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Tongue Coating
Tongue Coats according to Giovanni
| Question | Answer |
|---|---|
| White or White and Thin | Wind, cold or dampness in the exterior |
| White, thin and slippery | Exterior damp-cold attack |
| White, Thick and Slippery | Interior damp or cold with retention of food, or external cold attack transforming dampness |
| White, thin and dry + Pale | Blood deficiency |
| White, Thin and dry + Interior | Yang deficiency, extreme w/ inability to move fluids to the tongue |
| White, thin and dry + Exterior (no thirst) | W-C or W-H on exterior, damage to Lung fluids |
| White, thin and dry (exterior attack) | Exterior Dry attack |
| White, thick and wet + Exterior | Attack by strong evil |
| White, thick and wet + Interior | Interior cold damp, esp. middle jiao |
| White, thick and greasy | Yang deficiency with retention of food or dampness |
| White, thick, greasy and slippery | Spleen yang deficiency with damp-cold or phlegm |
| White, thick, greasy and dry | Dampness with exhaustion of body fluids or heat |
| White, rough and cracked | Attack of summer heat injuring the qi |
| White, sticky and greasy + Interior | Dampness or phlegm from Spleen Qi or Yang Xu |
| White, Sticky and Greasy + Exterior | Externally-contracted dampness at the qi-level |
| White like powder | seasonal epidemic exterior heat, toxin in the interior, externally contracted heat in the triple burner |
| White like snow | Spleen yang exhaustion with damp-cold in the middle |
| White and moldy | Kidney and stomach yin xu, damp-toxin in the interior |
| Half-white and slippery on the right | evil is half-exterior, half-interior |
| Half-white and slippery on the left | Heat in the Liver |
| Pale Yellow | Exterior disease penetrating the interior and transforming heat |
| Yellow | Heat, Interior, or Stomach/Spleen |
| Light yellow and thick | Dampness and heat in the middle burner, stagnation of qi |
| Yellow and Slippery | Damp-heat |
| Dry yellow | Heat-injured fluids |
| Yellow root, white tip | Exterior evil transforming heat and penetrating the interior |
| Bilateral yellow strips on white coating | Acute disease: evil penetrating to the interior. Chronic disease: Heat in Stomach and Instestines |
| Thick bilateral yellow strips and yellow coating | Heat in Liver and Gallbladder. Strips greasy/slippery? Dampness in addition to heat |
| Half-yellow, half-white | Heat in the Liver and Gallbladder |
| Gray or gray, wet and slippery | Damp-cold in the Spleen |
| Gray and dry | Heat from excess |
| Black or black, sliuppery and greasy | Damp-cold in the stomach and intestines |
| Bilateral black on white, wet | Cold from deficiency in the middle burner |
| Bilateral black on white, dry | Heat from excess in the Stomach and Spleen |
| White coating, black points | Exterior pathogenic factor penetrating to the interior and transforming into heat |
| White coating, black prickles | True cold, False heat or True cold transforming into heat |
| Black in the center, white and slippery on the sides | Spleen yang deficiency with damp-cold in the interior |
| Half-white and slippery, half-yellow and black | Heat in Liver or Gallbladder |
| Yellow sides, black and greasy center | Damp-heat in the Spleen and Stomach |
| Black, dry and cracked | Exhaustion of the Kidney yin with fluids damaged by false heat. Or, true cold in the interior with yang deficiency. |
| White in center and yellow around | Exterior evil penetrating the interior and transforming heat |
| Yellow center, white around | Interior heat beginning to clear |
| White, gray and moist | Damp-cold in the interior |
| White, gray and dirty | Damp-cold or phlegm of long-standing |
| Half-white, half-gray | cold is half-exterior, half-interior |
| White and black | dampness in the Spleen |
| Yellow in center, black-slippery-greasy around | Damp-heat in the Spleen |
| Yellow on sides, black prickles in center | Yangming stage heat |
| Yellow, dry and black in center to tip | Heat in the stomach and intestines |
| White in center, gray and black around | Dampness in the Spleen |
| Yellow in the center, gray around | Damp-heat with injured fluids |
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