JP2001314376A - Tongue diagnosing system, doctor's questions system and tongue diagnosing/doctor's questions education support apparatus - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a tongue diagnosing system converted to a data base, a doctor's questions system converted to a data base and a tongue diagnosing/ doctor's questions education support apparatus wherein both systems are parameterized. SOLUTION: In the tongue diagnosing/doctor's questions education support apparatus, a personal computer 10 connects a monitor 11 and a keyboard 12 and connects at least one of a touch panel 13 and a digital camera 14 and becomes accessible to the tongue diagnosing system at the time of connection of the digital camera 14 and becomes accessible to the doctor's questions system at the time of connection of the touch panel 13.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a tongue examination system and an inquiry system which are the basis of a diagnostic method in Chinese medicine.
And a tongue examination consultation education support device.

[0002]

2. Description of the Related Art In Western medicine, the name of the etiology is interposed between a disease state and treatment. In Chinese medicine, however, there is no disease name, and the diagnosis result of the disease state is directly linked to a treatment method. In other words, Western medicine seeks to identify and classify diseases using various diagnostic techniques as the ultimate purpose of diagnosis, whereas Chinese medicine regards diseases as any constitution. The purpose of this study is to clarify two symptoms, namely, what symptoms have been brought to a person, and what kind of symptoms can be treated by taking a Chinese medicine (formula) at that time.

[0003] Diagnosis in Chinese medicine consists of a desired examination (visual examination by a physician), auscultation (examination based on hearing and smell), an inquiry (patient's answer to a question), and a close examination (pulse examination and abdominal examination). By examining the cause, course, and prognosis of the disease, the patient's condition, the nature and location of the disease, the power relationship between sanity and the illness, etc. are determined, and the "identification (constitution or physical condition) is determined." Then, according to this "proof", a treatment method (formulation) on how to improve these symptoms is determined. This is called dialectic treatment.

[0004] The administration of Chinese herbal medicine was established in an era when diagnostic equipment was not developed, so that the diagnosis is still made in principle by relying on the five senses. Therefore, many years of experience are required in acquiring diagnostic techniques. In particular, the decision of “test” indicates the physical condition of the whole body, including the constitutional and symptomatic ones, so it is necessary to always avoid mistakes in the overall picture. In addition, the constitutional information has a priority, and the information obtained by the desired examination has the highest priority, and then, the "testimony" has been diagnosed in the order of auscultation, interview, and examination.

[0005] Among the four examinations, the wish examination is important because it roughly knows the disease of the patient, and the tongue examination is particularly important. In tongue examination, mainly the color of the tongue, tongue coating, tongue muscle, saliva,
Observing the mucous membrane, etc., from the state of the tongue,
For example, gastritis, stomach cancer, gastric ulcer, enteritis, appendicitis, liver disease, cholecystitis, spleenitis and the like have been diagnosed. As an effective device for the tongue tongue, a tongue diagnosis diagnostic device has been developed which optically compares a patient's tongue image with a basic tongue image registered and classified in advance, as disclosed in Japanese Patent Publication No. 3-49567. Various interview texts are commercially available for interviews because of their ease of deployment.

[0006]

The tongue pathological changes are diverse and require a long experience and training for accurate diagnosis, and doctors who have not received Chinese medical education There were also problems that were extremely difficult for them to learn. Also, if you decide on a "test" only by consultation,
Since there is a problem in accuracy, it has been required to sequentially use other diagnostic methods. Further, since the medical interview text is created without considering the priority of information, there is a problem that the reliability of the medical interview is low.

Accordingly, the present invention has been made in view of the above-mentioned problems of the prior art.
Since the tongue substance is an important part representing a case, we invented a tongue examination system that made a database of the relationship between cases and tongue image information, and a questionnaire system that made a database of the relationship between inquiry information and constitution. Invented a tongue consultation education support system that parameterized the system, thereby enhancing the practicality, usefulness, and reliability of diagnosis by Chinese medicine, and objectively contrasting the patient's symptoms without requiring years of experience and training. Is to make them comparable.

[0008]

According to a first aspect of the present invention, there is provided a tongue diagnosis system including a basic tongue database, a personal computer, a monitor connected to the personal computer, and a digital camera. The basic tongue database has basic tongue images and basic tongue image information classified according to the case, and the personal computer captures the patient tongue image and patient tongue image information via a digital camera, and obtains the basic tongue image information and patient tongue image. The image information is compared, the basic tongue image information approximate to the patient tongue image information is detected, and the basic tongue image corresponding to the detected basic tongue image information and the patient tongue image are simultaneously displayed on the monitor. Claim 2
As the basic tongue image information and the patient tongue image information, the basic tongue image information and the patient tongue image information are at least one of tongue coating, tongue color, tongue muscle, tongue shape, tongue thickness, mucous membrane, saliva, etc. Two or more are used as data, and a plurality of detected basic tongue images are displayed on the monitor.

Here, the basic tongue database means that a tongue which is a case is photographed by a digital camera, and this is taken into a personal computer as a basic tongue image, and basic tongue image information such as tongue coating (digital data) is obtained from the basic tongue image. Were taken out and classified into symptoms and stored. Here, the patient's tongue data means that the patient's tongue is photographed by a digital camera and is taken as a patient's tongue image into a personal computer.
It is something that I remember. Here, the digital camera is used for capturing a basic tongue image and a patient tongue image, and a personal computer captures the basic tongue image and the patient tongue image, stores the digitized basic and patient tongue image information, and stores both tongue images. This is for comparing and detecting image information. Here, the monitor means that the detected basic tongue images are displayed vertically or horizontally on the patient's tongue image, or displayed side by side around the patient's tongue image to facilitate comparison with the patient's tongue image and to determine the closest basic tongue image, that is, “ Make it easier to determine the testimony.

According to a third aspect of the present invention, there is provided an inquiry system including an inquiry database, a basic constitution database, a personal computer, and a monitor and a touch panel connected to the personal computer. , An answer group quantification unit, the basic constitution database includes a basic constitution and a basic constitution value corresponding to the basic constitution, the touch panel simultaneously displays the question and the answer group, and the answer group and the basic constitution value are displayed. It is divided so that the patient's constitution can be grasped, the touch panel displays the question and the answer group at the same time, the personal computer digitizes the answer group selected and operated by the patient, tabulates for each answer group, and summarizes the patient constitution value The patient's constitutional value is compared with the basal constitutional value, and the basal constitutional value is detected as being close to the patient's constitutional value. And, displaying the basic constitution and the patient constitution value corresponding to the detected basic constitutional values on the monitor.

Here, the question is created in consideration of the priority of the information. For example, (1) information about the whole (face) is divided into parts (eyes, nose,
(Mouth, tongue). (2) For parts (face, neck, shoulder, chest, waist, feet), the upper information has priority over the lower information. (3) Information about the body (fatigue, dizziness, trembling, tinnitus, etc.) has priority over information about excrement and secretions. Here, the answer group to the question is created by linking to the specification of the constitution, for example, grouping into heat / cold constitution, real / imaginary constitution, and dry / wet constitution, and each answer group is quantified by the digitizing unit. It is a thing. Here, the basic constitution is a classification of the constitution, and the patient constitution value is
Similar to the question answer group, it is divided into heat and cold constitution, real and imaginary constitution, and dry and wet constitution, and these are quantified. Tallying for each answer group means that all the answers are quantified, and the tallying unit tallies each answer group to obtain a patient constitution value. Here, the monitor displays the patient's constitutional value and the detected basal constitutional value side by side, facilitates the comparison with the patient's constitutional value, and facilitates the determination of the closest basal constitutional value, that is, the determination of the “test”. .

According to a fourth aspect of the present invention, a personal computer is connected to a monitor and a keyboard, and at least one of a touch panel and a digital camera is connected to the digital camera. Sometimes, the tongue examination system of the present invention can be accessed, and when the touch panel is connected, the inquiry system of the present invention can be accessed. When the digital camera is connected to the touch panel, the tongue examination system and the inquiry system can be accessed. Becomes

Here, accessing the tongue examination system means that it is connected to the basic tongue database, takes in patient tongue data, compares and detects basic tongue image information and patient tongue image information, and detects patient tongue image and detection base. The tongue image can be displayed. Accessing the tongue examination system here means that it is connected to the questionnaire database and the basic constitution database, displays questions and answer groups on the touch panel, totals for each answer group, total values (patient constitution values) and basics The present invention enables comparison detection with a constitution value and display of a patient constitution value and a detected basic constitution value.

[0014]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS First, an embodiment of a tongue examination system according to the present invention will be described with reference to FIG. 1. A basic tongue database 1, which has been classified beforehand, a personal computer 10, a monitor 11 connected to the personal computer 10, and a digital Camera 1
4, the basic tongue database 1 includes a case G including a basic tongue image g and basic tongue image information h, and the personal computer 10 transmits a patient tongue image yg and patient tongue image information yh from the patient via the digital camera 14. The patient's comprehensive data 2
The basic tongue image information h and the patient tongue image information yh are compared by the comparison detection unit 6, and basic tongue image information h similar to the patient tongue image information yh is detected. A plurality of image information h are detected, and a basic tongue image g and a patient tongue image yg corresponding to the detected basic tongue image information h are simultaneously displayed on the monitor 11.

The basic tongue database 1 is a database of basic tongue images g (g1 to gn) and basic tongue image information h (h1 to hn) obtained from about 600 subjects, and can be used as a typical one. Approximately 100 items were extracted, and the indication of the medical condition, which is a characteristic of the sample, was determined in advance in case G (G1 to Gn).
Is stored. The patient tongue data Y includes a patient tongue image yg taken from a patient and patient tongue image information yh obtained from the patient tongue image yg. The basic tongue image g and the basic tongue image information h are divided into a basic tongue image (g1 to gn) and a basic tongue image information (h1 to hn) for each case G, and the basic tongue image information h and the patient tongue image information yh is data of at least two or more of tongue color, tongue muscle, tongue shape, tongue thickness, mucous membrane, saliva, and the like. Of the basic tongue database 1 and the patient tongue data Y, only the basic tongue image information h and the patient tongue image information yh are compared by the comparison detection unit 6, and the same basic tongue image information h as the patient tongue image information yh is 1 to About eight are selected, and a patient tongue image yg corresponding to the patient tongue image information yh and a basic tongue image g corresponding to the basic tongue image information h are displayed.

Next, an embodiment of an inquiry system according to the present invention will be described with reference to FIG.
, A base constitution database 4, a personal computer 10, a monitor 11 and a touch panel 13 connected to the personal computer 10, and the medical inquiry database 3 includes a question D, an answer group E for the question D, and a digitizing unit 8 of the answer group E. The basic constitution database 4 includes a basic constitution J and a basic constitution value K corresponding to the answer group E, the touch panel 13 simultaneously displays the question D and the answer group E, and selects the answer group E by the patient. The operation is enabled, and the personal computer 10 quantifies the answer group E selected and operated by the patient by the digitizing unit 8 and tallies the answer group E for each answer group E by the tallying unit 9 to determine the patient constitution value F. And the basal constitution value K are compared by the comparison detection unit 6 to detect the basal constitution value K that is approximate to the patient constitution value F, and correspond to the detected basal constitution value K. The foundation structure J and the patient extender value F is for displaying on the monitor 11.

The answer group E to the question D includes a hot / cold answer group a and
It is divided into a real / imaginary answer group b and a dry / wet answer group c. For each question (D1 to Dn), a hot / cold answer group (a1 to an) and a real / imaginary answer group (b1 to bn)
And dry / wet answer groups (c1 to cn). The basal constitution value K was divided into the basal heat / cold constitution value α, the basal actual / imaginary constitution value β, and the basal dry / wet constitution value γ in the same manner as in the answer group E. For each of the basic constitutions (J1 to Jn), heat / cold answer groups (a1 to
an), real / imaginary answer groups (b1 to bn),
It has a wet response group (c1 to cn), and the patient constitution value F is a patient heat / cold constitution value A totalized by the totaling unit 9 for each response group E (a, b, c), and a patient real / imaginary value. It is a constitution value B and a patient dry / wet constitution value C, and a patient constitution value F (A,
B, C) and the basal constitution value K (α, β, γ) are compared by the comparison detection unit 6.

An embodiment of the tongue examination / interview education support apparatus according to the present invention will be described with reference to FIG. 3. A personal computer 10 connects a monitor 11 and a keyboard 12, and connects a touch panel 13 and at least one of a digital camera 14. And has access to at least one of the tongue examination system and the inquiry system of the present invention. For example, the digital camera 14 is connected to the personal computer 10 when the tongue examination system is used, and the touch panel 13 is connected to the personal computer 10 when the inquiry system is used. When using the tongue examination system and the inquiry system together,
0, the touch panel 13 and the digital camera 14 are connected. The inquiry system is performed before or after comparing the patient comprehensive data 2 and the basic tongue database 1, and the result is referred to the tongue diagnosis system to provide a more accurate "test" and to the patient. Can decide what to do.

[0019]

The patient's tongue image yg, the patient's tongue image information yh, and the like are sequentially stored in the patient's comprehensive data 2, so that the patient's pathological history can be viewed from the patient's comprehensive data 2. It is also possible to use it. When capturing the basic tongue image g and the patient tongue image yg, it is possible to capture the entire face, but from the viewpoint of privacy, it is desirable to capture from under the eyes or under the nose.
By using the patient comprehensive data 2 also as the basic tongue database 1, a more elaborate tongue examination system can be constructed.

The question D in the inquiry database 3 is not limited to the one for grasping the entire constitution of the patient, and can be applied to the case where a specific part of the patient constitution is grasped. The range that can be obtained is about 100 items, the desirable range is about 70 items, and the optimal range is about 50 items, but the number of items can be freely changed according to the purpose. In the medical inquiry system, the basic constitution database 4 and the Chinese medicine prescription L
If the relationship with (L1 to Ln) is algorithmized and the Chinese medicine prescription data 5 is used, a more accurate “test” can be determined. Answer group E (a, b, c) of the embodiment
And the basal constitution value K (α, β, γ) are each divided into three groups, but are not limited to the three groups, and if further subdivided, the constitution can be grasped in detail. However, grouping responses requires years of experience and a high degree of knowledge.

Case G and basic tongue image information h, question D and answer group E (a, b, c), basic constitution J and basic constitution value K (α, β, γ) are based on advanced medical knowledge and Determined by a physician with experience. For example, Table 1 shows the basic constitution J and the basic constitution value K (α, β, γ) of the headache disease, and Table 2 shows the basic constitution J and the basic constitution value K (α, β, γ) of the renal disease. The basic basal constitution value K (α, β, γ) is locked and stored in the system and kept private for the time being.

[0022]

[Table 1]

[Table 2]

The relationship between the patient's constitution value F (A, B, C) and the Kampo prescription L is determined by a physician proficient in Chinese medicine as shown in Table 3, but specific data is stored in the system as a key. And keep it private.

[Table 3]

The tongue examination system and the inquiry system can be stored in the internal storage unit 7 of the personal computer 10. However, as shown in FIG.
It is also possible to store the data in an M, DVD, MD, or the like, take in the data from the external storage unit 17 into the internal storage unit 7, or directly access the external storage unit 17. Basic tongue database 1, Interview database 3, Basic constitution database 4
And the Kampo prescription data 5 can be stored in the internal storage unit 7 of the personal computer 10, or stored in the external storage unit 17, imported from the external storage unit 17 to the internal storage unit 7,
Alternatively, it is also possible to directly access from the external storage 17. FIG. 4 is provided with a photographing jig 15 for holding a patient's face, and one or both of the photographing jig 15 and the digital camera 14 can be adjusted vertically, horizontally, and perspectively.

The tongue examination system, the inquiry system, and the tongue examination inquiry support device according to the present invention are mainly used as educational support for doctors and pharmacists, but are used as doctor support systems and support devices at treatment sites. It is also possible to use it as a pharmacist support system and a support device when it is used for improving the constitution other than at the treatment site. The tongue examination system and the inquiry system can be used individually, but by using them together, a more accurate "certificate" can be obtained.

[0026]

The tongue examination system according to the present invention is configured as described above, and has the following effects. Since part of the patient's tongue image information and the basic tongue image information pre-diagnosed and classified are digitized, this is compared with a personal computer, and the basic tongue image most similar to the patient's tongue image is automatically detected. Can be displayed simultaneously. As a result, tongue examination information can be obtained effectively and effectively, so that the patient's condition can be estimated without the need for long experience and training, and more accurate "testimony" determination and support for symptom judgment can be made. Play a role. As a result, the system for tongue examination will lead to the analysis of patients' symptoms, the support of medical education, and the effective and effective support of the analysis of symptoms by doctors. It is possible to lead to.

Since the inquiry system according to the present invention is as described above, the following effects can be obtained. Since the answer groups in the interview database can be digitized and totalized for each answer group, the patient constitution value can be automatically obtained. Moreover, the patient's constitutional value is compared with the basic constitutional value of the pre-divided basic constitution database, and the basal constitutional value closest to the patient's constitutional value is automatically detected and displayed. This leads to effective and effective support of a physician for symptom analysis, helps efficient diagnosis, and leads to effective treatment.

Since the tongue examination inquiry training education support apparatus according to the present invention is configured as described above, the following effects can be obtained. Since the tongue examination system and the inquiry system can be used in combination, a more effective and effective "test" can be determined as compared to a case where both systems are used alone. Moreover, since the structure is simple and the handling operation is extremely easy, it is most suitable for medical education and for doctors.

[Brief description of the drawings]

FIG. 1 is a schematic flowchart showing a tongue examination system according to the present invention.

FIG. 2 is a schematic flowchart showing an inquiry system according to the present invention.

FIG. 3 is a schematic structural diagram of a tongue examination inquiry education support apparatus according to the present invention.

FIG. 4 is a perspective view of a tongue examination medical inquiry education support device.

FIGS. 5A and 5B are schematic diagrams showing external storage means of the tongue examination system and the inquiry system.

[Explanation of symbols]

REFERENCE SIGNS LIST 1 Basic tongue database 2 Patient comprehensive data 3 Interview database 4 Basic constitution database 5 Kampo prescription data 6 Comparison and detection unit 7 Internal storage unit, 17 External storage unit 8 Digitizing unit 9 Tabulation unit 10 Personal computer 11 Monitor 12 Keyboard 13 Touch panel 14 Digital camera 15 Imaging jig 20 Medical chart D (D1 to Dn) Question E Answer group, a (a1 to an) Heat / cold answer group b (b1 to bn) Real / imaginary answer group c (c1 to cn) Dry / wet answer group F Patient constitution value (aggregated value) A Patient heat / cold constitution value, B Patient actual / imaginary constitution value, C Patient dry / wet constitution value J (J1-Jn) Base constitution K Base constitution value, α (α1-αn) Body heat / cold substrate value β (β1-βn) Basic body / imaginary substrate value, γ (γ1-γ
n) Basic body dry / wet substrate value L (L1 to Ln) Chinese medicine prescription G (G1 to Gn) Case g (g1 to gn) Basic tongue image h (h1 to hn) Basic tongue image information Y Patient tongue data, yg patient Tongue image, yh patient tongue image information

Continued on the front page (51) Int.Cl. ⁷ Identification symbol FI Theme coat II (Reference) H04N 7/18 H04N 7/18 V (72) Inventor Keiichi Yamamoto 3-8-7 Izunocho, Kanazawa-shi, Ishikawa (72) Inventor Ryo Shoji 2-3-14 Shimoakae-cho, Toyama City, Toyama Japan F-term in Electronics Service Co., Ltd. (reference) 5C054 AA01 AA05 CA04 CC03 EA01 EA05 EA07 FA00 FE17 GA00 GB02 GB11 GC03 HA12

Claims (4)

[Claims] 1. A basic tongue database (1), a personal computer (10), and a monitor (1) connected to the personal computer (10).
1) and a digital camera (14). The basic tongue database (1) includes a basic tongue image (g) and basic tongue image information (h) classified according to the case (G). ) Captures the patient tongue image (yg) and the patient tongue image information (yh) via the digital camera (14), compares the basic tongue image information (h) and the patient tongue image information (yh), and Basic tongue image information (h) approximating image information (yh) is detected, and a basic tongue image (g) corresponding to the detected basic tongue image information (h) and a patient tongue image (yg) are monitored (11). A tongue examination system characterized by simultaneously displaying the tongue. 2. Basic tongue image information (h) and patient tongue image information (y)
h) includes at least two or more of tongue coating, tongue color, tongue muscle, tongue shape, tongue thickness, mucous membrane, saliva, etc., and a plurality of basic tongue images (g) on the monitor (11). 2. The tongue examination system according to claim 1, further comprising: 3. An inquiry database (3) including a medical inquiry database (3), a basic constitution database (4), a personal computer (10), a monitor (11) connected to the personal computer (10), and a touch panel (13). ) Indicates the question (D), the answer group (E) for the question (D),
An answer group (E) is provided with a quantification unit (8), and the basic constitution database (4) is provided with a basic constitution (J) and a basic constitution value (K) for the basic constitution (J). E) and the basal constitution value (K) are divided so that the patient constitution (J) can be grasped, and the touch panel (13) displays the question (D) and the answer group (E) at the same time, and the personal computer ( 10) digitizes the answer group (E) selected and operated by the patient, tabulates the answer group (E), calculates the patient constitution value (F), and calculates the patient constitution value (F) and the basal constitution value (K). ) Is compared with the patient's constitutional value (F), and the basal constitutional value (K) is detected, and the basal constitutional (J) and the patient's constitutional value (F) corresponding to the detected basal constitutional value (K) are detected. Is displayed on a monitor (11). 4. A personal computer (10) connects a monitor (11) and a keyboard (12), and connects a touch panel (13) and at least one of a digital camera (14). A tongue examination system according to the present invention, which can be accessed at the time of connection of the tongue examination, and can be accessed at the time of connection of the touch panel (13).