TCM Tongue Diagnosis Flashcards
Moist Coat
Damp-Phlegm
Cold-Damp
Deficiency Cold
Almost any Cold pattern
Tai Yin / Shao Yin
Moist & Slimy Coat
Dampness due to Spleen Deficiency
Dry Coats
Heat (generally)
Dry & Rough Coat
Damage to fluids by Exuberant Heat
-most often occurs in externally contracted febrile disease
Dry & Slimy Coat
Phlegm-Damp obstructing the center
-confirming sign: thurst w/o desire to drink
Dehydration
Thicker Coats
Indicate stronger Evil
-if coat thickens in course of disease – getting worse
Thinner Coats
Indicate weaker Evil
-if coat thins in coarse of disease – getting better
Slimy Coats
Dampness
Phlegm
Food Stagnation
Covering whole tongue = stronger Evil
Covering only center = more chronic condition
Grimy & Slimy Coat
Turbid Phlegm or Turbid Damp w/ Stomach Qi Deficiency
-often seen w/ Food Stagnation
-bad breath
Peeling Coat
Insufficient Yin Humor w/ ST Qi Deficiency
Peeling w/ Non-Transforming Slimy Coat
Phlegm Damp Failing to Transform
Damage to Yin Humor & ST Qi
Thick Slimy Coat that Suddenly & Completely Peels Away
Major damage to Right Qi
Chicken Heart Tongue
Stomach Yin Deficiency
(peels down middle from tip)
White, Moist, Thin Coat
Normal tongue
W/ Exterior signs: Evil has not yet entered interior
White & Moist Coat
Cold (generally)
White, Moist & Thick Coat
Cold Damp
Cold-Phlegm
White, Very Dry, & Thin Coat
Insufficiency of Fluids
White, Thick & Dry Coat
Transformation of Cold Evil into Heat
Mealy White Coat w/ Red Body
Dampness Trapping Hidden Heat
White, Thick, Slimy Coat
Phlegm Damp
Tofu Coat
(slimy/greasy w/ caked appearance)
Sweltering Damp Heat w/ ST Qi Deficiency & damage to Yin
Yellow, Thin, Dry Coat
Damage to liquid by Heat Evil
Slimy Yellow Coat
Damp Heat
Phlegm Damp
Yellow Coats
Excess Heat (generally)
Old Yellow / Burnt Yellow
Binding of Excess Heat
Mixed White & Yellow Coat
Cold transforming into Heat
Shao Yang disorder
Black Coats
Extreme Heat, Cold, or Excess
Rough, Dry, Parched-Black Coat on Deep Red Tongue
Damp-Heat transforming into Dryness
Damage to Yin by intense Heat
Thick, Slimy Black Coat
Phlegm-Damp
Moist & Black Coat
ST Qi Deficiency
KD Yang Deficiency
Slimy Yellow mixed w/ Grayish-Black Coat
Exuberant Damp Heat Evil
Mixed Gray & White Coat
or Thin, Moist Gray Coat
Cold Damp
Enlarged Tongue
Qi Deficiency
Yang Deficiency (if body is pale & coat is moist white)
Enlarged w/ a Shiny Coat
Dampness
Damp Heat
Red, Sore, Swollen Tongue
Intense Heat Evil
Up-flaming of Heart Fire
Shrunken & Pale Tongue
Qi & Yin Deficiency
Qi & Blood Deficiency
Shrunken & Red Tongue
Yin-liquid Deficiency leading to heat
Shrunken, Crimson, & Dry
Damage to Yin Humor by Exuberant Heat
Red Speckles & Prickles
Exuberant Heat
Common in febrile disease
Fissures on a Red Tongue
Exuberant Heat Damaging Fluids or Yin
Fissures on a Pale Tongue
Qi & Blood Deficiency
Damage to Qi and Yin
Mirror Tongues
Yin Humor Depletion
Mirror Red / Crimson Tongue
Damage to Yin by intense Heat
Mirror Pale
Damage to both Qi & Yin
Pale Tongue
Qi & Blood Deficiency
Pale, Moist, Enlarged Tongue
Yang Qi Deficiency
Red Tongue Body
Heat
Red Body w/ Yellow Coat
Excess Heat
Red w/ Thin White Coat
Damage to Yin
Crimson Tongue Body
Heat in Ying or Blood Aspects
Effulgent Yin Deficiency Fire
Red Tongue Tip
Up-Flaming of Heart Fire
Red Tip + Yellow Fur
Hyperactive Heart Fire
Red Tip + Mirror Red Body
Heart-Kidney non-interaction
Red (or Crimson) Shrunken Tongue
Effulgent Yin Deficiency Fire
Bluish or Purple Tongue
Impaired flow of Qi & Blood i.e. Qi Stagnation and/or Blood Stasis
Purple Macules
Localized Blood Stasis
Stiff Tongue
Heat entering Pericardium
Phlegm Confounding Orifices of Heart
Phlegm Obstructing Network (Luo) Vessels
Liver Wind Stirring Internally
Limp Pale Tongue
Qi & Blood Deficiency
Limp Red Tongue
Intense Heat
Yin Humor Depletion
Contracted Red Tongue
Damage to Yin by Extreme Heat
Contracted Pale Tongue
Yang Qi Desertion
Deviating Tongue
Wind Strike
Liver Wind Stirring Internally
Trembling Red or Deep Red Tongue
Ascending Hyperactive Liver Yang
Internal Wind Stirred by Exuberant Heat
Trembling Pale Tongue
Qi Deficiency
Protrusion & Agitation of Tongue
Internal Wind About to Stir
Developmental Disability due to Former Heaven Essence Insufficiency