NCCAOM: TONGUE

PALE, Slightly Wet, & Swollen

Yang Deficiency
-yang qi fails to transform & transport fluids

PALE, somewhat Dry

Blood Deficiency

Sides of tongue PALE
[or]
Slightly Orange

Liv Blood Deficiency

RED Body

Heat

RED with Coating

Full-Heat

RED without Coating

Empty-Heat

RED TIP on Red Tongue w/Coating

Heart Fire

RED TIP on Red Tongue without Coating

Heart Empty-Heat

RED TIP on Red Tongue w/tip swollen & have red points on it

SEVERE CASE

RED SIDES

Liver Fire
Gallbladder Heat
Severe Case: swollen & display red spots

RED CENTER

Stomach Heat

RED Tongue with Raised Papillae

Heat

RED Tongue with Raised Papillae that are Large

Blood Stasis

RED POINTS/SPOTS on Tip

Heart Fire

RED POINTS/SPOTS on Sides

Liver Fire

RED POINTS/SPOTS on Root

Heat in Lower Burner

RED POINTS/SPOTS around Center

St-Heat

DEEP RED

More severe condition" with same indications as Red Tongue

PURPLE

Blood Stasis

REDDISH-PURPLE

Heat & Blood Stasis
-developed from a red tongue

BLUISH-PURPLE

Cold & Blood Stasis
-developed from pale tongue

BLUISH-PURPLE with PURPLE on Sides [only towards middle section] & Swollen sides

Blood Stasis in Chest

PURPLE on Sides

Liver Blood Stasis

PURPLE on Center

Blood Stasis in Stomach

BLUE

Cold & Blood Stasis

THIN & Pale

Blood Def. [more chronic]

THIN, Red, & Peeled

Yin Def. [more chronic]

SWOLLEN & Pale

Retention of Dampness [deriving from Yang Deficiency.]

SWOLLEN, Red or Normal Color

Retention of Damp Heat

STIFF

Interior Wind

FLACCID

Deficiency of Body Fluids

LONG

Tendency to Heat, especially heart-Heat

SHORT, Pale, Wet

Interior Cold

SHORT, Red, Peeled

Extreme Yin Deficiency

CRACKED

Full-Heat
Yin Deficiency

CRACKED, Short Horizontal Cracks

Stomach Yin Deficiency

CRACKED, Long-Deep mid-line crack reaching the tip

Heart Pattern

CRACKED, Shallow-Wide Crack [not reaching tip]

Stomach Yin Deficiency

CRACKED, Short Transverse Crack [on sides & middle of tongue]

Chronic Spleen Qi Deficiency

QUIVERING

Spleen Qi Deficiency

DEVIATED

Interior Wind

TOOTHMARKED

Spleen Qi Deficiency

THIN, WHITE COAT

Normal Tongue

THICKER COAT

Presence of pathogenic factor & of its strength
-Exterior/Interior
Cold
Food Retention
Phlegm
Heat
Fire

ABSENCE OF COAT

Stomach Yin Deficiency
Kidney Yin Deficiency

ABSENCE OF COAT, Red Tongue

Kidney Yin deficiency

THIN, WHITE

Normal

WHITE COAT

Cold Pattern

YELLOW COAT

Full-Heat

GREY/BLACK COAT, Wet

Extreme Cold

GREY/BLACK COAT, Dry

Extreme Heat

SLIGHTLY MOIST

Normal
-body fluids intact

TOO WET

Yang Qi not transforming & transporting fluids
-accumulate to form Dampness

DRY, Coating

Full-Heat

DRY, No Coating

Empty-Heat

WHITE COAT

...

THIN, WHITE

...