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8/14/2019 Why Tongue Can Reflect the Zang-Fu Organs
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Tongue
P50
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Why tongue can reflectthe Zang-Fu organs
The heart opens into the tongue,
All Zang-Fu organs are directly or
indirectly connected with the tonguethrough channel-collaterals andchannel-tendon.
The essential Qi of Zang-Fu organs
flows up nourishing and moistening thetongue, hence, the condition of thetongue can mirror the state of Zang-Fuorgans.
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What tongue examinationcan do
Tongue invariably reflects
The state of Yin-Yang and Qi-blood.
The nature of the pathogenicfactor
The progression and regression of
the disease
The degree of heat and cold
The depth of the pathogenpenetration
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Relationship between tongue andZang-Fu organs
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Method for observing thetongue
Natural light shining directly intopatients mouth.
Because of inadequate lighting mayconfuse the vision and blur colordifferences
Tongue should be relaxed and naturalflat.
Tense protraction may deepen thecolor of the tongue and moisten thetongue surface
Something affecting the tongue shouldbe excluded.
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Content of tongueexamination
Tongue substance
Muscular body of the tongue
Tongue coat
Moss-like layer which covers thesurface of the tongue
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Normal tongue
proper in size,
light red in color,
free in motion,and with a thinmoss-like layer ofwhite coat over
the tonguesurface
which is neitherdry nor too moist.
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Tongue substance
Color
Form
Movement
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Color
Pale tongue
Red tongue
Crimson tongue
Purple tongue
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1.Pale tongue
a less thannormally light red
tongue,indicatesdeficiencysyndrome,
or cold syndromedue toinsufficiency of
Yang Qi.
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Because of deficiency, theinsufficiency of Qi and blood fail to
nourish the tongue, thus a paletongue occurs, or because the coldstagnates the meridians, the
tongue is also pale.
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The color of the tongue is just likepeople's complexion, will become pale
without the supply of nutrition.Since Yang Qi is weak and fails toproduce enough blood, it may result indeficiency of Qi and blood, and because
of the deficiency of Qi, the warmingaction is failure, so it will give rise tocold syndrome.
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2.Red tongue
An abnormallybright red tongue
Indicated variousheat syndrome.
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The color of redtongue like thefire, give us thesymbol of heat,
so it indicate heatsyndrome.
http://image.baidu.com/i?ct=503316480&z=0&tn=baiduimagedetail&word=%BB%F0&in=26&cl=2&cm=1&sc=0&lm=-1&pn=25&rn=1 -
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3.Crimson tongue
It is more redthan red tongue
Indicates a severestage of febriledisease in whichpathogenic heat
factor hasintruded intonutrient blood.
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Purple tongue
Purple tongue ortongue withpurple spots
Indicatesstagnation of Qiand blood.
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After the trauma, the purplephenomenon will present in the bodysurface, prove some blood vessel or the
tissue is damaged, and thus causeblood not to run smoothly in the part.
And Purple tongue indicate thecirculation of Qi and blood unsmooth in
the body, so it is the stagnation of Qiand blood.
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Form
refers to the shape of the tonguebody.
Thickness Tenderness
Other morbid changes
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1.Enlargement tongue
The tongue bodyis enlarged andbecome biggerthan normal size.
Indicateddeficiency of
spleen Yang andkidney Yang.
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In the lesson of the state of Zang-Fu organs, we know that spleen
and kidney control watermetabolism.
If the function of spleen and kidney
are out of order, water retentionwill happen in the body, and reflectin the tongue, and make thetongue larger than normal state.
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2.Swollen red tongue
Indicatesdampness-heatbrewing, up-flowing of bloodwith cardiac heatand splenic heat,
or toxic heatpoisoning.
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red tongue and Enlargementtongue
Common: the size of tongue arebigger than normal tongue
Difference----color: the color of Enlargement tongue
is pale, it indicate cold syndrome
the color of Swollen red tongue isred, it indicate heat syndrome
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3.Thin and small tongue
Indicates the deficiency syndrome,including deficiency of Qi and blood,and deficiency of Yin.
+pale in color: indicates deficiency ofheart and spleen, insufficiency of Qiand blood.
+dry tongue with dark red color:damage to body fluids by exuberantfire of deficiency Yin.
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Without nutrition supply,everything in the body will become
smaller than normal stateincluding the tongue.
It indicate the deficiency of
syndrome.
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4.Fissured tongue
Indicatesdeficiency Yin
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Body fluid and blood are belong toYin humor
The fissured tongue mirror the Yindeficiency syndrome is same tothe earth without water
supplement.
http://image.baidu.com/i?ct=503316480&z=0&tn=baiduimagedetail&word=%B8%C9%BA%D4&in=20&cl=2&cm=1&sc=0&lm=-1&pn=19&rn=1 -
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5.Prickled tongue
Indicates heat inthe relative Zang-Fu organs.
Tip-heart and lung
Side-liver andgallbladder
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The bearing of the tongue(movement)
Flaccid tongue
Stiff tongue
Wagging tongue
Trembling tongue
Wry tongue
Contraction tongue
Numbness tongue
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1.Flaccid tongue
Weak tongueunable toprotrude and curl,
a sign of extremedeficiency of Qiand blood, orconsumption of
Yin fluid.It is like the limbscant movewithout nutrition
supply.
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2.Stiff tongue
That is difficult tomove
Seen in case ofapoplexy
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3.Wagging tongue
Marked bysticking out thetongue long andrelaxed, orextending it outand drawing it
back frequently,or licking aroundthe lips as in thecase of febrile
diseases.
Indicatesexcessive heat inthe heart andspleen or anomen ofconvulsion and
poor mentaldevelopmentinfants
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4.Trembling tongue
The tongue keeptremblingunvoluntarily.
Deficiency of bothQi and blood
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5.Wry tongue
The tonguereclines to oneside.
Indicatesapoplexy or theomen of
apoplexy.
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6.Contraction tongue
Contraction means a retractedtongue unable to extend is a
critical sign in most cases.It may be caused either by asevere damage to Yin fluid by
extreme heat, or by coldcongealing the tendons and veins,or by stagnation of phlegm-damp.
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7.Numbness tongue
Numb and notfree inmovement.
Indicates the liverwind stirs and itmay carry thephlegm upward,mostly attributedto blood
deficiency.
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Tongue coat
Health: thin andslightly whitetongue coat.
Is due to upwardfuming of gastricQi
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Color of tongue coat
Morbid changes of tongue coatare categorized as
White Yellow
Grey
Black
in color
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2.Yellow color
Interior syndrome
Heat syndrome
When the pathogenicfactor has developedfrom exterior tointerior, and that it
has transformed intoheat.
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As we know, the food will becomeyellow when they are cooked by
fire, from this sense, yellow coatindicate heat syndrome.
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3.Grey color
Interior syndrome
Heat or cold-
damp
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4.Black tongue
Interior syndrome
Extreme heat or
extreme coldIt may bedevelopmentfrom grey coat or
burned yellowcoat.
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Conclusion
the more color
the more interior syndrome
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The form of tongue coat
Glossy
Dry
Thick
Thin
Unclean
Peeling
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1.Thin and thick
Thin tongue coat :the underlyingtongue surfacecan be seenfaintly.
Indicates minor
case with thepathogen in theexterior
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1.Thin and thick
Thick tongue coat:cover the tonguesurface fully.
Indicates thepathogen is enteringmore interior, thecase more severe;
retention of phlegm-water, or turbiddamp, oraccumulation ofindigested food.
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Application
Examining the thickness of tongue coatmay help to diagnose the severity of theprimary stage, the progression or
regression of disease.Generally speaking, at the primarystage, the tongue coat is mostly thin,indicates a minor case with the
pathogen in the exterior.Whereas a thick coat indicates thepathogen is entering more interior, thecase more severe, retention of phlegm-
water, or turbid damp, or accumulation
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If the tongue coat thickens, themorbid condition is advancing
If the tongue coat thins, themorbid condition is improving
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2.Glossy and dry
Glossy tonguecoat: surface oftongue contains
too much waterthat can even dripdown whenshowing the
tongue.Indicates damp-phlegm retention,or cold-damp
accumulation.
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2.Glossy and dry
Dry tongue coat: thetongue surface is dryand looks rough.
Indicates damage toYin fluid byexuberant heat ascan be seen inexogenous heat
syndrome, or failureof fluid to reach theupper body becauseof Yang deficiency.
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Application
Glossy
Because of too
much water
Dry
Because of too
little water
The morbid condition of bodyfluid is well reflected from glossy
and dry tongue coat
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3.Greasy and dreggy
Greasy tongue coat:the tongue surfacecovered with a stickygrainy coat which isfairy thick andslippery and not easyto scrub if off.
Indicates laten
phlegm-damp,failure of Yang Qi todisperse turbiddamp, retention ofphlegm-water,
warmth damp
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3.Greasy and dreggy
Dreggy tongue coat:more thick and softwith bigger granular
looks like bean curddregs, very easy toscrub it off.
Indicates stagnation
of food in thestomach, turbid Qisteaming upwards,accumulation ofphlegm-damp.
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Peeling coat
Peeling coat appearspeeling interspersedin the tongue
surface.Indicates both thestomach Yin andstomach Qi are
impaired.The coat come fromthe upward fumingof gastric Qi.