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Updated: Mar 30, 2026

Objectification of Tongue Diagnosis in Traditional Medicine, Data Analysis, and Study Application
Published on: April 14, 2023
ROC-Boosting: A Feature Selection Method for Health Identification Using Tongue Image.
Yan Cui1, Shizhong Liao2, Hongwu Wang3
1School of Computer Science and Technology, Tianjin University, 72 Weijin Road, Nankai District, Tianjin 300072, China ; Department of Common Required Courses, Tianjin University of Traditional Chinese Medicine, 312 Anshanxi Road, Nankai District, Tianjin 300193, China.
This study identified key tongue image features for health assessment using a novel boosting method. Selected features from tongue root, top, and side areas support Traditional Chinese Medicine (TCM) diagnosis.
Area of Science:
- Biomedical imaging
- Computational pathology
- Traditional Chinese Medicine (TCM)
Background:
- Tongue diagnosis is a key component of Traditional Chinese Medicine (TCM) for health assessment.
- Objective selection of diagnostic features from tongue images remains a challenge.
- Automated analysis of tongue images can potentially enhance diagnostic accuracy.
Purpose of the Study:
- To identify significant Haar-like features from tongue images for health identification.
- To develop a novel boosting method for feature selection in the ROC space.
- To provide scientific validation for TCM tongue diagnosis.
Main Methods:
- Collected tongue images and health data from 1,322 cases, classified into health, ill (normal tongue), and ill (abnormal tongue) groups.
- Extracted Haar-like features from tongue images.
- Applied a new boosting method in the ROC space for feature selection.
Main Results:
- A total of 27 Haar-like features were initially obtained.
- Seven significant features were selected from the health and ill (normal tongue) groups.
- Twenty-five significant features were selected from the health and ill (abnormal tongue) groups.
Conclusions:
- The selected significant features were primarily located in the root, top, and side regions of the tongue.
- These findings align with traditional tongue partitions used in TCM.
- The study provides scientific evidence supporting the use of TCM tongue diagnosis for health identification.
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