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