SA Tongue

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SA Tongue
2012-02-14 20:23:20
SA Tongue

SA Tongue
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  1. According to TCM, “the tongue is
    of the heart and the external indicator of the spleen”.
  2. the tongue represents body’s
    Zang and Fu
  3. All the energy channels are connected with tongue
    directly or indirectly
  4. The pathological changes of Zang & Fu, channels, Qi & blood and fluid can be reflected by
    the tongue picture
  5. Zang
    heart, liver, spleen, lung and kidney
  6. Fu
    gall bladder (GB), stomach, large intestine, small intestine, bladder and Sanjiao
  7. Heart Channel:
    a branch goes to the root of tongue.
  8. Spleen Channel:
    connects with the root of the tongue and spreads over its lower surface area.
  9. Lung Channel:
    connects with the throat and the root of the tongue.
  10. Kidney Channel:
    terminates at the root of the tongue.
  11. Liver Channel:
    goes through the throat and connects with the root of the tongue.
  12. The normal tongue is
    a light red, moist, bright, soft and flexible tongue with thin-white coating on the upper surface of it. The normal tongue reflects the proper functions of spleen and stomach. Also, Yin-Yang and Qi-blood are in the balanced condition.
  13. Pale Tongue
    (bloodless) - deficiency or cold syndrome
  14. small-thin-pale tongue---
  15. fat-tender-pale ---deficiency of Yang-Qi
  16. Reddened Tongue
    (redder than normal tongue) - heat pattern
  17. Heat causes rapid and violent blood and Qi circulation.
  18. rough-red tongue with prickles or thick-yellowish coating--- excess heat
  19. red tongue tip---
    flaring up of heart-fire
  20. red sides of the tongue---ex
  21. Crimson Tongue
    (redder than reddened tongue)
  22. { invasion of Ying-blood system by pathogenic warm heat
  23. { Yin deficiency
  24. { Blood Stagnation
  25. dry or fissured-crimson tongue --- ying stage pattern or yin deficiency
  26. little-moist-crimson tongue ---interior blo
  27. Purple Tongue
    stagnation of Qi and blood caused by coldness or heat
  28. withered-dry-purple tongue - excessive heat, consumption of the body fluid and stagnation of Qi and blood
  29. light purple or purplish-blue and moist - blood stagnation due to coldness
  30. Swollen (Enlarged or Plump) tongue
    { retention of water and stagnation of dampness, phlegm and fluid
  31. { excessive heat
  32. pale-tender-plump tongue accumulation of body fluid due to Yang deficiency of the spleen and kidney
  33. light reddened-thick tongue with yellow greasy coatin
  34. Thin and Small Tongue
    deficiency of Qi and blood; deficiency of Yin-fluid
  35. pale-thin tongue - deficiency of Qi and blood
  36. deep red-thin tongue - impairment of Yin by excessive heat, or hyperactivity of fire due to Yin deficiency
  37. Prickled Tongue
    excessive heat accumulation
  38. on the tip of the tongue - excessive heart fire
  39. on the center of the tongue - excessive heat in the stomach and intestines
  40. on the borders of the tongue - excessive fire of the liver and gall bladder
  41. Fissured Tongue
    deficiency blood and Yin
  42. light color-fissured tongue -
  43. deep red-fissured tongue -
  44. Teeth-Printed Tongue
    - deficiency of the spleen or damp retention
  45. pale and moist - damp cold
  46. light red-colored moist -
  47. reddened-swollen -
  48. Shortened Tongue
    The shortened tongue is usually contracted and unable to protrude out. A congenitally shortened frenulum linguae has no diagnostic sense. However, the pathological shortened tongue indicates a patient’s disease is severe and he/she is in critical cond
  49. Flaccid Tongue
    The flaccid tongue refers to a weak tongue unable to protrude and curl up with atrophy of the tongue muscles. The flaccid tongue indicates extreme deficiency of Qi and blood. exhaustion of Yin-fluid and the consequent malnutrition of the tongue .
  50. Stiff Tongue
    The stiff tongue means the tongue is not able or difficult to move freely. The stiff tongue shows the pathological changes of Zang and Fu organs (the viscera). There are two main pathogenic factors:
  51. red or deep red - exterior heat or high fever
  52. Tremulous Tongue
    The tremulous tongue is the tongue body trembling uncontrollably. The tongue trembles because of deficiency of Qi and blood, consumption of the body fluid, Yang depletion or up-stirring of the liver-wind caused by extreme dry-heat.
  53. pale- or light re
  54. Wry Tongue
    The wry tongue is considered as the tongue deviating to one side of the mouth while protruding. The wry tongue indicates apoplexy or its premonitory.
  55. purple red, stiff - liver wind due to excessive heat
  56. light red, soft - apoplexey
  57. White Coating
    - exterior pattern, cold pattern
  58. thin-white: external wind cold
  59. thin-white-wet: cold or cold-damp syndrome
  60. thick-white-slippery or -greasy: a retention of phlegm, cold-dampness and indigestion
  61. thick-white like piled powder: pathogeni
  62. Yellow Coating
    - internal patern, heat pattern
  63. thin-yellow-dry: mild pathogenic heat and consumption of the body fluid
  64. blackish-yellow-dry: exuberance of pathogenic heat and exhaustion of the body fluid
  65. yellow-greasy-wet: stagnation of heat and dampnes
  66. Yellow Coating
  67. Gray Coating (Light Black Coating)
    - syndrome of interior heat or cold-dampness
  68. gray dry - consumption of the body fluid by excessive heat and Yin deficiency, seen in febrile disease or interior injury
  69. gray wet - retention of phlegm or stagnation of cold-dampness in the int
  70. Black Coating
    Black coating is transformed from gray or yellow coating. It is often seen in the critical stage of serious and/or prolonged diseases, indicating either excessive interior heat or excessive coldness.
  71. Thin or Thick
    location of pathogens; sevierity of diseases
  72. Thin - exterior syndrome in exopathy, or light internal injury syndrome
  73. Thick - interior syndrome; serious severe condition; indigestion; damp or phlegm retention
  74. Moist or Dry
    - condition of body fluid
  75. Moist - body fluid contained
  76. Slippery - excessive body fluid indicating cold damp syndrome
  77. Dry and Rough: over consumption of body fluid by excessive body heat
  78. Curdy or Greasy
    - Wane or Wax yang qi and damp pathogen
  79. Curdy:
  80. Greasy:
  81. Exfoliative
  82. Geographic coating
  83. mirror tongue --- exhaustion of stomach qi or yin
  84. True or False
  85. False coating --- exhaustion of stomach qi
  86. Crimson Tongue (redder than reddened tongue)
  87. Swollen (Enlarged or Plump) tongue
  88. deep red-swollen tongue - excessive heat of the heart and spleen
  89. purplish blue-swollen tongue - stasis of alcoholism and blood stagnation due to i
  90. 1)
    Shortened Tongue
  91. stagnation of coldness in the body muscles and spasmodic contraction of the tongue muscles
  92. reddened-dry-shortened:
  93. consumption of the body fluid by febrile disease and consequent spasm of the muscles
  94. plump-greasy-shor
  95. Tremulous Tongue
  96. reddened-little saliva-trembling - consumption of the body fluid and stirring-up of wind
  97. deep red-trembling severely - ext
  98. Reddened Tongue (redder than normal tongue) - heat pattern
    red sides of the tongue---excessive fire of the liver and gallbladder
  99. red middle part of the tongue---excessive heat of the middle-Jiao
  100. tender-red tongue with little or no coating or with fissures--- deficient heat
  101. Gray Coating (Light Black Coating) - syndrome of interior heat or cold-dampness
  102. From a clinical point of view, gray coating is often found in serious and prolonged diseases