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