• 대한한의진단학회지
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• 제17권3호
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• pp.225-232
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• 2013

Objectives The aim of this study is to design a part in contact with the face of computerized tongue diagnosis system (CTDS), so that external light is effectively shielded even if the facial appearance and degree of protrusion differ when a patient opens or closes his/her jaws. Methods Each of the 4 researchers manually produced clay models of the part in contact with the face of CTDS. Shielding and contact feeling of the clay models were evaluated by 20 assessors. Based on the evaluation, we selected the appropriate model and produced the final silicon model. Then we evaluated the performance of the shielding of the completed silicon model. We took tongue pictures of 60 participants with a CTDS applying the silicon model in condition with external light and without it. The color values in RGB color model and gray scale of the tongue pictures in condition with external light were compared with those without external light. Results There was no significant difference between the color values of the picture taken in condition with external light and those without external light. Conclusions We concluded that the produced part in contact with the face of CTDS can effectively block out the external light.

• Journal of Oral Medicine and Pain
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• 제45권4호
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• pp.120-123
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• 2020

The causes of tongue pain and discomfort include systemic disease, malnutrition, mental illness, fungal infection, and neuropathy. Three postmenopausal women reported burning sensations and stiffness of the tongue for various periods, from one month to four years. There were no objective etiological factors to cause the tongue pain and discomfort. Muscular tenderness upon palpation of masticatory muscles, sternocleidomastoid, trapezius, and tongue were observed. Physical therapy approaches such as moist hot pack, ultrasound, and myomonitor were performed on three patients with tongue pain, just as for temporomandibular joint disease. Additional botulinum toxin injection therapy was applied to one patient who displayed a clenching habit. All three patients showed a marked improvement in their tongue symptoms after the muscle relaxation and botulinum toxin injection therapy.

• 대한한의진단학회지
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• 제16권3호
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• pp.41-48
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• 2012

Objectives: The aims of this study are to design a optimized mechanical structure of digital tongue imaging system (DTIS) equipped with LEDs in aspects of object distance and camera angle of coverage. Methods and Results: We tried to find optimized object distance while recording a rectangular object of common tongue size. In case object distance is 22 cm or less, edge of the rectangle was not taken beyond the shooting range. In contrast, if object distance is 40 cm or more, the rectangle image was too small. Therefore when considering the variation of subjects, we selected distance of 35-40 cm as appropriate object distance for the DTIS. We also tried to find optimized angle between camera view axis and horizontal line. We photographed from the side of the face of 7 adults with exposed tongue. We drew an exposed tongue lines to connect the tongue tip points and the tongue root points by using the photos acquired from the side faces. And then we calculated the tongue exposure angles between the vertical line and the exposed tongue lines. Mean tongue exposure angle was $28.3^{\circ}$ when tongue was lightly exposed and $13.3^{\circ}$ when maximally. So we determined $73^{\circ}$ as appropriate slope angle of part in contact with face of the DTIS and by considering that the standard variation was great, we designed control gears to adjust the slope of the camera view axis and to regulate the object distance. Conclusions: We designed a optimized mechanical structure in object distance and slope angle of part in contact with face of the DTIS.

• 한국컴퓨터정보학회논문지
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• 제18권4호
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• pp.45-55
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• 2013

본 논문에서는 설진을 위하여 얼굴 영상으로부터 혀 영역을 추출하고, 혀 영역을 6개 세부 영역으로 분할한 다음 영역별 설태 비율을 검출하는 방법을 제안한다. 얼굴 영상으로부터 혀 영역을 추출하기 위해 능동적 형태 모델방법의 하나인 ASM을 이용하였다. 검출된 혀 영역을 한의학에서 사용하는 일반적인 6개 영역으로 분할하였고, 분할된 영역 내에서의 설태 분포 정도를 SVM을 이용하여 검출하였다. SVM 분류 시 특징 벡터로는 RGB, HSV, Lab, Luv로 구성된 12차원의 벡터로부터 주성분 분석을 통하여 구해진 3차원의 벡터를 사용하였다. 실험 결과 ASM을 사용하여 혀 영역을 안정적으로 검출할 수 있었고 주성분 분석과 SVM을 활용함으로써 설태 검출율이 높아짐을 알 수 있었다.

• 동의생리병리학회지
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• 제22권1호
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• pp.262-266
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• 2008

We plan to make the standardization of the pattern identifications for stroke and differentiate them by tongue diagnosis. We make a case report form which has questionnaires for tongue diagnosis in stroke patients. And we collected cases from the multi center network which consists of twelve university hospitals and one local hospital. The cases confirmed by diagnosis of medical specialists and residents are 321 cases. They are divided into Qi Defficiency 30.84%, Dampness& Phlegm 25.55%, Fire & Heat 22.43%, Eum Defficiency 18.69% and Blood Stasis 2.49%. We analyzed the markers which classified into the color of tongue body, the color of fur, the quality of fur, the dryness of tongue, the shape of tongue. To make a stroke pattern identification standard, we must try variable ways.

• 동의생리병리학회지
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• 제33권6호
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• pp.322-333
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• 2019

The purpose of this thesis is to show the historical context of tongue-viscera correspondence scheme based on as wide investigation as possible. For this purpose, we collected and investigated 35 books related to tongue diagnosis. As a result, we faound the following: There were some tentative trials to associate viscera or viscera meridians with tongue areas since shown in the Effective formulae of inherited medical works (世醫得效方, 1337). The main stream of tongue-viscera correspondence scheme was the form in which the apex, the center, and the root of tongue are associated with Heart, Spleen (and Stomach), and Kidney. On the viscera correspondence to the sides of tongue, there had been two streams. The first one is originated from the Upper-most Book on Shanghan (傷寒第一書, 1780), in which the sides of tongue are assumed to be associated with Liver and Gall-bladder. The second one is originated from the Ikeda Family's Chant on the Tongue (池田家舌函口訣, 1807), in which the left side and the right side of tongue are assumed to be associated with Liver and Lung separately. The former type have been accepted as the standard form in modern traditional Asian medicine education. In addition to the above types, three other correspondence schemes were also existed, but have disappeared now. These days, some new correspondence schemes are being suggested based on new approaches.

• 한국인터넷방송통신학회논문지
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• 제12권4호
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• pp.181-188
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• 2012

본 논문에서는 한방 의료의 설진에서 진단 지표로 활용될 수 있는 효과적인 설태 영역 추출 방법을 제안한다. 제안한 방법은 설태의 자외선 광원에 의한 형광 반응 특성을 이용하여 기존의 설태 추출 방법의 단점으로 지적되었던 진료 환경의 제약성 및 진료 결과의 객관성 부족에 대한 문제점을 해결할 수 있다. 처리 과정으로는 자외선 광원을 사용하여 설진 영상을 획득하고, 설질(Tongue body)과 설태(Tongue coating) 영역의 색차 크기에 상응하는 히스토그램(Histogram) 상의 골-포인트(Valley-points)를 임계 처리하여 이진화(Binarization)를 수행한다. 최종적으로 설진을 위하여 한의사에게 제공되는 진단 영상은 이진 영상에 케니-에지(Canny-Edge) 알고리즘을 사용하여 설태 윤곽 정보를 추출한 후에 환자의 원 혀 영상에 부과하여 제시한다. 제안한 방법의 성능 평가를 위해서는 다양한 혀 영상을 수집하고, 한의사가 수작업으로 설정한 설태 영역을 참영상(True image)으로 하여 제안한 방법으로 추출한 설태 영역과 비교하였다. 그 결과 제안한 방법은 87.87%의 추출률을 나타냈으며, 추출된 설태 영역의 형태 유사도도 높게 나타났다.

• Advances in Traditional Medicine
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• 제6권2호
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• pp.112-120
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• 2006

The purpose of this study was to analyze whether quantitative evaluation of the color of the tongue substance using $L^*a^*b^*$ color coordinates system could minimize the problems arising from the different illuminating conditions or not. In controlled 4 different illuminating conditions (by natural light, flashlight, f-number, shutter speed),12 healthy subjects were photographed of their tongue substance through a digital camera (C-2100uz, Olympus Co.), both on the top surface and on the bottom surface of the tongue substance by two examiners, twice at 3 day intervals. Clinician evaluation was also performed grading the redness of the tongue substance in the form of 5-points scale by 6 clinicians. As a result, there was no significant difference in color differences between the color of the tongue substance and the reference red card in the 4 different illuminating conditions. Intra-rater reliability was satisfied and even though limitedly, inter-rater reliability was satisfied. Color differences were significantly correlated with the results by the clinicians, although they were applicable limitedly to specific illuminating conditions. Our results indicate that the application of the color differences in tongue diagnosis could not only evaluate the color information quantitatively, but also minimize the problems arising from the different illuminating conditions and that there was the significant difference in the visual evaluation of the red color of the tongue substance, both between the clinicians and between the illuminating conditions.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제13권2호
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• pp.945-961
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• 2019

Tongue diagnosis is one of the most important diagnostic methods in Traditional Chinese Medicine (TCM). Tongue image segmentation aims to extract the image object (i.e., tongue body), which plays a key role in the process of manufacturing an automated tongue diagnosis system. It is still challenging, because there exists the personal diversity in tongue appearances such as size, shape, and color. This paper proposes an innovative segmentation method that uses image thresholding, gray projection and active contour model (ACM). Specifically, an initial object region is first extracted by performing image thresholding in HSI (i.e., Hue Saturation Intensity) color space, and subsequent morphological operations. Then, a gray projection technique is used to determine the upper bound of the tongue body root for refining the initial object region. Finally, the contour of the refined object region is smoothed by ACM. Experimental results on a dataset composed of 100 color tongue images showed that the proposed method obtained more accurate segmentation results than other available state-of-the-art methods.

• 한국인터넷방송통신학회논문지
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• 제11권2호
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• pp.213-218
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• 2011

본 논문에서는 퍼지 규칙을 이용한 설진 진단 시스템을 개발하였다. 건강한 사람의 혀가 붉은 색이고 설태가 적다. 그러나 질병에 걸리면, 혀 색깔은 붉은색에서 흰색이나 파란색 혹은 검정색으로 변하게 된다. 그러므로 혀의 색깔 및 설태를 분석하면 환자의 건강상태를 분석할 수 있다. 의료 진단 시스템은 자동으로 자신을 환자의 질병의 증상을 표시할 수 있으며 환자의 신체적 조건, 질병 조건, 연령 조건에 기초하여 최적의 침술 시간을 계산을 산출할 수 있다. 컴퓨터 시뮬레이션 결과, 개발된 의료 진단 시스템을 사용하여 관리 전자 침술보다 기존의 방법보다 더 효과적인 것으로 입증되었다.