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Tongue Diagnosis

If you've ever experienced Chinese Medicine, you may have been asked to stick out your tongue. While this might seem unusual, it's actually a crucial tool in forming a diagnosis.


After gathering a detailed health history, the acupuncturist assesses the tongue's color, coating, moisture, and shape to either support or refine their findings.


A healthy tongue should resemble that of a baby's—pink, smooth, and moist, with no coating.


The tongue is like a map, with different areas corresponding to various organs:

  • The top third relates to the lungs and heart.

  • The middle third corresponds to digestion.

  • The back third is linked to the intestines and bladder.

  • The edges represent the liver.


One common presentation is cracks, indicating a deficiency. The "map" helps the acupuncturist identify the location and severity of this deficiency. Shallow cracks are more common and easier to treat, while deeper cracks signal more serious issues.


Another frequent observation is a swollen tongue with scalloped edges, often indicating dampness retention. This may correlate with symptoms like body swelling, excess mucus, or diarrhea. The tongue's color also provides valuable insight—pale indicates a deficiency of qi (energy) or blood, red suggests heat, and a dusky hue points to stagnation of energy or blood.


The presence of a tongue coating is another significant clue. Ideally, there shouldn’t be any!


A thick coat suggests dampness retention, with the location of the coat revealing more details. A white coating indicates dampness, while a yellowish one suggests dampness combined with heat. Sometimes, the coating is peeled in patches, indicating localized areas of heat.

Lastly, the color of the tongue body itself is important. A healthy tongue is light pink, while imbalances can manifest as red, purple, or pale/white. The good news is that the tongue's landscape can change with improved health. So if you notice something unusual on your tongue, know that it can transform as your diet and lifestyle become more aligned with your body’s needs.

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