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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 |