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Tongue Diagnosis
Chinese Tongue Diagnosis Study Stack
| Symptom | Diagnosis |
|---|---|
| Pale, Bright, Shiny | Qi and Blood Deficiency, particularly of ST and SP |
| Red | Heat in the nutritive or blood levels (w/o coating), or yin def. w/heat (w/o coating) |
| Pale and slightly dry | Blood deficiency |
| Pale and wet | Yang Deficiency |
| Red, dry, w/coating | heat from excess burning body fluids |
| Red, dry, w/o coating | heat from def. of yin & exhaustion of body fluids |
| Red and wet | heat w/retention of dampness |
| Red and Shiny | ST &/or KD yin deficiency |
| Red w/red points or spots | Heat with blood stasis |
| Red w/prickles | Heat in the nutritive level or in the upper or middle burner |
| Red & Peeled | Heat from ST & KD yin |
| Red & Scarlet | LU yin or HT yin deficiency |
| Reddish purple & distended | Extreme heat w/blood stasis & poison from alcohol injuring the HT |
| Dark red w/a dry center | ST fire blazing or ST yin def w/heat |
| Red w/a purple spot in center | Blood stasis & heat in ST |
| Reddish Purple | Heat & Blood stasis |
| Blue | Severe internal cold w/blood stasis |
| Bluish Purple | Blood stasis from internal cold |
| Bluish purple & moist | Blood stasis from internal cold stiffening the tendons & bones |
| Blue in a pregnant woman | danger of imminent miscarriage |
| Blue central surface | SP yang def. w/ retention of phlegm in chest |
| Blue w/o coat | Severe internal cold w/stasis & exhaustion of blood |
| Distended veins on underside of tongue | Def & stagnation of Qi; blood stasis (if veins are also dark) |
| Swollen tongue | SP &/or KD Yang Def. w/dampness |
| Swollen and red | HT & ST heat, or poisoning (alcohol or otherwise) |
| Swollen edges | SP Qi Deficiency |
| Swollen between tip and center | LU Qi w/retention of phlegm |
| Swollen tip and red | HT fire blazing |
| Swollen and normal color | HT Qi Def. |
| 1/2 swollen | Weakness of the channels |
| Partly swollen on side | Def. or stagnation of Qi in chest |
| Thin and pale | Def. of blood |
| Thin and red | Def. of yin |
| Swollen sides | Ascendant LV yang or LV fire |
| Swollen along central crack | HT fire blazing (red), HT Qi Def. (normal) |
| 1/2 surface swollen | LU Qi def. |
| Hammer-shaped | ST, SP, KD Def. |
| Stiff and red or dark | exterior heat invading PC |
| Stiff and red | Heat injuring body fluids |
| Stiff | Blazing HT fire |
| Stiff and normal color | internal wind |
| Flaccid and pale | Exhausted Qi & blood |
| Flaccid and red | Extreme heat injuring fluids |
| Flaccid and deep red | KD yin def. w/heat |
| Loose and red | interior excess heat |
| Loose, red, w/ slippery coating | Phlegm fire clouding HT |
| Loose and pale | HT Qi Def. |
| Long | Blazing HT fire or phlegm fire in HT |
| Short and pale | SP yang def or internal cold |
| Short and red | Heat stirring LV wind |
| Short and red w/coat | Insuffiency of body fluids due to heat from excess |
| Short, red, w/o coat | Heat from def. |
| Moving and red | HT fire and internal wind |
| Moving, red and dry | SP heat w/ exhaustion of body fluids |
| Deviated and normal | Exterior wind invading channels |
| Deviated (red or normal) | Interior LV wind |
| Deviated and pale | HT Qi def. |
| Numb and pale | HT blood def |
| Numb and normal or red | LV wind |
| Numb and slippery | Wind phlegm |
| Quivering and pale | SP Qi Def. |
| Quivering and red | Extreme heat generating internal wind |
| Quivering and pale | Collapse of HT and SP Qi |
| Quivering, pale, and thin | Collapse of Yang |
| Ulcerated and red | Blazing HT fire or SP & KD heat |
| Ulcerated, red and peeled | HT heat from KD yin Def. |
| Tip rolled over | Heat from Excess |
| Tip rolled under | Heat from Def. |
| Tooth marked | SP Qi Def. |
| Sore-covered and red | Hot poison in HT channel |
| Sore-covered, red and peeled | Heat from Def |
| White or White & thin tongue coat | Wind, cold, or dampness in the exterior |
| White, thin & slippery tongue coat (TC) | Exterior attack of cold dampness |
| White, thick and slippery | Dampness in the middle burner or cold w/retention of food in ST |
| White, thin, dry TC and pale body | Blood def or yang def. |
| White, thin, dry TC | Exterior attack of wind cold or wind heat; LU fluids injured; Exterior attack of dryness |
| White, thick and wet (normal) | Exterior attack of wind cold |
| White, thick and wet (pale or normal) | Interior cold dampness in middle burner |
| White, thick and dry | Dirty fluids in the interior w/heat |
| White, thick and greasy | Yang def. w/ retention of food or dampness |
| White, thick, greasy & slippery | SP yang def w/ cold dampness or phlegm |
| White, thick, greasy and dry | Dampness w/ exhaustion of body fluids or heat |
| White, rough & cracked | Attack of summer heat injuring the Qi (Qi level) |
| White, sticky & greasy | Dampness or phlegm in the middle burner; exterior attack of dampness at the Qi level |
| White like powder, body red slightly red on tip or sides | Exterior heat |
| White like powder adn red or dark red body | Interior poison |
| White like powder and red body | Heat in the triple burner |
| White like snow | SP yang exhaustion w/cold dampness in the middle burner |
| White & moldy | KD & ST yin def or poison in the interior |
| Yellow or pale yellow TC | exterior attack of wind heat; wind cold turning to heat; damp heat in the chest & middle burner |
| Yellow and slippery TC | Damp heat |
| Dry Yellow TC | Heat-injured fluids |
| Yellow, sticky & greasy TC | Heat & phlegm |
| Right 1/2 white and slippery | Pathogenic factor half in the exterior and half in the interior |
| Left 1/2 white and slippery | Heat in the LV |
| Dirty yellow TC | Damp heat in the ST & intestines |
| Bilateral yellow strips (remainder white) | EPF penetrating to the interior; Heat in the ST and intestines |
| Bilateral yellow strips (reaminder yellow) | Heat in LV & GB |
| Yellow root, white tip | EPF just changing into heat & penetrating into the interior |
| 1/2 yellow and 1/2 white (longitudinally) TC | Heat in LV and GB |
| Gray and dry TC | Heat from excess |
| Gray or gray, wet & slippery TC | Cold dampness in the SP |
| Bilateral black on white and wet TC | Cold Def. in middle burner |
| Bilateral black on7 white and dry TC | Excess heat in the ST & SP |
| White coating, black points | EPF penetrating to the interior & transforming into heat |
| Black or black, slippery & greasy | Cold dampness in the ST and intestines |
| Black in the center, white & slippery on sides | SP Yang def. w/ cold dampness in the interior |
| Black, dry & cracked | Exhaustion of KD; Yang def. w/ interior cold |
| 1/2 white and slippery, 1/2 yellow and black | LV or GB heat |
| White coating, black prickles | True cold, false heat cold turned into heat |
| White & black TC | Dampness in the SP |
| White in center, yellow around | PF just penetrating the interior & changing into heat |
| Yellow in center and white around | Interior heat just starting to clear |
| Yellow in center, black, slippery, & greasy around | Damp heat in the SP |
| Yellow sides, black prickles in center | Heat in the yang brightness stage |
| Yellow, dry & black center to tip | Heat in the ST and intestines |
| Yellow in center & gray around | Damp heat w/ heat-injured fluids |
| Yellow sides, black & greasy center | Damp heat in SP & ST |
| White, gray, and moist TC | Cold dampness in the interior |
| White, gray & dirty TC | Cold dampness or phlegm of long standing |
| 1/2 white, 1/2 gray | Cold 1/2 exterior, 1/2 interior |
| White in center and gray & black around | Dampness in the SP |
| Irregular cracks | ST yin Def. |
| Horizontal cracks | Yin Def |
| Transverse cracks on sides | SP Qi Def |
| Cracks like ice floes | Yin def. from old age |
| Transverse cracks behind tip | LU yin Def. |
| Very deep central crack w/ other small cracks | KD yin Def. w/ heat |
| Vertical crack in center | HT yin def. or blazing HT fire |
Created by:
kdwright
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