Tongue Examination

Technical meaning

Tongue is one of the four Examinations of Chinese medicine. It is like a piece of litmus paper that reveals the basic qualities of a disharmony. Many signs may be interpreted only when the entire configuration can be seen, but the tongue interpretation is always essential.

It is often the clearest indication of the nature of a disharmony and its pattern, reliable ever when other signs are vague and contradictory.

When we are talking about tongue, please let's first get a little knowledge about yin, yang, qi & blood...

The logic underlying Chinese medical theory - logic which assumes that a part can be understood only in its relation to whole - can also be called synthetic or dialectical. In Chinese early naturalist and Taoist thought. This dialectical logic explains relations, patterns and changes; it is called yin and yang theory.

Yin

The character for yin originally meant the shady side of a slope. It is associated with such qualities as cold, rest, responsiveness, passivity, darkness, inside, downwardness, inwardness, and decrease.

Yang

The character for yang means the sunny side of a slope. The term implies brightness and is part of one common Chinese expression for the sun. Also it is associated with qualities such as heat, stimulation, movement, activity, excitement, light, exteriority, upwardness, outwardness, and increase.

Qi

The idea of qi is Chinese medical thinking, yet no one English word or phase can adequately capture its meaning. It is the source of all movement in the body and accompanies all movement and body's physical functions. Its functions include: protecting the body, warming the body, keep everything in.

Blood

The Blood of Chinese medical terminology is not the same as what the west calls blood. Although it is sometimes identifiable with the red fluid of western medicine, its characteristics and functions are not so identifiable.

The major activity of the blood is to circulate continuously through the blood, nourishing, maintaining, and to some extent moistening its various parts. Blood moves primarily though the blood vessels, but also though the meridians.

Clinical meaning

The tongue includes material, coating, shape, flexibility, all of which we need understand. The material can be various shades of red and have degree of moisture.

The coating as moss or fur is the result of spleen activity.

Areas of the tongue and their corresponding organs

淡红舌薄白润苔

舌象描述:正常人

淡红舌类剥苔1
气虚   阴虚

舌象描述:舌质瘦薄淡红。苔白滑腻,中薄如剥脱,细看仍有新生颗粒。

主病: 气阴两虚;久病气血不续

tongue 1 tongue 2

淡红舌偏白滑苔
湿热

舌象描述:舌淡红胖嫩,左边苔极少,中部光莹无苔。右边一条白滑腻苔,中间夹有红点。

主病: 邪入半表半里;湿热伤及营阴;肝胆湿热,伤及胃阴。

淡红舌类剥水滑苔
气虚 血虚 寒湿 痰饮

舌象描述:舌淡红而胖。苔白腻水滑,右侧剥脱,并非光剥。

主病: 久病气血不续;寒湿痰饮停聚

tongue 3 tongue 4

淡红舌尖黄根白苔

舌象描述:舌质淡红,舌体瘦薄。满布均匀白苔,前部隐隐带淡黄色。

主病: 热在上焦;风热在表;风寒化热;少阳经传阳明腑病。

淡红舌黄腻苔

舌象描述:舌淡红。苔老黄厚腻,干裂少津。

主病: 邪热传里,实热里证;胃肠燥结。

tongue 5 tongue 6

淡红舌尖白滑根黄灰苔

舌象描述:舌淡红。边尖为薄白滑苔,中根部由白转黄,由黄转灰,厚而细腻。

主病: 表邪化热入里;痰食久郁生热;湿热蕴于下焦。

淡红舌黄白苔

舌象描述:舌淡红。(照片偏红)苔薄白,夹有淡黄色。

主病: 表证化热入里;表证未罢,营中有热。

tongue 7 tongue 8

淡红舌薄白滑苔
虚  寒湿

舌象描述:舌淡红质嫩。苔白极薄,滑润如涂米汤。

主病: 外感寒湿;水气上溢;脾胃虚寒,虚阳上露。

淡红胖大瘀斑舌黄白苔
胃热 血瘀 湿热

舌象描述:舌淡红胖嫩,边有齿痕红点。舌尖有瘀斑。苔薄白腻,夹有淡黄腻苔。

主病: 表证未罢,营中有热;营热胃实;营热夹瘀,血蕴湿热。

tongue 9 tongue 10

淡红偏暗舌薄白腻苔
脾虚 湿  血瘀

舌象描述:舌质暗红。苔薄白而腻。

主病: 湿温初起,卫阳郁遏;脾虚湿滞血瘀。

淡红胖大舌薄白润苔
脾虚  寒湿

舌象描述:舌淡红胖嫩。满布薄白湿润苔,颗粒均匀。

主病: 外感寒湿;脾虚湿盛。

tongue 11 tongue 12

淡红晦暗胖大舌薄白苔
阳虚  湿滞 气滞 血瘀

舌象描述:舌胖大,有红点,色淡红晦暗。苔薄白。

主病: 阳虚停湿,气滞血壅;外感风寒失解,热入营血。

淡红红点舌薄白水滑苔
心火 血热  瘀热

舌象描述:舌淡红,边尖许多红点突出。苔薄白,中滑腻。

主病: 温热入血;热毒乘心;湿热蕴于血分;寒湿痰饮停聚化热 。

tongue 13 tongue 14

淡红红点紫斑舌薄白腻苔
湿热 血瘀 心火

舌象描述:舌淡红而胖,边尖有红点和大片紫斑。苔白腻而润。

主病: 温热入血;热毒乘心;湿热蕴于血分。 血蕴湿热夹瘀。

红红点舌薄白腻苔
湿热  心火

舌象描述:舌淡红,有红点。苔白腻不厚,干湿适中。

主病: 湿热入血;热毒乘心;肝胆湿热。

tongue 15 tongue 16

淡红红点舌白腻淡黄苔
湿热

舌象描述:舌淡红而胖,边有红点。苔白腻略厚,隐隐带淡黄色。

主病: 外感表邪将欲传里;湿热蕴于血分。  肝胆湿热。

淡白舌透明苔
虚寒 水湿

舌象描述:舌质淡嫩。舌苔极薄,淡白湿亮,骤视如无苔,实乃透明。

主病: 脾胃虚寒。  脾阳不振,水湿不化。

tongue 17 tongue 18

淡红齿痕舌薄白滑润苔1
气虚  湿

舌象描述:舌淡红而有齿痕,老嫩适中。苔薄白而滑润。

主病: 外感湿邪;气虚湿盛;正常人。   脾虚湿盛体质

淡白舌双黄苔
气虚 血瘀 湿滞

舌象描述:舌质色淡偏暗,有齿痕。满布薄白苔,中有两条黄苔,干湿适中。

主病: 外感为表邪入里化热,表犹未解;内伤为热聚胃肠;脾胃虚弱,痰湿停聚;气虚血瘀湿滞。  胸痹,气虚血瘀湿阻。

tongue 19 tongue 20

淡白舌尖白根黄苔
湿热

舌象描述:舌色浅淡。舌尖苔薄白,根部黄 腻。

主病: 胸阳不振,下焦湿热;表邪化热入#37324;。   阳虚外感,化热入里。

淡白舌薄白腻苔
气血虚 寒湿

舌象描述:舌质浅淡娇嫩。苔薄而中见白腻。

主病: 中焦虚寒;外感寒湿。脾虚湿盛,气血俱虚。

tongue 21 tongue 22

淡白舌红点白腻淡黄苔
阴阳俱虚  虚火

舌象描述:舌质淡白,边尖略红,尖有红点。白腻苔满布,微笼淡黄色。

主病:  阳虚热浮,心火妄动;气虚津少夹湿。阴阳俱虚,虚火内动

 
tongue 23