• 한국한의학연구원논문집
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• 제14권3호
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• pp.97-102
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• 2008

The tongue diagnosis is a diagnostic method in the oriental medicine that uses shape, substance, coating, and movement of the tongue to determine the condition of health and disease characteristics in human. Since this information, however, could be affected by subjective sense and visual information, it is difficult to obtain the objective and reproducible results. This research aims at building a reproducible tongue diagnosis system using color chart that is attached close to the face contact region. The picture of color chart is taken simultaneously with a tongue and applied to color revision. The system, in addition, is focused on providing a clear tongue image through securing a sufficient photographing distance with a surface coating mirror. The lightning part which can suppress the reflection by sputum in maximum is implemented for the objectification and quantification of the tongue diagnosis system. The face contact region is designed for consideration of a testee's convenience. To evaluate the reproducibility of the system, the CVs (coefficient of variance, %) of $L{\ast}$, $a{\ast}$ and $b{\ast}$ of red, green and blue regions in color chart are calculated, respectively. The results of all CVs shows that the tongue diagnosis system is re liable and those consequences contribute to the objectification and quantification of the tongue diagnosis system.

• 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.

• 대한한방소아과학회지
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• 제15권2호
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• pp.101-109
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• 2001

A clinical observation by the tongue change as a diagnostic method was made on 36 week children visited to Dongeui Oriental Medical Hospital from August. 2001 to December 2001 and the observed results were summarized as follows. 1. Their symptoms have been observed with sequences of Resparatory diseases, Digestive, Neuromotor, Psycho-neurological, Urogenital diseases 2. Distribution of sex : male 22 cases, female 14 cases 3. Distribution of age : 0-6 years 24 cases, 7-18 years 12 cases 4. The texture of tongue was resulted in tongue color in pink-28 cases, red-8 case, and shape in thin-18 cases, swelling-6 cases, a fissured patten-5 cases, a prickly patten-4 cases, and a map patten-3 cases, and fur of the tongue in thin-26 cases, moisten-8 cases, deep-2 cases, and coating color of the tongue in thin and whitish-15 cases, thin and yellowish-9 cases, lack-8 cases, deep and whitish-4 cases. 5. The texture of tongue in connection with weak children was come out mostly normal state and the rest red color, a fissured patten, a prickly patten, deep coating, thin and yellowish etc appeared to cause of slight damage due to exogenous pathogenic fators and due to internal injury.

• 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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• 제30권5호
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• pp.320-326
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• 2016

Tongue diagnosis is convenient and non-invasive method to examine the body's functional condition, and it has been frequently used in traditional Korean Medicine (KM). The aim of this study was to investigate the difference of the tongue color assessed by computerized tongue image analysis system (CTIS) between the common cold (CC) patients and healthy subjects. A total of 85 participants, including 45 CC patients without organic diseases and 40 healthy subjects, were asked to complete the CC symptom questionnaire. A tongue image was acquired by using CTIS. Color differences in Commission Internationale de l'Eclairage (CIE) L*, a* and b* between the CC patient group and the control group were analyzes by using paired t-test analysis. The variable CIE b* of the tongue body was significantly lower in CC than that in controls (P=0.019). The variable CIE L* of the tongue coating was significantly higher in CC than that in controls (P=0.032). In CC, the color of the tongue body seems to be changed to intense red color. The color of the tongue coating seems to be changed to thick fur. The present study demonstrated that the CTIS can be used as a diagnostic and monitoring tool for the objective and standardized evaluation of common cold in clinics.

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

• 동의생리병리학회지
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• 제19권5호
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• pp.1437-1442
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• 2005

Tongue Diagnosis is the important traditional oriental medical diagnosis method that observes not only the general physiological state but also some kinds of disease. However, manual tongue diagnosis is much influenced by surrounding illumination. Therefore, Digital Tongue Inspection System(DigiTis) is needed for the quantification of objective tongue information, In this research, Tongue images of 98 malignant Neoplasm patients and 34 normal persons were collected by Digital Tongue Inspection System. Statistical analysis of tongue images and patient data indicates that cancer group has more blue-purple components in tongue body(舌質) and yellow components in tongue coating than normal group. Also, there are a lot of rose-pink components in the cancer group of second stage and blue-purple components in the cancer group of third or fourth stage. Our study shows that tongue image is a useful index for distinction between disease and health. Furthermore we need more extended research through the additional sampling and various disease.

• 대한한의진단학회지
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• 제13권2호
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• pp.24-33
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• 2009

Objectives : This study was aimed to clarify the relationship between the tongue diagnosis of dampness-phlegm and hyperlipidemia in acute stroke patients. Methods : We analyzed the data of 1405 patients with acute stroke in 10 oriental medical hospitals from November 2006 to December 2008. We classified patients into two groups, dampness-phlegm and non dampness-phlegm by tongue diagnosis such as the white coating of the tongue, thick coating of the tongue, swollen tongue and teeth printed tongue which is oriental medical diagnosis. And We analyzed their characteristics with type of stroke and lipid blood level. Results : 1. There was no significant difference of stroke type between the dampness-phlegm tongue diagnosis group and the non dampness-phlegm tongue diagnosis group. 2. The ratio of SVO was higher in dampness-phlegm tongue diagnosis group (76.06%) than the non dampness-phlegm tongue diagnosis group (61.26%). 3. According to the blood test, the dampness-phlegm tongue diagnosis group showed higher in total cholesterol, HDL cholesterol, LDL cholesterol and triglyceride than the control group. 4. Total cholesterol and HDL cholesterol were significant higher in dampness-phlegm tongue diagnosis than the control group. Conclusion : According to the analysis, the relationship between the tongue diagnosis of dampness-phlegm and hyperlipidemia in acute stroke patients were more clarified. Based on these results, more prospective studies are to be done with more clinical data.

• 대한한방소아과학회지
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• 제16권2호
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• pp.23-37
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• 2002

We have plenty of study of adults diseases, but not much has been said about children. 79 children who had visited in the weak children of Dongeui Oriental Medical Hospital from March, 2002 to October, 2002, were the respondents of the Weak Child Questionnaire. The results obtained were as follows: 1. Their symptoms have been observed with sequences of respiratory diseases, Digestive diseases, Psycho-neurological diseases. 2. Distribution of sex and ages : male 38 cases, female 41 cases. $0{\sim}6$ years 60 cases, $7{\sim}12$ years 17 cases, $13{\sim}18$ years 2 cases. 3. The texture of complexion was resulted in face color and the region of the face : whitish-2/ cases. yellowish-27 cases, darkish-22 cases, blue-2 cases, flushed face-l case. Sangeun(山根)-blue : 59 cases, a lower eyelid- dark or light brown : 54 cases. the rests of color on face region didn't mean. 4. The texture of tongue was ended in tongue state : tongue form-not plump not haggard patten(57 cases), a pricky patten(12), a map patten(7), a fissured patten(3). tongue color- pink (57 cases), red(16), light white(6). coating color- thin white(61 cases), thin yellow(l0), lack(6), deep and white(2). tongue coating substance-thin(72 cases), moisten(5), dry(1), deep(1).

• Journal of Oral Medicine and Pain
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• 제39권1호
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• pp.15-21
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• 2014

Purpose: The purpose of this study was to investigate the relationship between personality type and oral hygiene controllability. Methods: Four hundred eighty-two college students in Gyeonggi-do completed the Myers-Briggs type indicator (MBTI) and a questionnaire and collected data were analyzed by SAS 9.2 program. Results: Compared to extroverted subjects, a significantly increased percentage of introverted subjects demonstrated oral malodor and stress (p<0.05). Tongue coating and stress seemed to occur the most frequently in intuition-feeling (NF) type, while oral malodor seemed to occur the most frequently in sensation-feeling (SF) type among four fuctional types. Tongue coating and stress seemed to occur the most frequently in NF type, while oral malodor seemed to occur the most frequently in sensation-perceiving (SP) type among four temperaments. Significantly increased mean scales of tongue scraping index and oral hygiene controllability index were found for extroverts (p<0.05). Mean scales of tooth brushing index and oral hygiene controllability index appeared to be the highest in NF type among four fuctional types. Mean scales of tongue scraping index and oral hygiene controllability index appeared to be the highest in sensation-judging (SJ) type among four temperaments. Conclusions: Oral hygiene controllability was associated with personality type and it is necessary to develop oral health education program considering personality type.