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Tongue - CAM

Tongue Diagnosis from CAM

QuestionAnswer
The deep branch of which meridian goes to the root of the tongue? Heart Meridian of the Hand Shaoyin
Which meridian TRAVERSES the ROOT of the tongue and SPREADS over its LOWER surface? The Spleen Meridian of the Foot Taiyin
Which meridian terminates at the root of the tongue? The Kidney Meridian of Foot Shaoyin
The 4 qualities of a normal tongue are: ● Proper size ● Soft in Quality ● Free in Motion ● Slight red in color with a thin layer of white coating which is neither dry nor over moist.
The tip of the tongue often reveals: The pathological changes of the heart and lung
The border reveals: The pathological changes of the liver and gallbladder
The central part reveals: pathological changes of the spleen and stomach
The root reveals: Pathological changes of the kidney
A pale tongue indicates: ● Syndromes of Deficiency Type ● Insufficiency of Qi and Blood ● Cold syndromes caused by Deficiency of Yang Qi
A red tongue indicates: Various heat syndromes including: ○ interior heat syndromes of excess type ○ interior heat syndromes of deficiency due to yin deficiency
A deep red tongue indicates: Extreme heat conditions: ○ Exogenous febrile diseases: ■ Invasion of the Yin and Xue (blood) systems by pathogenic heat. ○ Endogenous febrile diseases: ■ Indicates yin deficiency leading to hyperactivity of fire.
A blue purple tongue indicates: Stagnation of blood which is related to either cold or heat.
Deep blue purplish tongue, dry and lusterless Blood stag related to heat
Pale purplish and moist tongue Blood stag related to cold
Purplish spots on the tongue surface Stagnation of blood
Swollen tongue description Larger than normal, delicate in quality and pale in color, and with tooth prints on the border
Swollen tongue indicates Yang deficiency of the Spleen and Kidney ○ This condition is due to IMPAIRED CIRCULATION of BODY FLUIDS producing: ■ Harmful water ■ Retained Fluid ■ Phlegm ■ Damp
A swollen tongue that is larger than normal, deep red in color occupying the entire space of the mouth. Excessive heat in the Heart and Spleen
A swollen tongue that is larger than normal, is blue purplish and dark. Toxicosis
Thin tongue description Smaller and thinner than normal
Thin & pale indicates: Deficiency of Qi and Blood
Thin, dry & deep red indicates Hyperactivity of fire due to deficiency of yin in which body fluid is consumed.
Cracked and Deep Red tongue indicates: Excessive heat consuming body fluid
Cracked and pale indicates: Deficiency of blood if the tongue is pale.
Cracks that are not deep and remain there all the time unchanged indicate Normal
Thorny tongue description Papillary buds over the surface of the tongue swell up like thorns.
Thorny and red tongue indicates Accumulation of pathogenic heat in the interior. ○ The more severe the pathogenic heat, the more enlarged and profuse the thorns will be.
Deviated tongue indicates ● Wind-stroke ● Early threatening signs of wind-stroke.
Rigid tongue description Lacks flexibility and is difficult to protrude, retract, or roll.
Rigid tongue indicates ● Exogenous febrile diseases: ○ Invasion of the pericardium by heat ○ Retention of turbid phlegm in the interior ○ Excessive Pathogenic heat consuming body fluid ● Endogenous febrile diseases: ○ Wind-stroke ○ Early threatening signs of wind-stroke
Flaccid tongue description Weak in motion
Flaccid tongue indications Extreme deficiency of qi and blood ● Consumption of yin fluid depriving the tongue of the nourishment
Flaccid, pale tongue indicates: ● Deficiency of Qi and Blood
Flaccid, deep red tongue indicates: Collapse of yin
Thin coating indicates the superficial portion of the body is affected in a disease ● the disease is due to deficiency of the antipathogenic qi
Thin coating description If the tongue proper can indistinctly be seen through it
Thick coating description If tongue proper cannot be seen through it
Thick coating indicates Retention of: ○ damp ○ phlegm ○ food in the interior ○ Inward transmission of the pathogenic factor from the exterior
Dry coating indicates Consumption of body fluid due to excessive heat ● Consumption of yin fluid not allowing it to nourish upwards
Dry coating desc. Looks coarse and feels lacking moisture
Slippery coating desc Excessive moisture over the tongue surface and the saliva dribbles when the tongue is stuck out in a severe case
Slippery coating indicates Upward flooding of harmful water and cold damp
Sticky coating desc The tongue is covered by a turbid layer of fine greasy substance which is HARD to be SCRUBBED.
Sticky coating indicates Syndromes resulting from: ○ Retention of turbid damp ○ Phlegm ○ Retention of Food
Granular coating desc Coarse, loose and thick like residue of making soy bean curds, and easily scrubbed.
Granular coating indicates Excessive Yang heat bringing the turbid qi in the Stomach upwards ● Syndromes caused by: ○ Retention of turbid phlegm ○ Retention of food
Geographic tongue coating desc Tongue with a part of its coating peeling off
Geographic tongue coating indicates Consumption of Qi and Yin of the Stomach
Glossy coat desc. The entire coating peels off leaving the surface mirror smooth
Glossy coat indicates ● Exhaustion of the Stomach Yin ● Severe damage of the Stomach Qi
White tongue coat indicates ● Normal ● Exterior syndromes ● Cold Syndromes
Thin and white coating: Present in exterior cold syndromes
Thick and white Interior cold syndromes
Yellow coating: ● Interior syndromes ● Heat syndromes
Deeper yellow coating More severe pathogenic heat
Light yellow coating Mild heat
Burnt yellow coating: Accumulation of heat
Grey coating: Interior syndromes
Grey coating that is yellowish and dry: Consumption of body fluid due to excessive heat
Grey coating that is whitish and moist ● Retention of cold damp in the interior ● Retention of phlegm ● Retention of fluid
Black coating description The outcome of the further development of a yellow coating or a grey coating.
Black coating indicates Interior syndromes due to: ○ Extreme heat ○ Excessive cold
Black coating is yellowish and dry, possibly with thorns: Consumption of body fluids due to extreme heat
Pale black and slippery coating Excessive cold due to yang deficiency
Created by: c-rex on 2008-11-16



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