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Tongue Diagnosis
Tongue Diagnosis NESA
Question | Answer |
---|---|
Thin | Fluid/Yin/Blood Deficiency |
Normal | Slightly moist, thin white coat, pale red body, supple, no cracks, average length/wide |
Swollen (whole body) | SP & KD Yang deficiency |
Swollen (sides) | SP Qi deficiency or LV Qi stasis |
Swollen (tip) | HT Qi deficiency |
Stiff | Internal wind or extreme heat (injuring fluids) or blazing HT fire |
Flaccid/flabby | Extreme Qi deficiency |
Flaccid & pale | Extreme Qi & blood deficiency |
Scalloped | SP Qi deficiency |
Deviated | Wind invasion or internal wind |
Quivering | Wind |
Quivering & pale | SP Qi deficiency |
Quivering & red | Heat |
Long | HT pathology tendency |
Contracted | Fluid deficiency or LV wind |
Contracted & red | Deficiency due to heat |
Contracted & pale | Yang deficiency |
Body color indicates | Heat or cold, blood or qi stasis, conditions of organs, blood, qi & essence |
Pale | Blood or Qi Deficiency, cold |
Pale, wet & swollen | Yang deficiency |
Red with coat | Excess heat or OPI |
Red without coat | Yin deficiency |
Purple | Cold or blood stasis |
Coat indicates | Condition of Ying qi, blood, heat or cold, dampness, progression of OPI |
Pale sides | LV/GB blood or qi deficiency |
Red sides | LV/GB heat |
Red tip | HT heat |
Thick coat | Excess with strong pathogen, pathogen going deeper or damp accumulations |
Thin coat | Deficiency with weak pathogen, deficient body or ST qi, weak digestion |
No coat | Exhaustion of ST Yin with fluid & Yin damage |
Red, no coat | Empty heat & Yin deficiency |
No root | Weak Qi especially of ST & KD |
Wet | Fluid accumulation due to excess dampness, Yang deficiency or wind-cold invasion |
Dry | Fluid damage due to heat or dehydration |
Greasy, sticky | Phlegm, turbidity or food stagnation |
Thick white coat | Cold, wind-cold or LU/LI pathology |
Yellow coat | Heat |
Black coat | Severe deficiency with heat or turbidity |
Pale, black coat | KD deficiency |
Yellow, black coat | Damp-heat turbidity |
Prickles | Heat, can indicate YangMing stage of invasion |
Thorns | Extreme heat |
Canker sores | Heat in HT or ST |
Cracks indicate | Deficiency in particular organ area of tongue |
Center crack | SP Qi deficiency |
Transverse cracks on sides | SP/ST Qi deficiency |
Transverse cracks | Yin deficiency |
Scattered cracks | ST Yin deficiency |
Cracks near tip | HT Yin deficiency |
Transverse cracks along central crack | KD Yin deficiency |
Swollen, purple sublingual veins | Blood stagnation |
Puffy, swollen | Qi deficiency |
Big, deep crack | Yin, blood & fluid deficiency |