1. Body of tongue is a muscle.(only muscle we can see) related to heart.
2. Shape- fullness, fineness.
3. Coating- fur/moss) from stomach qi.
Areas of tongue relate to the San jiao:
1. Root- lower jiao= kidneys, int4estines, and bladder.
2. Center- middle jiao- spllen stomach. Sides- liver and gallbladder.
3. Anterior- upper jiao- heart and lungs.
1. Need to use natural good light, white light.
2. Florescent light or dim light is not the best.
3. Patient needs to show tongue in a relaxed, un-tense way.
4. Hold out tongue no more than 15 sec.
5 attributes of tongue to observe: Body, Color, shape, coating, moisture.
Things that affect the tongue:
1. Eating and digestion affect stomach.
2. Gum, candy, coffee, tea can stain tongue.
3. Spicy foods- tend to make more red.
4. Fasting- causing thickening, empty, greasy. Stomach “vapors” rise up to tongue.
5. Medications like steroid, bronchodilators, anti-inflammatories cause tongue change.
6. Chemotherapy- blackish , dark brown color.
1. Has “spirit”, supple, life, body.
2. Pale red is good blood flow to lungs.
3. Tongue is related to heart, redness, paleness.
4. Paleness- supple fluids. Pink color.
5. Not flabby, stiff, or cracks.
6. Not thin or swollen.
7. Good body definition.
8. Thin white coat, not dry or wet.
helps determine status of:
-blood and Qi.
- hot and cold,
Xu= “shu” is deficiency.
There is a deficiency and heat scale-
Pale is a vacuity pattern: deficiency, blood or Yang deficiency. Cold makes pale.
Red is heat, excess or deficiency, excess heat outside like sweating vs. internal heat that is in places of body. Full heat, depressive heat. Vacuity heat.
Excessive heat burns up fluids, blood stasis- blood will congeal and slow down.
Qi follows blood, blood follows qi.
Sublingual (under side of tongue)- related to brain, stroke, headache, heart, blood vessels. Left and right side of brain and body.
Deep red- extreme heat. Exogenous= nutritive, blood stage heat.
Endogenous= yin vacuity with fire effluence.
Bluish/Purple hue- cold slowing blood, stasis, stagnation, Blue is Yang deficient and extreme.
Swollen- (teeth marks)
Yang Qi of spleen (kidney) not sufficient to move fluids- phlegm, dampness. Vertical is qi stagnation.
Thin- smaller, thinner. Thin and pale- blood and qi vacuity. Thin dry and red- yin vacuity.
Cracked- yin, blood insufficiency. Cracked and red- is yin fluid damage from heat. Cracked and pale- blood vacuity. Spleen qi vacuity.
Thorns/papules- pathogenic heat in the interior.
Deviated- wind (chaotic qi stirring within interior).
Rigid- exogenous- heat in pericardium, turbid phlegm, evil heat consuming yin fluid.
Endogenous- wind-stroke (impending).
Flaccid- extreme exhaustion of qi, blood, and yin. Flaccid and pale- qi and blood vacuity.
Flaccid and red- yin collapse.
Short/Long- presence or absence of heart qi. Short- lack of heart qi or obstruction. Long- heart heat.
White- cold. Thin- exterior invasion (normal), thick- internal retention of cold.
Yellow coating- heat, stomach heat.
Grey- interior heat or cold damp. Grayish yellow- heat consuming yin.
Grayish white- cold damp, retention of phlegm.
Black- extreme heat or excessive cold.
Black and dry/thorns- severe illness, heat.
Black slippery- severe yang vacuity.
Peeled- stomach yin vacuity, damage to stomach.