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Updated: May 10, 2026

Objectification of Tongue Diagnosis in Traditional Medicine, Data Analysis, and Study Application
Published on: April 14, 2023
Tongue color analysis for medical application
Bob Zhang1, Xingzheng Wang, Jane You
1Department of Electrical & Computer Engineering, Carnegie Mellon University, Pittsburgh, PA 15213, USA ; Biometrics Research Center, Department of Computing, The Hong Kong Polytechnic University, Hong Kong.
This study introduces a systematic tongue color analysis system for medical diagnosis. The system accurately classifies tongue images, demonstrating a link between human body state and tongue color.
Area of Science:
- Medical Informatics
- Computer Vision
- Diagnostic Systems
Background:
- Tongue color analysis is a traditional diagnostic method.
- Objective and systematic tongue color assessment is lacking.
- Digital image processing offers potential for standardized analysis.
Purpose of the Study:
- To develop and validate a systematic tongue color analysis system for medical applications.
- To establish a quantitative relationship between tongue color features and health status.
- To explore the potential of tongue color analysis for disease classification.
Main Methods:
- Development of a tongue color analysis system using a defined color gamut.
- Extraction of tongue foreground pixels and assignment to 12 representative colors.
- Calculation of color ratios to form a tongue color feature vector for classification.
Main Results:
- Achieved an average classification accuracy of 91.99% for distinguishing healthy from diseased tongue samples.
- Successfully clustered disease samples into three groups, enabling differentiation of multiple illnesses within clusters.
- Attained classification rates greater than 70% for 11 specific illnesses, highlighting diagnostic potential.
Conclusions:
- The proposed tongue color analysis system provides a systematic and accurate method for medical diagnosis.
- Tongue color features are demonstrably linked to the physiological state of the human body.
- This approach shows promise for non-invasive disease detection and classification.
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