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Four Main Items in Tongue Diagnosis: |
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● Body Color ● Body Shape ● Tongue Coating ● Tongue Moisture |
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Body Color Indicates Conditions Of: |
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● Blood ● Nutritive Qi ● Yin Organs |
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Body Color Reflects Conditions Of: |
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● State of Blood ● State of Nutritive Qi |
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Body Shape Reflects Conditions Of: |
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Tongue Coating Indicates: |
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● State of the Yang Organs ● Conditions of Heat ● Conditions of Cold |
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Tongue Coating Reflects Conditions Of: |
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● Heat ● Cold ● Fullness ● Deficiency |
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Tongue Moisture Indicates: |
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● State of the Body Fluids |
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SIDES of the tongue TOWARDS the FRONT: |
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Reflect the Chest Area ○ Heart ○ Lungs ○ Breasts |
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Pale and slightly too wet |
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Deficiency of Yang (because in Deficient Yang, fluids are not transformed properly) |
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Pale and slightly too wet |
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Deficiency of Yang (because in Deficient Yang, fluids are not transformed properly) |
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Sides of the tongue especially Pale or slightly ORANGEY |
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Deficiency of Liver Blood |
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Red tongue without coating |
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Red tip on a Red tongue with coating |
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Red tip on a Red tongue without coating |
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Heart Yin Deficiency Heat |
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Red tip, swollen and with red points, on a red tongue |
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Liver Fire Gall Bladder Heat |
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Red sides without coating |
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Red sides without coating |
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Red sides swollen with red points |
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Red sides swollen with red points |
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Red points or spots on the sides of the tongue |
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Red center without coating |
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Stomach Heat from Deficiency |
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Red points or spots on the root of the tongue |
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Red points in the center of the tongue |
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Same as the indications of red, just more severe |
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Always indicates: Stasis of Blood |
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Heat and Stasis of Blood Develops from a Red tongue |
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Cold and Stasis of Blood Develops from a Pale Tongue |
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Bluish-Purple on the sides in women |
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Blood stasis in the uterus |
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Bluish-Purple on the sides in women |
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Blood stasis in the uterus |
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Blood stasis in the Stomach |
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Same as bluish-purple Interior Cold → Blood Stasis |
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Blood Deficiency Chronic condition |
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Thin Body and Red without coating |
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Yin Deficiency Chronic condition |
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Retention of Dampness Phlegm (especially) |
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Swollen sides, wider, and on a Pale tongue |
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Swelling in the front third of the tongue |
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Interior Wind Blood Stasis |
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Deficiency of Body Fluids |
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Tendency to Heat Heart Heat (in particular) |
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Short, horizontal or vertical cracks |
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Long, Deep midline crack reaching the tip |
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Tendency to a heart pattern “Heart Crack” |
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Shallow, wide crack in the midline not reaching the tip |
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Stomach Yin Deficiency “Stomach Crack” |
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Short transversal cracks on the sides, in the middle section of the tongue |
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Chronic Spleen Qi Spleen Yin Deficiency |
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Normal tongue Stomach is digesting properly |
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Presence of a pathogenic factor Exterior or Interior Wind, Dampness, Cold, retention of Food, Phlegm, Heat or Fire |
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The stronger the pathogenic factor |
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Coating without root – coating has been added to the tongue rather than growing out of it |
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Partial absence of coating |
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Stomach Yin Deficiency Kidney Yin Deficiency or Both |
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Kidney Yin Deficiency with Deficient Heat |
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White coating Yellow coating Gray coating Black coating |
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Pathological Tongue coating colors |
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White coating (but not thin and white) |
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Normal tongue: body fluids are intact and are properly distributed throughout the body |
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Yang Qi not transforming and transporting fluids Accumulation of Dampness |
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Yang Qi not transforming and transporting fluids Accumulation of Dampness |
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Tongue is too dry with coating |
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Tongue is too dry without coating |
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Sticky or slippery coating |
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