• 대한한의학회지
• /
• 제20권2호
• /
• pp.187-197
• /
• 1999

To assess the usefulness of tongue inspection for evaluating the Pattern identification in oriental medicine, we observed stroke patient's tongue and tongue coat and compared it with Pattern identification. The test group was composed of 85 acute stroke stage patients(within 72 hours of onset). Subjects were randomly selected from stroke patients admitted in the KyungHee University, Hospital of Oriental Medicine from December 1 1998 to June 30 1999. We took pictures of patient's tongue and tongue coat within 72hours from onset and checked Pattern identification at the same time. Tongues colored pale rose or red greatly outnumbered other colors. Tongue shape tended to be prickly or fissured, and tongue condition tended to be unflexible or deviated. Regarding tongue coat color, there were great amounts of yellow or clark yellow tongue coats, which were moist, thick or greasy in substance. The red tongue was significantly related to Fire-heat and deficiency of Yin syndrome, while faint white tongue to Damp syndrome(P=0.006). In terms of tongue coat, thin coat was related to Wind and Fire-heat syndromes, thick coat to Damp and Blood stasis syndrome, respectively (P=0.002). In conclusion, we thought that tongue inspection could be a useful Oriental medicine diagnosis in stroke.

• 전자공학회논문지
• /
• 제51권11호
• /
• pp.221-228
• /
• 2014

혀의 색상 및 형태는 신체의 생리적이고 임상 병리적인 상태를 반영한다. 최근에는 정량적이고 객관화된 설 진단을 위해 다양한 설 영상 측정 장치가 개발되고 있다. 설 진단의 대부분은 혀의 색상 정보를 활용하기 때문에 설 영상 획득 장치에서 조명환경의 성능은 매우 중요하다. 본 연구에서는 좁은 시스템 내부 구조에서 설 표면에 조명이 고르게 비춰질 수 있도록 간접조명을 고안하였고, 그 성능을 평가하였다. 간접 조명환경 구현을 위해 타원체 형태의 반사 구조를 시스템 내부에 위치시키고, 타원체 내부에 높은 조도의 LED 두 개를 통해 정면 카메라 아래 방향으로 빛을 조사하도록 배치시켰다. 혀 위치 영역에는 반사 구조에 의해 반사된 빛만이 조사될 수 있도록 하였다. 조명의 균질도는 5개 영역에서 밝기를 측정하여 변동계수로 평가하였고, 직접조명과 확산판조명에서 각각 0.16, 0.13으로 나타난 반면 간접조명에서는 0.01미만으로 나타났다. 혀 모형을 통해 조명에 의한 빛 반사 영역의 비율을 계산한 결과는 직접조명, 확산판조명, 간접조명에서 각각 5.76%, 4.22%, 1.79%로 나타났다. 혀 모형을 측정한 영상에서 6영역의 변동계수를 계산해 색상 균질도를 평가한 결과는 간접조명에서 0.06 미만으로 가장 우수한 것으로 나타났다. 본 논문에서 구현한 조명방식을 설진 시스템에 적용하여 진단 지표 측정의 재현성 및 반복성이 향상될 것으로 기대된다.

• 대한암한의학회지
• /
• 제27권1호
• /
• pp.13-23
• /
• 2022

Objective: The purpose of this review is to analyze the clinical studies on tongue diagnosis in cancer patients. Methods: Domestic and foreign databases were used, such as Pubmed, google scholar, Wanfang med online, Scopus, and OASIS. Searching keywords were tongue diagnosis, tongue color, tongue fur, tongue inspection, cancer, tumor, neoplasm, carcinoma, etc. Studies on tongue diagnosis in cancer patients were included. The published year was limited from 2000 to June 2022. Results: Thirteen studies were enrolled. All selected studies were cross-sectional studies. Cancer patients tend to have a dark and blue-purple tongue, thick fur, yellow fur, fissure tongue, and red dots on the tongue compared with non-cancer patients. With the aggravation of cancer, the rate of patients having dark or blue, or purple tongues increased, and the patients' sublingual veins became wide and tortuous. Conclusion: This study suggests that cancer patients tend to have distinct features of tongue diagnosis. Further researches are warranted.

• 한국정보통신학회논문지
• /
• 제20권4호
• /
• pp.826-832
• /
• 2016

본 논문에서는 고가의 디지털 설진 장비와 특별한 장치 없이 누구나 손쉽게 사용할 수 있는 디지털 설진 시스템의 첫 단계로 미각 영역별 균열 유무를 판별하는 시스템을 제안한다. 훈련 DB는 한방 병원에서 수집한 사진 261장을 바탕으로 Haar-like feature, Adaboost 학습을 하였다. 학습된 결과를 통하여 입력영상으로부터 혀 후보영역을 검출하고, 검출된 혀 후보영역으로부터 혀 영역만을 분리하기 위하여 261장의 훈련 DB의 HSV 컬러모델의 Hue 성분 평균 값을 산출하였다. 검출된 혀 윤곽으로부터 Connected Component Labeling을 통하여 혀 영역을 분리 하였다. 분리된 혀 영역의 상대적 너비와 높이를 이용하여 미각 영역별 로 분할하였다. 분할된 미각 영역별 영상은 Gray영상으로 변환하고, 각각의 영역별 평균 밝기를 산출하여 이진화하였다. 이진화 영상에 Connected Component Labeling을 통하여 균열 유무를 판별하였다.

• 대한한의학회지
• /
• 제27권3호
• /
• pp.201-211
• /
• 2006

Background: Although several efforts have been made recently to grade the severity of sublingual veins, these methods still meet some problems: clinicians' subjectivity and diversity of lighting conditions. Objectives: The purpose of our study was to quantify the severity of sublingual veins using CDs (color differences), and to verify clinical validity of the parameters of sublingual veins using CDs. Methods: We photographed the inferior surface of subjects' tongue from 74 subjects. CDs were computed through two sets of mean $L^*a^*b^*$ values extracted from BRC (black reference color) and the inferior surface of the tongue. We assumed that SVI (sublingual veins index) normalized percentage of a reciprocal of CDs between BRC and the inferior surface of the tongue including sublingual veins and BISV (black index of sublingual veins) percentage of a reciprocal of CDs between BRC and the main trunk of sublingual veins could be applied as quantitative parameters of sublingual veins and examined whether there are meaningful correlations between CDs and subjective grading by the clinicians or not. Results: There were high positive correlations of SVI and BISV to clinician evaluation respectively (r=0.715, 0.634). We computed a multiple regression equation which includes SVI and BISV as independent factors $(r^2=0.60);\;Y=0.711+0.046X_1+0.205X_2$ (Y: the severity of sublingual veins, $X_1:\;SVI,\;X_2:\;BISV$). Conclusions: We conclude that the severity of sublingual veins can be quantified through SVI and BISV, minimizing the clinicians' subjectivity and the diversity of lighting conditions.

• 대한한의학원전학회지
• /
• 제19권3호
• /
• pp.427-431
• /
• 2006

From 51 monographs of case record in Qing Dynasty, we chose 29 monographs in which tongue diagnosis applied to Warm disease. Then extracted all the case records and got 488 cases from them. In according to the classification of tongue diagnosis in teaching material of TCM diagnosis of higher TCM schools education, we had a statistic analysis on the 488 cases. Results show that the recording rate of tongue coating was highest, 65.16%. From high to low sequentially, the frequency of different fur was yellow fur, white fur and black fur. During $1850{\sim}1911$ of Qing Dynasty, the description of tongue coating changed that the proportion of white fur, yellow fur and compound fur was increased. On the contrary, the proportion of black fur was decreased. The recording rate of the color of tongue was 23.16%, in which the rate of red tongue and crimson tongue were higher. The recording rate of fur character was 37.7%. During $1850{\sim}1911$ of Qing Dynasty, the recording rate of greasy fur was increased to the first. The application of tongue diagnosis involves the warm-heat species of Warm Disease, damp-heat species of Warm Disease and pestilence.

• Imaging Science in Dentistry
• /
• 제48권1호
• /
• pp.45-49
• /
• 2018

Purpose: The aim of this study was to evaluate the quantitative strain elastography of tongue carcinoma using intraoral ultrasonography. Materials and Methods: Two patients with squamous cell carcinoma (SCC) who underwent quantitative strain elastography for the diagnosis of tongue lesions using intraoral ultrasonography were included in this prospective study. Strain elastography was performed using a linear 14 MHz transducer (Aplio 300; Canon Medical Systems, Otawara, Japan). Manual light compression and decompression of the tongue by the transducer was performed to achieve optimal and consistent color coding. The variation in tissue strain over time caused by the compression exerted using the probe was displayed as a strain graph. The integrated strain elastography software allowed the operator to place circular regions of interest (ROIs) of various diameters within the elastography window, and automatically displayed quantitative strain (%) for each ROI. Quantitative indices of the strain (%) were measured for normal tissues and lesions in the tongue. Results: The average strain of normal tissue and tongue SCC in a 50-year-old man was 1.468% and 0.000%, respectively. The average strain of normal tissue and tongue SCC in a 59-year-old man was 1.007% and 0.000%, respectively. Conclusion: We investigated the quantitative strain elastography of tongue carcinoma using intraoral ultrasonography. Strain elastography using intraoral ultrasonography is a promising technique for characterizing and differentiating normal tissues and SCC in the tongue.

• 사상체질의학회지
• /
• 제19권3호
• /
• pp.156-175
• /
• 2007

1. Objectives and Methods This study was performed to know the relationship between Sasang Constitution and characteristics of ordinary symptoms, inspection diagnosis of face and tongue. There were 666 participants(280 men and 386 women) who answered Sasang Constitutional Checkup list and were taken pictures of faces and tongues. Sasang Constitution was diagnosed by only PSSC(Phonetic System for Sasang Constitution). Distribution of Sasang Constitution and X2 test, kappa value for agreement were calculated using SPSS 10.0. 2. Results From characteristics of ordinary symptoms' point of view, Taeeumin had loud voices, big body shapes and easily sweated themselves. They felt good after sweating and had warm hands and feet. And their upper back, shoulders and chest were, they thought, well developed. They were apt to have meals quickly and overeat themselves. Soyangin and Soeumin had thin body shapes and were difficult to sweat themselves and felt powerless after sweating. They had cold hands and feet. Especially, Soeumin was apt to have meals slowly and a little amounts. They walked so fast. Soyangin was introvert and had developed their abdomen and waist. 'Looking heavy and steady' was higher in Taeeumin, 'delicate and modest' was higher in Soeumin(42.8%) and Soyangin(36.1 %) in first impression. It was thought to be difficult to discriminate Soyangin from Soeumin in first impression and make a notion of right Soyangin's first impression. Soyangin had pinky tongue color and little tongue fur whereas Soeumin had red tongue color and whitish tongue fur. Taeeumin had whitish tongue fur too. 3. Conclusions To diagnose Sasang Constitution much effectively, PSSC results and comprehensive Sasang Constitutional Checkup list extracted from effective Questionnaire items and Face and Tongue Inspection Diagnosis are thought to be needed.

• 전자공학회논문지
• /
• 제51권6호
• /
• pp.175-182
• /
• 2014

한방에서 설진은 초기 병증을 진단할 수 있는 방법으로 객관적인 진단 지표의 개발은 중요한 연구 분야 가운데 하나이다. 그러나 이전의 대부분의 설진 시스템은 한의사의 간섭을 배제한 자동 진단을 위한 전문가 시스템으로서 진료를 위한 객관화된 진단 지표의 생성에 있어서 어려움이 있었다. 따라서 본 논문에서는 한방 설진에 있어서 한의사의 진료 행위에 의해서 최적화된 설진을 위한 진단 지표를 계산하는 컴퓨터 지원 진단 소프트웨어를 제안한다. 개발한 소프트웨어는 반자동 방식으로 설질 추출을 위해서는 한의사의 매뉴얼 방식을 이용하고, 설태 영역을 자동 분할하여 비설태와 설태의 색상, WTCI 등에 대한 수치적 진단 지표를 한의사에게 실시간으로 제공한다. 또한, 설태 비율을 이용하여 소태, 박태, 후태의 분류 확률 추정 값과 진료 편의를 위한 전자의무기록 차트 기능도 제공한다. 구현된 컴퓨터 지원 진단 소프트웨어의 유효성 평가를 위해서는 60명의 피실험자를 대상으로 혀 영상을 구축하고, 설진 소프트웨어를 실험한 결과 피실험자의 95%가 소프트웨어 사용-유효성을 나타냈다.

• 대한한방종양학회지
• /
• 제9권1호
• /
• pp.89-97
• /
• 2003

Recently, the occurrence and death rates of cancer have increased rapidly. In oriental medicine, the tongue gives some kind of special physiological information on human body. Oriental medical doctors have used information about the color, degree of wetness and shape of the patient's tongue to determine patient's disease and body condition. This fact leads us that the tongue image is one of the most important clinical data for helping doctor's decision making. It also has significant meaning to cancer patients related with traditional theory of oriental medicine. In diagnosis and treatment of cancer, tongue diagnosis can give some prognosis and change o cancer. It also detect the sign of early stage cancer, but it cannot diagnose the kind of cancer and/or benign or malignant. Nowadays BioTechnology(BT) has developed rapidly, but there are a lot of limits(economy, accuracy, clinical significance, etc). Tongue diagnosis is very economic and practical way of diagnose and has a lot of possibility of development. The need for doctors and it also helps the development of tongue diagnosis related with cancer.