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Hmm ...so this is somehow a useless tag, isn't it ? I mean, since this imageboard is basically about japan-related culture (and maybe more specifically, manga / anime stuff) ?
Uhh. That's exactly like saying that tagging a picture of Ayanami Rei with "neon_genesis_evangelion" is useless, since this imageboard is basically about japan-related culture.
As one that has been checking the results of searching the Touhou tag daily, I'd say it's quite accurate. I have half that much on my computer, I just stopped saving them since I can always come back here later to find a certain pic.
There was a time when you could click the "posts" link at top and not be able to find any single page without a touhou-related pic.