中医面色判读标准探源及其现代化趋势展望

Origin and Prospect of Modernization Trend of TCM Facial Color Interpretation Standard

准确判读常色、病色是面色诊断技术研究的前提,但由于临床面色变化多样,医者对“五色”理解和判读方法存在差异,面色总体判读一致性不高。人工智能背景下中医诊疗技术应用对面色判断准确性提出更高要求。本文阐释《素问·五藏生成篇》中“外荣之色”“见生之色”“见死之色”间的内在逻辑,探源中医面色判读标准,模拟“五色”视觉特点,初步设计面色判读标准流程,讨论面色理论的时代局限性,提出建立符合现代临床诊疗需要的面色判读专家共识或指南是面色诊断技术临床应用的必由之路。

Interpreting normal or diseased facial color accurately is the prerequisite for the study of facial color diagnosis technology.However,due to the variety of facial color in clinical practice and physicians may have different understanding as well as interpretation methods of the“five colors”,the total rate of facial color interpretation consistency is lower than expected.The application of TCM diagnosis and treatment technology under the background of artificial intelligence puts forward higher requirements for the accuracy of facial color interpretation.This article elucidated the internal logical relationship of“the color of normal status”,“the color of life”and“the color of death”in Su Wen·Wu Zang Sheng Cheng Pian,explored the facial color interpretation standards,simulated the visual characteristics of“five colors”and designed the standard process of facial color interpretation.Then,the article discussed the limitations of the facial color theory in TCM,and put forward the point of view that the only way for clinical application of facial color diagnosis technology is to establish the expert consensus or guidelines that meet the needs of modern clinical diagnosis and treatment.