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Examples of Tongue Diagnosis

Inspection: Color of the tongue

Light-reddish tongue Light-whitish tongue

Red and deep-red tongue

healthy people; or in mild cases, such as primary stage of exogenous disease. deficiency of qi and blood; asthenia of yang-qi heat syndrome;the redder tongue, the severer the heat.

Purplish tongue or purplish macules on the tongue

   

   

inhibited circulation of qi and blood

   

Inspection: Shape of the tongue

Rough tongue

Tender tongue

Bulgy tongue

Thin and emaciated tongue

sthenia syndrome; heat syndrome. asthenia syndrome; cold syndrome. retention of dampness and phlegm. asthenia of qi and blood; consumption of yin fluid.

Fissured tongue

Tooth-marked tongue

   

   
deficiency of fluid ,essence and blood. qi asthenia; yang asthenia; internal retention of dampness.    

Inspection: Movement of the tongue

Deviated tongue

Flaccid tongue

Shrunk tongue

 

 

wind stroke; premonitory sign of wind strode. extreme consumption of fluid; decline of qi and blood. critical condition.  

Inspection: Tongue Fur

White tongue fur

Whitish greasy tongue fur

Powder-like thick and white tongue fur

Thin and yellow tongue fur

external syndrome; cold syndrome. internal retention of damp turbid substance, phlegm and fluid;food retention without transforming into heat. mixture of exogenous fetid pathogenic factors and heat toxin. mild pathogenic heat, usually seen in wind-heat external syndrome, or mild heat progress in internal heat syndrome.
Light-yellow tongue fur Deep-yellow tongue fur Sallow tongue fur

Yellow and white tongue fur

mild heat severe heat extreme heat pathogenic factors are transforms into heat in exogenous disease.

Yellow and greasy tongue fur

Yellow and rough tongue fur

Grayish  tongue fur

Black tongue fur

accumulation of damp-heat; phlegm and fluid retention transforming into heat; food retention and heat putrefaction. pathogenic heat consuming body fluid; or retention of heat in the intestines. severity of internal heat syndrome; internal cold syndrome.

Moist tongue fur

Slippery tongue fur

Dry and rough tongue fur

 

 
sufficiency and upward distribution of body fluid. cold-dampness; retention of fluid and internal invasion of cold-dampness; asthenia of yaing-qi and failure of qi to transform fluid. exuberant heat; consumption of yin fluid.  

Greasy tongue fur

Putrid tongue fur

Exfoliating tongue fur

Mirror-like tongue

internal exuberance of dampness and obstruction of yangqi. Dampness, phlegm, retention of food, damp-febrile. fumigation of excess of yang-heat, retention of food in the stomach and intestines; accumulation of phlegm and turbid substance.   failure of deficient gastric qi to fumigate the tongue; failure of the exhausted gastric yi to moisten the tongue. severe consumption of gastric qi and is a sign of the exhaustion of gastric yin.
       

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