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One of the most common questions that people ask about acupuncture is: �Why does my
acupuncturist look at my tongue?�
Tongue and pulse diagnosis are two of the more important diagnostic tools in
Chinese medicine. They are both used to derive a TCM diagnosis for your condition
which is used to plan your treatment. Generally the tongue, is much easier to learn
and less subjective than pulse diagnosis. It is less meridian specific than the
pulse, however, the tongue will show the depth and nature (hot, cold, etc.) of an
imbalance and it is less effected by short-term influences such as nervousness. The
tongue is also useful as a measurement tool to gauge the progress of a disorder.
tongue geography
� Lower Jiao
The Base of the tongue corresponds to the Kidney, Urinary Bladder, Large Intestine
and Small Intestine Meridians.
� Middle Jiao
The sides of the tongue correspond to the Liver and Gall Bladder meridians. Some
theories place the Gall Bladder on the patients left side and the Liver on the
patients right side.
The Middle of the tongue corresponds to the Stomach and Spleen Meridians.
� Upper Jiao
The Tip of the tongue corresponds to the Lung and the Heart
TONGUE BODY
Attribute
Characteristic
Indication
Abnormality
Spirit
Flourishing: bright with energetic movement and moist indicates good Stomach Qi
Withering: dark and dry tongue with sluggish movement indicates exhausted Stomach
Qi
Colour
Reflects true condition of body
Less Red: Qi and blood are insufficient, less heat, more deficiency
Texture
Tough or tender
Tender: Qi and Blood are deficient and cannot fill fibers; Yang deficiency cannot
transform body fluids and cold-damp accumulates
Size
Large or Small
Small: lack of nutrition due to Qi, Blood and Body Fluid Deficiency
Surface
Moist, smooth
Cracks: malnourishment of Qi, Blood and Body Fluids due to heat or dampness
obstructing
Prickles: heat pushes Qi and Blood up where they overfill the tongue causing
papillae to thrust out
Flexibility
Limp: sinews lack nourishment of Qi, Blood and Body Fluids and do not have the
strength to move
Movement
Abnormal movement
Pathogens or deficiency
Spasm due to internal wind, usually due to hyperactive Liver, internal heat or
malnutrition. Can be trembling, deviated or protruding.
Length
Short: excessive cold causes contraction and spasm; malnutrition causes phlegm to
stagnate and obstruct; heat injures Body Fluids; Qi and Blood deficiency due to
Spleen and Kidney failure
Long: excess pathogenic heat consumes Qi, Blood and Body Fluids; internal organ
failure resulting in the tongue being unable to contract
TONGUE COATING
Attribute
Indications
Abnormality
Colour
Pathogenic factors
Thickness
Thin: impaired Spleen or Stomach cannot evaporate and transform dampness; Kidney
and Stomach Yin deficiency cannot send up Body Fluids or damp turbidity is sent up.
Thick: Spleen and Stomach are stagnated by food or phlegm damp and turbid damp
steam rises
Moisture
Dry: excessive pathogenic heat injures Body Fluids; internal organ dysfunction
leads to Yin deficiency
Wet: water damp attacks body due to Spleen or Kidney Yang deficiency cannot
transform Body Fluids
Stickiness
Distinguishes pathogenic factors, fluid metabolism
Damp, phlegm, water or food stagnates and accumulates and the Stomach Qi produces
excess turbidity that steams upwards
Distribution
Uneven: certain body parts or organs are affected, there will be uneven
distribution
Peeling
Rooting