Tongue Diagnosis

Question 1

Pale Tongue Moist

Answer 1

Cold Syndrome

Question 2

Red Tongue Slight red or red on tip/edge:

Answer 2

External Heat

Question 3

Crimson Tongue Red thorns, yellow greasy coating:

Answer 3

Exogenous febrile diseases

Question 4

Purple Tongue + Pale:

Answer 4

Cold syndrome

Question 5

Entire Bluish Tongue

Answer 5

Cold accumulation, blood stagnation

Question 6

Flabby Tongue Pale/red, enlarged w/ white/yellow coating

Answer 6

Cold dampness accumulation

Question 7

Swollen Red and Swollen Tongue

Answer 7

Pathogenic heat invasion Heart/Sp

Question 8

Teeth Marks

Answer 8

Pale, moist: Dampness

Question 9

Thin Tongue Pale, thin coating:

Answer 9

Qi/blood def

Question 10

Cracked Tongue Deep red crack w/ dry coating:

Answer 10

Excess heat

Question 11

Prickled Tongue Bright red w/ yellow coat:

Answer 11

Excess heat toxin

Question 12

Ulcerated Tongue Red w/ yellow coating:

Answer 12

Heat toxin in heart channel

Question 13

Tough Tongue

Answer 13

= Excessive Heat Syndrome

Question 14

Tender Tongue

Answer 14

Tender and dry: Q/blood def.

Question 15

Stiff Tongue

Answer 15

Crimson w/ dry yellow coating: Pathogenic heat invades the pericardium

Question 16

Flaccid and pale Tongue

Answer 16

Severe qi/blood def.

Question 17

Shaking Tongue

Answer 17

Pale and flaccid: Qi/blood def.

Question 18

Deviated Tongue

Answer 18

Purple red: Liver yang rising

Question 19

Protruding and Licking Tongue

Answer 19

Pathogenic heat and Heart/Sp channel

Question 20

Shortened Tongue

Answer 20

Critical condition

Question 21

Loose Tongue

Answer 21

Excessive heat, Qi def.

Question 22

Abnormal Hypoglossal Vessels

Answer 22

Qi/blood stagnation

Question 23

White Coating
(Ext/Int
Thermal
Location)

Answer 23

Exterior Syndrome
Cold Syndrome
Location: Lu/Li

Question 24

Yellow Coating
(Ext/Int
Thermal
Location)

Answer 24

Interior Syndrome
Heat Syndrome
Location: Sp/St

Question 25

Gray Coating

Answer 25

Dry and gray: Heat Syndrome

Question 26

Black Coating, Dry and cracked

Answer 26

Extreme heat | May have taken pepto-bismol

Question 27

Thin Coating - Stage - Ext/Int

Answer 27

Exterior or mild interior syndrome, initial stage

Question 28

Thick Coating - Stage - Ext/Int - Pathology

Answer 28

Interior syndrome Severe stage Dampness, water or fluid retention/stagnation

Question 29

Moist Coating

Answer 29

Body fluid sufficient, healthy

Question 30

Dry Coating - Thermal - Yin/Yang - Location

Answer 30

Excess heat Yin def. Yang def = failure to transform water into body fluid Exopathogenic dryness invades Lu

Question 31

Glossy Coating - Thermal - Pathology - Yin/yang

Answer 31

Cold syndrome Dampness, water retention Yang def

Question 32

Rough Coating

Answer 32

Severe injury

Question 33

Moldy Coating - Yin/yang - Cause

Answer 33

Excess yang, putrid qi rising Food stagnation Cottage cheese :/

Question 34

Greasy Coating - Yin/yang - Pathology - Cause

Answer 34

Excess yang, putrid qi rising Food stagnation Dampness

Question 35

Uneven Coating

Answer 35

Dependent on area of coating

Question 36

Partial Exfoliative

Answer 36

St yin/qi def

Question 37

Geographic Tongue

Answer 37

St yin/qi def | Mostly in children

Question 38

Mirror Tongue

Answer 38

Stomach, yin exhausted | No coating, glossy like mirror

Question 39

Exfoliative Like

Answer 39

Chronic illness | Stomach yin exist

Question 40

Rooted Coating

Answer 40

Healthy

Question 41

Non-rooted Coating

Answer 41

Stomach qi exhausted Failure to generate new coat Old coat separates from tongue body Only see in chronic and critical condition

Question 42

Pale Moist and enlarged

Answer 42

Yang Def.

Question 43

Pale Thin and small

Answer 43

Qi/blood Def.

Question 44

Red, tough tongue w/ dry coating:

Answer 44

Internal, excess heat

Question 45

Red w/ cracks, little coating:

Answer 45

Internal, Def. heat

Question 46

Crimson Dry and small:

Answer 46

Yin Def. or exhausted

Question 47

Crimson Purple color:

Answer 47

Blood stagnation

Question 48

Purple + Dark Purple:

Answer 48

Blood stagnation

Question 49

Purple + Crimson:

Answer 49

Extreme heat

Question 50

Flabby, pale, enlarged w/ teeth marks, slippery:

Answer 50

Sp/Kid def. + Dampness

Question 51

Swollen Darkish blue, swollen:

Answer 51

Blood stasis by chemical toxicity

Question 52

Swollen + Purple:

Answer 52

Alcohol poisoning

Question 53

Teeth marks Slight red:

Answer 53

Sp, or qi def.

Question 54

Thin tongue Red w/ little or no coating:

Answer 54

yin def. w/ heat

Question 55

Cracked tongue Red body w/ cracks no coating:

Answer 55

Yin def.

Question 56

Cracked tongue Pale or slightly red body w/ cracks:

Answer 56

Blood def.

Question 57

Cracked tongue Pale, enlarged w/ teeth marks and cracks on edges:

Answer 57

Sp Def. w/ dampness

Question 58

Prickled tongue Crimson red:

Answer 58

Pathogenic heat invasion

Question 59

Prickled tongue Yellow coating:

Answer 59

Damp-heat accumulation

Question 60

Ulcerated tongue Cracked, red w/ scanty yellow coating:

Answer 60

Def. heat

Question 61

Tender and wet:

Answer 61

Yang qi def.

Question 62

Stiff tongue Flabby tongue w/ thick greasy coating:

Answer 62

Turbid phlegm obstructs meridian

Question 63

Stiff tongue Slight red or green purple tongue:

Answer 63

Internal wind

Question 64

Crimson and flaccid:

Answer 64

Excessive pathogenic heat injury body fluids

Question 65

Deep red and dry flaccid, no coating:

Answer 65

Yin fluids exhausted

Question 66

Shaking Red:

Answer 66

Internal wind due to extreme pathogenic heat

Question 67

Deviated pale tongue

Answer 67

Blood def.

Question 68

Deviated tongue, Thick coating:

Answer 68

Wind phlegm

Question 69

Deviated tongue, Red Tongue:

Answer 69

Extreme heat

Question 70

Moist and gray coating:

Answer 70

Cold Syndrome

Question 71

Black coating, Moist and greasy:

Answer 71

Extreme cold