The invention relates to a doctor-patient remote alternation platform and a remote alternation method, comprising: a computer system at a server end, a microcomputer device at a medical referral centre institution end, a microcomputer device at a medical referral application end, a microcomputer device at a medical expert end, which are in a wide area network and realize network connection, thereby realizing facial transmission in a broadcasting mode, medical image of real-time transmission, remote control automatic microscope platform, and alternation speech communication is present on the basis of sharing real-time medical image. Three perfect remote medical solution with different applications are realized, including a pathology remote consultation solution, a pathology remote medical education solutionand a pathology remote medical communication solution.