosis based on the experience, diagnostic techniques, color perception and experience of dialectical subjective clinical judgment. Different doctors may come to drastically different judgments on the same tongue presentation with little overlap. Moreover, TCM distinguish patient health based on eight principles dialectics which can’t clearly diagnose a single disease. In clinical research of specific diseases is a lack of objective TCM indices. Nowadays computer science is very flourishing, Chinese medicine tongue diagnosis has been combined with modern science. Automatic Tongue Diagnosis System has come up with an assisting system with standardized judging procedures by scientific methods in order to help doctors diagnose in a scientific and systematic way to boost the consistency and reliability of diagnosing, as well as to help find disease and give therapy at the first moment.
Traditional Chinese Medicine Tongue diagnosis by smartphone is generated based on ATDS and ATDS cloud. We developed the TCM Tongue diagnosis by smartphone and combine cloud analysis with smartphone. Cloud analysis use Model View Controller (MVC) as infrastructure. MVC Web API link multiple devices with the environments. Therefore, system can be used on multiple platforms. Cloud analysis can reduce the cost of computing resources and save the analysis data in cloud database. TCM by smartphone can enhance the universality of TCM inspection and convenience.

論文審定書 i
論文公開授權 ii
中文摘要 iii
Abstract iv
目錄 v
圖目錄 vii
表目錄 ix
第一章 緒論 1
1.1舌診辯證 1
1.2智慧型手機舌診系統 3
第二章 相關研究 8
2.1 HSI色彩模型 8
2.2 基於灰度世界和白點偵測自動白平衡演算法 9
第三章 研究方法 13
3.1研究架構 13
3.2智慧形手機舌診系統 13
3.2.1.取像環境與設備 13
3.2.2.智慧形手機舌診系統舌面分析流程 15
3.2.3.排除非臉部範圍與自動白平衡校正 16
3.2.4.預判舌頭影像 17
3.2.5.跨平台溝通過程 20
3.2.6.智慧形手機舌診端資料庫查詢功能 21
3.3雲端分析舌診系統分析過程 23
3.3.1雲端分析影像預處理 24
3.3.2雲端舌面特徵分析 25
3.3.3雲端舌診系統資料查詢 26
第四章 研究結果 27
第五章 結論與未來展望 58
第六章 引用文獻 59

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[11]Lun-Chien Lo, Tsung-Lin Cheng, Wen-Jiuan Chen, Yung-Fu Chen, and John Y. Chiang, "The Study on the Agreement between Automatic Tongue Diagnosis System and Traditional Chinese Medicine Practitioners," Evidence-Based Complementary and Alternative Medicine, Vol. 2012 (2012).
[12]Lun-chien Lo, Tsung-Lin Cheng, John Y. Chiang, and Natsagdorj Damdinsuren, "Breast Cancer Index - A Perspective on Tongue Diagnosis in Traditional Chinese Medicine," Journal of Traditional and Complementary Medicine, Vol. 3, No. 3, pp. 194-203, 2013.
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