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Tongue Diagnosis

Chapter 7.3.1: 'The tongue is the mirror of the heart.' The tongue proper shows the interior Blood, energy and fluid. The coating shows climatic pathogenic factors.

Tongue Diagnosis Guide

Tongue areas mapped to organs:

Tip

Heart (Lung)

Center

Spleen (Stomach)

Root

Kidney (Urinary Bladder)

Sides

Liver – Gall Bladder

Normal Tongue

Pink in colour with a thin white coating. Not too broad or narrow, not too flat or thick. Moist without mucus and not dry. No red papillae or blue colour. Protrudes directly forward without deviation or tremor.

Significance

Healthy state

A normal tongue: pink with thin white coating, moist without mucus, not dry. No red papillae or blue colour. Protrudes directly without deviation or tremor.

Tongue Proper vs. Coating

Tongue Proper (Body)

Refers to size, form, colour, and moisture. Shows the state of Blood, energy and body fluid in the organs. Reflects the interior energy situation. Does not change quickly — changes are more serious, showing fundamental tendencies of body energies.

Tongue Coating

The actual coating on the tongue that cannot be brushed off. Shows different climatic pathogenic factors attacking from the exterior. Can change rather quickly, sometimes even during a single day. Changes are not too serious — but if neglected, pathogen can move to the interior.

Key Clinical Pearls

Reflect

What does your tongue look like right now — colour, coating, shape, cracks? Which organ system does it point to?