TCM Tongue Diagnosis - Complete Health and Happiness

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TCM Tongue diagnosis - Complete Health and Happiness

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CM Tongue diagnosis

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TCM Tongue diagnosis - Complete Health and Happiness

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of the most common questions that people ask about acupuncture is: Why does my acupuncturist
at my tongue?

World TCM &


ACPT College
Master and PhD program
available. Partner with
Gzhucm and Wfas.

gue and pulse diagnosis are two of the more important diagnostic tools in Chinese medicine. They are

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h used to derive a TCM diagnosis for your condition which is used to plan your treatment. Generally the

gue, is much easier to learn and less subjective than pulse diagnosis. It is less meridian speciMc than the

e, however, the tongue will show the depth and nature (hot, cold, etc.) of an imbalance and it is less

cted by short-term inQuences such as nervousness. The tongue is also useful as a measurement tool to

ge the progress of a disorder.

ommon Tongue Geography and Meridian Correlations

ower Jiao
Base of the tongue corresponds to the Kidney, Urinary Bladder, Large Intestine and Small

stine Meridians.

iddle Jiao

sides of the tongue correspond to the Liver and Gall Bladder meridians. Some theories place the Gall

der on the patients left side and the Liver on the patients right side.

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TCM Tongue diagnosis - Complete Health and Happiness

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Middle of the tongue corresponds to the Stomach and Spleen Meridians.

pper Jiao

Tip of the tongue corresponds to the Lung and the Heart

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TCM Tongue diagnosis - Complete Health and Happiness

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w Can the Tongue Change?

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TCM Tongue diagnosis - Complete Health and Happiness

2015-06-12, 9:09 AM

Acupuncture G.
Durand
Rosemont Petite Patrie et
Brossard Membre o.a.q

TONGUE BODY

ribute Characteristic Indication

Abnormality

Flourishing: bright with energetic movement and moist indicates

Spirit
pirit

Vitality of the
tongue

good Stomach Qi

Zang, Fu,
Qi, Blood,

Body Fluids Withering: dark and dry tongue with sluggish movement indicates
exhausted Stomach Qi

olour

ReQects true

Thermal

condition of

nature of

body

More Red: Blood overMlls tongue, more heat

the disease Less Red: Qi and blood are insufMcient, less heat, more deMciency

Rough: exuberant antipathogenic Qi and muscle Mbers bulge

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TCM Tongue diagnosis - Complete Health and Happiness

exture
xture Tough or tender

2015-06-12, 9:09 AM

ReQects
excess or
deMciency

Tender: Qi and Blood are deMcient and cannot Mll Mbers; Yang
deMciency cannot transform body Quids and cold-damp
accumulates

Large: overMlling of Blood, damp accumulation

Often

Size

Large or Small

reQects
constitution Small: lack of nutrition due to Qi, Blood and Body Fluid DeMciency

Cracks: malnourishment of Qi, Blood and Body Fluids due to heat


or dampness obstructing

Body

urface
rface

Moist, smooth Fluids, heat,


stasis

Prickles: heat pushes Qi and Blood up where they overMll the


tongue causing papillae to thrust out

Stiff: lack of nourishment due to internal organ deMciency or


phlegm/Blood stasis obstructing Qi and Blood resulting in

xibility

How the tongue


moves

Condition

stiffening of the tongue

of muscles
and sinews
Limp: sinews lack nourishment of Qi, Blood and Body Fluids and
do not have the strength to move

vement

Abnormal
movement

Pathogens

Spasm due to internal wind, usually due to hyperactive Liver,

or

internal heat or malnutrition. Can be trembling, deviated or

deMciency

protruding.

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TCM Tongue diagnosis - Complete Health and Happiness

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Short: excessive cold causes contraction and spasm; malnutrition


causes phlegm to stagnate and obstruct; heat injures Body Fluids;

ength

How long the


tongue is

Pathogens

Qi and Blood deMciency due to Spleen and Kidney failure

or Internal
Organs

Long: excess pathogenic heat consumes Qi, Blood and Body


Fluids; internal organ failure resulting in the tongue being unable to
contract

TONGUE COATING

tribute

Indications

Abnormality

White: exterior or cold patterns; targets Lung and Large Intestine

Yellow: interior or heat patterns; targets Spleen and Stomach

Colour

Pathogenic factors
Gray: interior, heat or cold-damp patterns

Black: interior, extreme heat or extreme cold patterns

Thin: impaired Spleen or Stomach cannot evaporate and transform


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dampness; Kidney and Stomach Yin deMciency cannot send up Body

ickness

Antipathogenic Qi or

Fluids or damp turbidity is sent up.

depth of disease
Thick: Spleen and Stomach are stagnated by food or phlegm damp
and turbid damp steam rises

Dry: excessive pathogenic heat injures Body Fluids; internal organ


dysfunction leads to Yin deMciency

oisture

Condition of Body
Fluids
Wet: water damp attacks body due to Spleen or Kidney Yang
deMciency cannot transform Body Fluids

Distinguishes

ckiness

pathogenic factors,
Quid metabolism

Damp, phlegm, water or food stagnates and accumulates and the


Stomach Qi produces excess turbidity that steams upwards

Even: widespread pathogen, dampness obstructs middle jiao

tribution

Location and depth of


disease

Uneven: certain body parts or organs are affected, there will be


uneven distribution

eeling

State ofStomachQi &

DeMcient Stomach Qi or Yin results in exuberant rising of turbid

Yin

dampness or Stomach Yang, burning Quids.

Rooted: sufMcient Stomach Qi that is attached to tongue tightly,


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TCM Tongue diagnosis - Complete Health and Happiness

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difMcult to scrape off

Pathogen severity,

ooting

condition of Stomach
Qi & antipathogens

Unrooted: insufMcient Stomach Qi due to Qi deMciency in the


Stomach or Kidney

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