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  • 1. 1Tongue AnalysisBy Dr Rama Prasad  Collected from various sources The tongue with the purple body suggests one of two things. EitherColor of Tongue Body there is some blood stagnation, orFirstly, lets start out with the color there is cold in the body.of your tongue. Please pick fromone of the following: Just focus on Blood stagnation is exactly what itthe color of the tongue body, not sounds like. It is a circulatorythe coating or shape, just the color disorder that can give rise to aof the tongue body. Pick one:=>pink variety of things such as pains thattongue body=>slightly red are sharp and fixed in location,body=>red body=>purple chest pains, menstrual cramps,body=>Pale or White Tongue Body endometriosis, erectyle disfunction, benign or malignant tumors,Congratulations, youre normal. : ) fibrocystic tissue of the breast orNext, it is common for a tongue to uterus, etc. Physical trauma canhave a coating. Please pick the cause blood stagnation too.color of the tongue coating thatapplies to your tongue. Now in this Internal cold is also going to causequestion, were only dealing with pain. Generally this kind of pain willthe color of the coating, not the cause you to double over in pain.color of the tongue, not the Cold has a contracting quality to itthickness of the coating, just the that causes muscle spasms andcolor of the coating. Pick one: sever pains.The red tongue body can be due to This tongue body indicates a Yangone of two causes. It can be due to deficiency or blood deficiency.what we call heat which isgenerally some sort of infection or Yang deficiency is a lack of Yangillness that gives you a fever. Or it or warmth in the body. This may becan be due to a Yin deficiency in a hypothyroid condition or otheryour body. Yin is body fluids and metabolic deficiency. Symptomsthey keep the body cool in the include cold hands and feet,same way that a radiator keeps diarrhea, frequent urination,your cars engine cool. impotence, lack of libido, and fatigue.Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 2. 2Tongue AnalysisBy Dr Rama Prasad  Blood deficiency may or may not hot flashes, night sweats, irritability,be synonymous with "anemia". In and restlessness.either case, there can be a lack ofred blood cells, neurotransmitters, This coating is the official normaland/or hormones to put this into tongue coating. However thismore common terms. Symptoms coating, if it is starting to get thickassociated with blood deficiency can indicate cold dampnessinclude dry eyes, dry and itchy skin, accumulating inside your body.brittle nails, dizziness, insomnia,irregular periods or lack of periods, Cold dampness is like saying theand tremors. weather is cold and foggy inside your body. This can give rise to (orA lack of tongue coating suggests a be caused by) any number ofYin deficiency. Now, this Yin metabolic problems with symptomsdeficiency diagnosis only applies to such as fatigue, edema, inability tothe tongue that is so void of coating concentrate, or heavy dull aches inas to appear as if it has a mirror the body that are aggravated byfinish. If your tongue has a thin damp weather or humidity.coating then use the "back" buttonand click on "thin coating". Next up, lets look at the thickness of the tongue coating.Yin deficiency is a lack of fluidsand/or cooling mechanisms in your A thin coating is defined as abody. The tongue coating tells us coating that is present on theabout the fluids in your digestion tongue, but you can still seespecifically, and should there be no through it to the tongue bodycoating, we can assume that not beneath.only is there a deficiency of fluids inyour stomach and intestines but A thick coating is defined as aelsewhere as well. coating that is present on the tongue which you can not seeThis may give rise to a constant through.gnawing hunger, heartburn, andconstipation. Menopause can A geographic coating is a coatingproduce a transitory Yin deficiency where there are pieces missing asas well in which case we might see in the image below.Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 3. 3Tongue AnalysisBy Dr Rama Prasad  A dirty white coating is the same as Internal heat damaging Yin is whata light yellow coating. This indicates we call it when a high fever or othersome low-grade heat in either your source of heat causes dehydration.entire body such as a low grade Ive seen this coating in conjunctionfever or in your digestive system in with a heavy smoker as well. Thatsparticular. This could be something another example of heat damagingas meaningless as having just the Yin, in this case, the Yin is thedrunk some tea or coffee. Or it healthy fluids of the lungs.could indicate some stagnation inyour digestion such as what A bismuth based antacid can givehappens when you eat to much. rise a brown or even black tongue coating, not to mention some funnyIt could also indicate that your cold looking stools as well. Pepto-Bismolis becoming a flu or that you are is an example of this kind ofdeveloping a fever or that you like product. It does not indicate ayellow colored candy. pathology, its just a unique reaction to the bismuth in the medicine.Yellow Tongue Coating A thick coating indicates anThis sign indicates internal heat accumulation of dampness andwhich means that you have a fever, phlegm.or else metabolic functions areoperating in some other state of Dampness and phlegm meanshyperactivity. some sort of fluid metabolism problem giving rise to any one of aA yellow coating could also indicate number of moist, oozing or stickythat you just had a cigarette or pathologies. It can be aggravated orcoffee or tea or you just had a big even caused by dietary problems,meal. in particular items that are difficult to digest including cold raw foods inThis coating suggests Internal excess, dairy, deep fried orheat that is damaging the Yin or otherwise fatty foods. In short, allthat youre taking a bismuth based the good stuff.antacid. This tongue suggests phlegm and dampness in the Middle Jiao. So,Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 4. 4Tongue AnalysisBy Dr Rama Prasad  whats a Jiao and wheres the pathologies. It can be aggravated ormiddle one? Chinese medicine even caused by dietary problems,breaks up the abdomin and chest in particular items that are difficultinto three Jiaos or "burners" or to digest including cold raw foods in"ovens" or "heaters". The upper excess, dairy, deep fried orJiao is the cardiovascular system or otherwise fatty foods. In short, allthe Lungs and Heart. The middle the good stuff.Jiao is the pancreas and stomach.For some strange reason, we call This coating suggests a stomachthe pancreas the "spleen". Finally, Yin deficiency.the lower Jiao is all the organsbelow the belly button, give or take. Stomach Yin is the fluids in your stomach and intestines. ShouldDampness and phlegm indicates they become deficient, symptomsa fluid metabolism problem giving such as heartburn, constipation orrise to any one of a number of chronic gnawing hunger can arise.moist, oozing or sticky pathologies. Next step is to take a look at whereThe Middle Jiao is to say that the your tongue coating is mostphlegm and dampness are limited concentrated, itll tell us where yourin location to the digestive organs problem is likely to be mostfrom which phlegm and dampness evident.=>tend to arise. Key symptomsassociated with this pathology Coating Distributed Evenly Overinclude nausea, motion sickness, Entire Tonguelack of appetite, intestinal gurgling,fatigue. Indicates systemic dampness or phlegm.A thick coating indicates anaccumulation of dampness and Dampness is a wet pathology thatphlegm. arises from weak digestion or damp-producing diet. DampnessDampness and phlegm means can manifest as any foggy feeling,some sort of fluid metabolism like heaviness in the limbs or aproblem giving rise to any one of a headache that feels heavy.number of moist, oozing or sticky Dampness can clog up yourWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 5. 5Tongue AnalysisBy Dr Rama Prasad  acupuncture meridians giving riseto arthritis that is aggravated by Means that you have a normaldamp weather. Dampness can tongue. There is no damage to youraccumulate and look like water in Yin.the body. Edema or wateraccumulations are good examples Yin is all of the substance of yourof dampness. body. Theres substance and then there are all the functions. Yin isPhlegm can arive after dampness substance. Yang is function. Inhas had time to get thicker and clinical terms, we tend to dealstickier. Phlegm comes in two mostly with the fluid substance.forms. Substantial phlegm is the Once the fluids are workingstuff that you cough up. correctly, they can give rise toInsubstantial phlegm can clog up denser things like organs andyour meridians and give rise to bones.parasthesias or neuropathies,making parts of your body go numb Slight Teethmarksor tingle and feel funny for noreason. Meniers disease is The tongue is a muscle, and whensometimes caused by phlegm with there is a deficiency of Qi energywind in the body. in the body, this muscle can get flaccid, lose its ability to maintain itsIve also seen thick tongue coatings own shape and begin to take on theevenly distributed as a result of shape of its container, namely, theanti-depresant drugs. Im not sure if teeth in your mouth.the tongue coating is causing thedepression, as phlegm in the body Teethmarks can indicate that yourcan cause certain emotional digestion isnt strong enough to getproblems, or if the drug itself all the Qi from your food that youcauses the tongue coating to get need, or it may be simply that youthicker, but in any case, there is didnt get enough sleep last night.some relationship there. The tongue is a muscle, and whenNext, well take a look to see if you there is a deficiency of Qi energyhave any cracks in your tongue in the body, this muscle can getbody.=>no cracks=>central crack=> flaccid, lose its ability to maintain itsWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 6. 6Tongue AnalysisBy Dr Rama Prasad  own shape and begin to take on the your tongue extend past the 50%shape of its container, namely, the mark of the length of your tongue,teeth in your mouth. chose the second option below.Teethmarks can indicate that your This indicates Heat or blooddigestion isnt strong enough to get Stagnation in the lower Jiao.all the Qi from your food that youneed, or it may be simply that you The "lower Jiao" suggest that thedidnt get enough sleep last night. location of your heat or blood stagnation is in the organs or in theNo spots? Thats good news. There body below the belly button, give orare no spots on your tongue. take.Had there been spots on your Heat suggests that there is sometongue, youd be reading about sort of infection going on. It couldthem right now. If you think youve also indicate a little gunk in yourgot them, but arent really that sure, large intestine which isnt all thatyou can always click on the uncommon or even a problem forbackwards button and make a many people. It can indicate thatdifferent choice here. This test is a your diet isnt that great, but Ivetwo way street. also seen individuals with great dietary habits with some heat downIts a taoism thing, I guess. yonder.Okay, so youre tongue is normal If these dots are purple or brownwhen it comes to spots. Next, were instead of red, this would indicategoing to look underneath your some blood stagnation whichtongue at that big blue pair of veins. suggests some circulatory issue that can give rise to sharp painWhen you lift up your tongue, you always in the exact same spot,may see a couple of veins. They most likely below the belly button.should be a little blue or purple. Ifthe length of this purple line doesnt Spots on the Lateral Edges ofpass the 50% mark of the length of the Tongueyour tongue, chose the first optionbelow. If the blue veins beneathWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 7. 7Tongue AnalysisBy Dr Rama Prasad  This indicates either heat or blood get longer and extend further up tostagnation in the Liver. This the tip of the tongue. This doesntparticular "Liver" doesnt seem to be the case with yournecessarily mean that theres tongue.anything wrong with the organ thatwe call the liver. The TCM "Liver" is veins morea little different. Certain problems with bloodIf the dots are red as in the picture circulation will cause these veins toyou chose to get to this page would get longer and extend further up toindicate Liver heat. This suggests the tip of the tongue.that theres some dull pain beneaththe ribs, perhaps associated with Blood circultion problems canmood swings, irritability, red eyes, manifest in any of the followingmigraines, or perhaps youre just conditions: cold hands and feet,getting ready for your period. Im chest pains, pains that are sharp innot being funny on this one. Liver nature and fixed in location,heat may be nothing but the body headaches, tumors (both benignpreparing to push out some blood. and malignant), masses, fibrocystic tissue, endometroisis.If the dots are purple or brown onone or both sides of the tongue, this Blood stagation may also give riseindicates Liver blood stagnation. to pathologies of the centralThis can give rise to sharp, fixed nervous system, especially whenpains in the abdomen. In women, the etilogical factor is athis can also give rise to painful cerebralvascular accident.periods, endometriosis, tumors,fibrocystic tissue in the uterus or Imagine, you dont need a battery ofbreasts. In men, this could give rise tests to find out what part of yourto either heart disease or erectyle digestive tract is in stress. You candisfunction. diagnosis the whole GI tract and corresponding organ integrity all inveins less than 50% one easy view- just stick your tongue out.Certain problems with bloodcirculation will cause these veins toWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 8. 8Tongue AnalysisBy Dr Rama Prasad  As a whole the tongue reflects the • a wide tongue reflects ancondition of the digestive system overall balanced physical andand the organs associated with psychological disposition.blood, nutrient assimilation, and • a narrow tongue reflects aexcretion. You can also see how lack of physical adaptabilityhot or how cold your internal with pronounced strengthsorgans are. Therefore it has a high and weaknesses. Mentally,value as a diagnostic tool. thinking may be sharp but tend toward seeing a narrowSpecific sections of the tongue view.mirror the condition of particular • a very wide tongue reflects aparts of the digestive system and generally loose and expandedthe digestion related internal physical condition and aorgans. tendency toward more psychological concerns.Like each particular area of thebody, the tongue can be used to Tip:evaluate ones overall condition. • a rounded tip reflects aZetsu Shin as it is called in flexible yet firm physical andJapanese, is one of the most mental condition.important forms of diagnosis used • a pointed tip reflects a tight,in Chinese medicine. Two main perhaps even rigid physicalaspects are considered in tongue condition and an aggressivediagnosis. or even offensive mentality. • a very wide tip reflects anFirst is the structure of the tongue. overall weakness of theIs it wide or narrow, thick or thin, physical body and a flaccid orpointed or rounded? Such qualities even "spaced out" mentalconvey information concerning the condition.individuals basic constitution and • a divided tip reflects aoverall strengths and weaknesses tendency toward physical andof body and mind. mental imbalances with the possibility of sharpWidth: fluctuations in thinking and mood.Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 9. 9Tongue AnalysisBy Dr Rama Prasad  Thickness: animal fats, especially in the • a flat tongue reflects a middle organs of the body; balanced condition and the and possible inflammation. ability to flexibly adapt to • Blue or Purple: indicates circumstances. stagnation of blood circulation • a thin tongue reflects a more and a serious weakening of mental orientation, with a the part of the digestive tendency to be more gentle system that corresponds to and easy going. the area of the tongue where • a thick tongue reflects a more the color appears. physical orientation, with the tendency to be assertive or The color on the underside of the even aggressive. tongue can also be used to determine the internal condition. InIn comparison to structure, the general, the colors and theircondition of the tongue is influenced indications listed above are themore by daily lifestyle and provides same, with the followinginformation about an individuals exceptions:current state of health. Qualities tolook for include: • Blue or Green: In excess, either of these color reflectColor: disorders in the blood vessels • Dark red: indicates and in blood quality and inflammation; lesions or circulation. ulceration; and sometimes a • Purple: In excess, this color degeneration of the related reflects disorders of the organ. lymphatic and circulatory • White: indicates stagnation of system. It indicates a blood; fat and mucus weakening of the immune deposits; or a weakness in ability and of the blood the blood leading to such vessels. conditions as anaemia. • Yellow: indicates a disorder of Texture: the liver and gallbladder, resulting in an excess • a swollen or enlarged tongue: secretion of bile; deposits of indicates a Jitsu, or full state.Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 10. 10Tongue AnalysisBy Dr Rama Prasad   • a shrivelled or withered- Qualities are again divided into looking tongue: indicates a antagonistic pairs, and include Kyo, or empty state. moist and dry, excessive and deficient, thick or thin. The color ofMovement: the coating reveals a precise • the flexibility of the tongue information concerning specific also reflects the condition of internal conditions. the digestive system. Characteristics to look for include: • a flexible, supple, smoothly moving tongue. • a stiff, tense, or inflexible tongue. • a loose or lolling tongue. • a tongue with a pronounced slant to the left or right when it is extended.Pimples or projections of thetongues surface indicate thedischarge of fat, protein, and sugar.Where in the body this discharge iscoming from can be determined bythe specific area of the tongue onwhich it appears. You can find thecorrelation between the areas of thetongue and the digestive tract.The second major aspectconsidered in tongue diagnosis isthe coating, or moss, as it is calledin Chinese medicine, on thetongues surface.Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 11. 11Tongue AnalysisBy Dr Rama Prasad  Tongue Diagnosis coated, it will indicate that toxins are present in the large intestine. IfThe tongue is the organ of taste the middle of the tongue is coated,and speech. Size, shape, contour, the toxins are present in thesurface, margins, and color are the stomach and in the small intestine.characteristics one can observe onthe tongue. A pale tongue mayindicate an anemic condition or lackof blood in the body. An yellowishtongue may suggest that excessbile present in the gallbladder or apossible liver disorder. A bluetongue is normally an indication ofproblems with the heart.Different areas of the tonguecorresponds to different organs ofthe body. Hence by correlating thelocation of the blemishes on thetongue, the Ayurvedic practitionercan determine which organs of thebody are out of balance.A whitish tongue indicates Kaphaimbalance and mucusaccumulation. A red or yellow greentongue indicated a Pitta imbalance.A vata imbalance is manifested bya black to brown coloration on thetongue.If the tongue is covered by acoating, it may indicate thepresence of toxins in the stomach,small intestine or large intestine. Ifthe posterior part of the tongue isWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 12. 12Tongue AnalysisBy Dr Rama Prasad  Can Tongue Diagnosis Predict Yang Cai, PhD, a native of Suzhou,Colon Cancer? Scientists China and a systems scientist atEmbark on Groundbreaking U.S. Carnegie Mellon, is responsible forStudy taking and analyzing the tongueBy Michael Devitt, Managing Editor images. He also has a vested interest in the subject, having lost aWhile many poets believe the eyes close friend to ovarian cancer andare the windows to the soul, many an aunt to brain cancer only fouracupuncturists and doctors of months after being diagnosed.Oriental medicine believe that thetongue provides a window to the Determined to learn more about theinner workings of the body. For relationship between thethousands of years, tongue appearance of the tongue anddiagnosis has played an certain cancers, Dr. Cai talked toindispensable role in the practice of Chinese medical experts andtraditional Chinese medicine. TCM collected volumes of medicalpractitioners rely on tongue literature. He found several studiesdiagnosis to differentiate one dating as far back as the 1960s thatsyndrome from another, and use showed a correlation between thevariations in the tongues color, characteristics of the tongue andtexture, shape and coating to health conditions such as fever,evaluate a patients condition. dehydration and assorted internal diseases. For example, oneResearchers at Carnegie Mellon intriguing paper, published in theUniversity and the University of Chinese-language Journal ofPittsburgh Medical Center are Oncology in 1987, examined thetaking a scientific approach to the tongues of more than 12,000usefulness of tongue diagnosis. In patients and found "significantwhat is believed to be the first study changes" in color, coating andof its kind in the United States, the texture in the tongues of cancerousinvestigators have begun taking patients compared to those withoutcomputerized images of patients cancer.tongues to see if an examinationcan provide an early indication of The results of Cais informalcolon cancer. investigation led him to Dr. Robert Schoen, director of colorectal andWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 13. 13Tongue AnalysisBy Dr Rama Prasad  gastrointestinal cancer prevention takes two photographs of eachand control research at the tongue, with a color calibrationUniversity of Pittsburgh Cancer chart for confirmation. He then usesInstitute (UPCI). After initial vision technology software todiscussions, Schoen warmed to the isolate the tongues image fromidea of tongue diagnosis and other features in the mouth, andallowed Cai to add his research documents the color, texture andproject to Schoens ongoing study shape to create a mathematicalwith the Early Detection Research model of each tongue, which isNetwork. stored in a computer database."Im a big proponent of applyingrigorous scientific methodology to To date, Cai has personallythings like traditional Chinese photographed more than 30medicine," said Dr. Schoen. tongues, and has provided a camera and instructions on tongueLike Cai, Schoens work centers imaging to Xingming Lin, aaround the early detection of traditional Chinese medical doctorcolorectal cancer. However, while who oversees a cancer unit atthe bulk of Schoens research Anhui Medical School in Hefei,consists of collecting blood and China. In addition, Schoen hastissue samples from people who offered to share diagnostichave already undergone a information to determine whethercolonoscopy or surgery, Cai studies the patients Cai photographed areonly patients in the preparation diagnosed as normal, precancerousstages of a colonoscopy, an or cancerous.examination of the large intestine. While Schoen admits to somePatients about to receive a skepticism, he believes that Caiscolonoscopy arent allowed to eat research has merit. If tonguefor a minimum of six hours before screening proves accurate, it wouldundergoing the procedure. This give providers an inexpensive,benefits Cai in that it prohibits the noninvasive alternative to apatients from consuming something traditional colonoscopy.that would affect the color of thetongue. Using a digital camera, CaiWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 14. 14Tongue AnalysisBy Dr Rama Prasad  "From a clinical standpoint, its notreally much of a burden to the "There may be valuable insights topatients to stick out their tongue come from the traditional Chineseand have a picture taken," Schoen experience," offered Herberman. "Iexplained. "If one could see some cant dismiss out of hand whatscharacteristics of the tongue been going on for hundreds ofcorrelated to the presence of years because many of the drugsadenomatous polyps that have the that actually are used in the Unitedpotential to transform into cancer, States and Europe started out asthat would be great. Then you could folk medicines."just go around and take pictures ofpeoples tongues. Thats a lot For Dr. Cai, the goal of his project issimpler than doing colonoscopies." not to replace the conventional means of detecting colorectalSchoen noted that the tongue plays cancer simply by looking at thean important role in the diagnosis of tongue, but rather as an alternativeWestern-trained physicians as well. screening method that canThe color of the tongue, for accurately and effectively produceinstance, could indicate nutritional an early warning sign. That signdeficiencies, or conditions ranging may be as simple as having afrom anemia to scarlet fever. An patient see a physician for a moreenlarged or inflamed tongue, complete evaluation, but it maymeanwhile, could be a sign of make a significant difference ininfection elsewhere in the body. terms of cancer treatment, intervention, and a positive"The tongue is one of the first parts outcome of care.of the GI tract thats visible,"Schoen said. For more information on the tongue diagnosis research project, contactDr. Ronald Herberman, UPCIs Dr. Cai at ycai@cmu.edu.director, is responsible foroverseeing the work of Cai andSchoen. If tongue diagnosis provesuseful, Herberman feels it could beused as part of a routine cancerscreening at the institute.Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 15. 15Tongue AnalysisBy Dr Rama Prasad  TONGUE DIAGNOSIS 1 moist with a thin clear or white coat. Thin is defined as a coat throughTongue diagnosis dates to the which the tongue body can beShang Dynasty which began c.1600 seen. Some signs of imbalance orB.C. and ended c.1000. Throughout pathology are red body, yellowthe time since it has evolved into a coat, thick coat like mozzarellavery important tool of diagnosis. cheese, very dry body or cracks in the coat or body itself.The tongue is considered to be an Chinese medicine update:exterior part of the body because tongue diagnosis in Chineseits in almost contact with the air - medicinethe exterior. This is certainlydifferent from the American view Save a personal copy of this articlebut extremely productive. An and quickly find it again withacupuncturist or herbalist will, in themindʼs eye, overlay a tongue with In last months issue of Theseveral different maps. Each map is Townsend Letter, I described theshaped by the diagnostic model or role of pulse diagnosis in standardsystem which it represents. professional Chinese medicine. This month I would like to discussThe diagram on the left represents tongue diagnosis or, more properly,the internal organs. The center tongue examination (she zhen) indiagram represents the body as Chinese medicine. Whilehaving three parts - upper burner, practitioners of acupuncture andmiddle burner, and lower burner. Chinese medicine take intoThe diagram on the right represents consideration the patients diseasethe body as having two parts - diagnosis, they mainly base theirinterior and exterior. treatment on the patients individualized Chinese medical pattern or zheng. A pattern is a named and recognized standardThe practitioner examines the group of signs and symptoms, andgeneral and local shape, and the there are more than 300 suchcolor of both the tongue body and patterns in professional Chinesecoat. A healthy tongue will be pink medicine. Each pattern is defined(like a kitten or puppyʼs tongue) and by a group of general signs andWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 16. 16Tongue AnalysisBy Dr Rama Prasad  symptoms, tongue signs, and pulse patterns of disharmony and theirsigns. Therefore, one can say that pulses. Since that time, numeroustongue examination comprises one such books have been publishedthird of the Chinese medical with an ever-increasing number ofprocess of pattern discrimination. In illustrations until today, when weterms of the four examinations (si have books full of colorzhen) of Chinese medicine, tongue photographs of tongues, sets ofexamination is a special colored slides of tongues, and evensubcategory of visual inspection sets of colored plastic tongue(wang zhen). models to help students and practitioners learn this importantThe history of tongue diagnosis diagnostic art. For instance, inin Chinese medicine 1906, Liang De-yan wrote She JianDescriptions of diagnostically Bian Zheng (Pattern Discriminationsignificant pathological changes in by Examining the Tongue). Thisthe tongue and its fur in the book describes 148 tongue typesChinese medical literature date and their pattern indications. Today,back to the Nei Jing (Inner Classic), tongue examination is taught at allthe "Bible" of Chinese medicine colleges of Chinese medicine in thewhich was compiled in the late Han Peoples Republic of China and isdynasty (circa 200 A.D. or C.E.). the frequent subject of articlesThroughout the succeeding published in Chinese medicaldynasties, famous Chinese doctors journals.added more and more tongueobservations to the Chinese The relationship of the tongue tomedical literature. However, the first the interior of the bodysurviving Chinese medical text to In Chinese medicine, it is believeddeal exclusively with tongue that every part of the body containsexamination dates from 1341 during a "holographic" image of the entirethe Yuan or Mongol dynasty. This rest of the body. This holographicbook was written by Du Qing-bi and image is sometimes referred to inwas based, in part, on an earlier English as a homunculus or littlebook by a Master Ao which has not man. Therefore, there is a "map" ofsurvived. This book contained 36 the entire body on the ear, hand,color illustrations of the tongue and foot, face, eye, and even the lateralits fur corresponding to various edge of the first metacarpal bone.Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 17. 17Tongue AnalysisBy Dr Rama Prasad  Sites on these maps reflect Tongue body and furpathological changes in the Chinese medical practitioners lookcorresponding body parts and, at at two main things when they lookleast in some cases, stimulation of at the tongue. These two things arethese sites can be used to treat 1) the tongue body, and 2) thethose corresponding body parts. tongue fur. Inspection of the tongueAnyone familiar with foot body is also divided into two:reflexology will understand this inspection of the tongue shape andconcept. Unlike the nose, hands, inspection of the tongue color.and feet, the tongue is an internal Inspection of the tongue fur isorgan which can be seen from the divided into inspection of theoutside of the body. Therefore, in thickness of the fur and consistencyChinese medicine, the tongue is and inspection of its color andbelieved to be a hologram or moisture. According to Chinesehomunculus of the organs located medical textbooks, the normalin the cavity of the torso. This tongue color is pale red similar to ameans that Chinese medical skinned chicken. The normalpractitioners believe that certain tongue body or shape is neither tooareas of the tongue correspond to thick nor too thin and is not crackedspecific viscera and bowels. or crevassed. The normal tonguePathological changes in a given fur is thin in thickness and white inarea of the tongue are thus color, thus appearing almostbelieved to indicate pathological transparent. Further, the sublingualchanges in the corresponding veins are not dark, tortuous, andviscus or bowel. The accompanying distended. Such a tongue indicatesdiagrams show these that qi and blood are sufficient andcorrespondences. flowing freely, that yin and yang are in relative balance, and that, in particular, the stomach is functioning harmoniously. In terms of deviations from this norm, a tongue which is thicker than normal indicates a yin repletion due to nonmovement and nontransportation of water fluids,Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 18. 18Tongue AnalysisBy Dr Rama Prasad  while a tongue which is thinner than stomach function. If the tongue furnormal indicates an insufficiency of is thin and white, this means thatrighteous yin, including qi and the stomach is functioning normally.blood. A tongue which is paler than It is dispersing and downbearingnormal indicates a blood vacuity. A food properly and it is not too hot. Iftongue which is redder than normal the fur becomes thicker thanindicates heat. A tongue which is normal, this means that theblue indicates cold, while a tongue stomach is not dispersing the foodwhich is purple and dark indicates properly but that the food is backingblood stasis. Static speckles or up in the stomach and intestines. Ifspots, brownish papillae, also the fur is thicker than normal andindicate blood stasis in the organ dry, it shows that there is alsocorresponding to their location on damage to the stomach andthe tongue as do static macules, intestinal fluids. If the fur turnsblack and blue spots on the tongue. yellow, it indicates pathologicalAnother indication of blood stasis, heat. If it further turns brown orthis time primarily in the chest, are black, then this pathological heat isdistended, dark, tortuous sublingual even worse. If the tongue fur isveins. If the tip of the tongue is red, glossy and slimy, it indicates anthis means heat specifically in the accumulation of dampness andheart, but, if it is the sides of the turbidity, but if it is patchy andtongue that are red, this indicates geographic, this means that,heat in the liver-gallbladder. Cracks although there is damp heat, theand crevasses on the surface of the heat is damaging yin fluids. So thistongue can mean either of two is a more complicated pattern ofthings. If the tongue is not red, disharmony. While the color andcrevasses and cracks in the tongue shape of the tongue only changemean longstanding spleen vacuity. slowly over the course of hours orIf the tongue is red, then they mean even days, the tongue fur canchronic and enduring yin vacuity. change within a single hour.And finally, if the tongue quiversexcessively when presented, this Inspecting the tongueindicates stirring of internal wind. In China, when the practitionerThe tongue fur is believed to be a wants to see the patients tongue,reflection of the stomach qi or they say, "Kan kan she tai," "Let meWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 19. 19Tongue AnalysisBy Dr Rama Prasad  see your tongue and fur." Typically, and fluorescent light makes thethe patient is sitting upright in a tongue look bluish or purple whenroom well lit with natural light. The its not.patient should then stick out his orher tongue moderately far. Like somuch else in Chinese medicine, thepatient should neither stick theirtongue out too far, which distortsboth its shape and color, or toolittle, which makes the tongueimpossible to assess. Thepractitioner should look at thetongue in short, repeated bouts sothat the tongue does not changecolor or shape due to the strain ofholding it in an unusual place.Instead the practitioner asks thepatient to stick out their tongue,writes down an impression, andthen tells the patient to relax andclose their mouth again. Thisprocedure is repeated several timesuntil the practitioner feels confidenthe or she has a good picture of thepatients tongue body shape andcolor and its furs thickness, color,and moisture. This procedure canbe done relatively quickly andeasily, does not require any specialequipment, and is painless andnonthreatening to most patients. Ifthere is no natural light, then thepractitioner must make allowancefor the color of the light. Forinstance, incandescent light makesthe fur look yellowish when its not,Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 20. 20Tongue AnalysisBy Dr Rama Prasad  Hot New Articles by Topic where she had purchased Yin Qiao Wan (Lonicera & Forsythia Pills), aChinese tongue examination is common Chinese ready-mademuch, much easier to master than medicine for a wind heat externalChinese pulse examination. The contraction pattern of the commonbasics of this art can be learned in cold. However, she had taken onlya single day or less. Therefore, the dosage of these pillsmany students of Chinese medicine recommended on the packageplace more emphasis on the tongue (which is typically too little) and,than the pulse during the early even then, had missed a number ofyears of their practice, effectively doses. Because she had not gottenusing the tongue to teach better as expected, she came in forthemselves the pulse over time. a professional examination. BesideBecause the tongue is inspected the forgoing signs and symptoms,visually, interrater reliability is quite the patients pulse was fine,good. It is relatively easy to agree bowstring, and slightly rapid andwhether there are teeth-marks on her tongue was enlarged with teeth-the edges of the tongue or cracks marks on its edges, normal in color,down its middle. Likewise, it is but was covered with thicker thanrelatively easy to agree on color, normal fur. This fur was white onthickness and color of tongue fur, one side of the body and yellow onand the moistness of the tongue. the other. In this case, the pulse is really not very revelatory on its own.An example of the use of tongue It could indicate a number ofexamination in clinical practice different patterns. However, the tongue was very accurate in itsThe patient was a 36 year-old indications.female who was seen for thecommon cold. She had had a sore Based on the enlargement of thethroat, fever, chills, nasal tongue with teeth-marks on itscongestion, profuse phlegm, and edges, I knew that there was acough for four days. In addition, she chronic spleen qi vacuity. This hadwas fatigued and had lost her led to a righteous qi vacuity and,appetite. When the woman had first thus, the bodys susceptibility tocome down with the cold, she had external invasion and its inability togone to her local health food store throw off the evil qi. Because theWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 21. 21Tongue AnalysisBy Dr Rama Prasad  spleen qi moves and transforms formula, the womans appetitewater fluids in the body, the swollen immediately returned, her fevertongue indicated that water fluids went down, her chills abated, andhad accumulated, thus making a lot her energy began to return. Inof dampness and phlegm. Although terms of tongue examination, the"the spleen is the root of phlegm yellow fur on one half of her tongueengenderment, the lungs are the disappeared and the entire coatingplace where phlegm is stored." turned white. By the second day,Such spleen vacuity was confirmed her cough had stopped and sheby the fatigue and lack of appetite. was only producing a slightlyThe tongue fur which was white on abnormal amount of mucus. By theone side and yellow on the other third day, she was back to work,showed that the evil qi was half feeling relatively normal, and herinside and half outside. This is tongue fur was thin and white. Thiscalled a shao yang aspect disease. shows both how tongueIt means that there was still evil qi examination is used in Chineselodged in the exterior of the body medicine and how clinicallybut that some of this evil qi had important its findings can be. In thismade it to the interior. This then particular case, the half white andexplained why the Yin Qiao Wan half yellow tongue fur is a clear andhad not adequately dealt with the definite indication of the stage andcondition and was certainly pattern of this disease. It showedinappropriate now. Yin Qiao Wan, that the Chinese herbs the womanas an exterior-resolving formula, was currently taking on her ownonly clears wind heat evils from the were not the right ones and pointedexterior of the body. Now this unequivocally to the right formulapatient needed a shao yang aspect which, when prescribed, did the jobharmonizing formula (shao yang expected of it.fen he fang). This is an entirelydifferent category of Chinese herbalformula.When administered a modificationof Xiao Chai Hu Tang (MinorBupleurum Decoction), the classicshao yang aspect harmonizingWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 22. 22Tongue AnalysisBy Dr Rama Prasad  BENEFITS OF TONGUE patients constitution. The tongueDIAGNOSIS gives very accurate information about the state of Prana and blood,* Tongue diagnosis is a vital progression and regression ofdiagnostic Ayurvedic tool for disease, degree of heat and coldassessing the current health of a and the depth or penetration of apatient and providing a basis for pathogenic imbalance. This courseprognosis is taught by Walter Shantree* It also informs about the Kacera bringing to the practitioner aunderlying challenges of the very important and flexible resourcepatient?s constitution. for those wishing to integrate* The tongue gives very accurate tongue diagnosis into their privateinformation about the state of Prana practice.and blood, progression andregression of disease, degree of For the student, it is a very valuableheat and cold and the depth or and important aid. The work ispenetration of a pathogenic designed for both the beginner andimbalance. practitioner in mind, and comes* 80 percent accuracy before any with fundamentals supported byblood tests, hair analyses, or slide presentations of sampleurinalysis results come back form clinical indicators.labs. By using tongue diagnostic, you willIn the ancient texts it says "the be able to discern your own healthtongue is the sprout of the heart" and those of your patientsand that "the tongue is external problems with 80 percent accuracyindication for the spleen and before any blood tests, hairstomach". analyses, or urinalysis results come back form labs. The most valuableTongue diagnosis is a vital benefits of tongue diagnosis is toinstrument used in Ayurvedic work on a preventative level, whichMedicine both for assessing the can be achieved with thecurrent health of a patient and knowledge of ones constitution.providing a basis for prognosis. It The results from tongue diagnosisalso informs the practitioner about can direct the natural healththe underlying challenges of the practitioners attention to the majorWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 23. 23Tongue AnalysisBy Dr Rama Prasad  body systems to accurately pinpoint Tongue Diagnosis 2the health imbalances. Tongue diagnosis is a method of observing the changes of the tongue body and the tongue coating to analyze and diagnose disease. It is one of the main methods of diagnostic observation in T.C.M. According to T.C.M. theory, the tongue is nourished by Qi and blood. The heart opens on the tongue. Tongue is the sprout of the heart and the heart is the supreme monarch of all organs. All disharmony of Zang and Fu organs influences not only the heart, but also the tongue by pushing the flow of the qi and blood into the bodyʼs blood circulation. The tongue is also closely related to the function of the spleen and the stomach and is considered the outside representation of the stomach and spleen. The Tongue coating has a special relation to the stomach qi. The spleen and stomach affects the acquired source of the body which in turn affects the qi or blood functions of the other organs. The tongue links the Zang and Fu directly and indirectly through meridians and collaterals. The body meridians flow upward into the tongue. Examples are the meridians of three yin of the foot,Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 24. 24Tongue AnalysisBy Dr Rama Prasad  three yang of the foot, Tai yang tongue body; the tongue colorsmeridians of the hand and Shao could be pale, red, crimson, purpleyang meridians of the hand. All or blue. Other observation factorsmeridian qi and blood flows up to are the tongue shape and size thatthe tongue. So the tongue is a would include puffiness, swollen,natural mirror of the human body thin and skinny, spots, cracks, teethreflecting the bodyʼs internal status. marks, bleeding, carbuncle, ulcersThe tongue basically reflects the and blisters. The tongue movementcondition and disease of Zang and such as stiffness, atrphy, trembling,Fu organs, qi, blood and the deviation, wagging and numbnessconstitution of a person. and the veins under the tongue are also factors used in the observationZang and Fu organs have their procedures of tongue diagnosisrepresentative areas on the tonguesurface. Generally speaking the tip Observing the tongue coatingof the tongue belongs to the heart includes the reading of the tongueand lung. The middle belongs to the coating color. The color can bespleen and stomach. The root represented in the colors of white,belongs to the kidneys and the yellow, gray, blue and either dark orsides belong to the liver and pale. Other factors to observe ingallbladder. It also can be regards to the tongue coating is theexplained as the tip associated with thickness, moisture, does it seemthe upper Jiao, the middle part rotten, greasy, patchy, peeling or noassociated with the middle Jiao and coating at all. Another ongoingthe root associated with the lower factor is to notice change in theJiao. coating either a increase or decrease of the tongue coating overThe normal tongue is soft and timereddish, neither dry nor too wet andfits perfectly within the mouth while In a clinic setting the tongue bodymoving freely. Its coating is a thin and tongue coating have their ownwhite moist distributed evenly over diagnosis patterns yet they arethe tongue. commonly combined when used for diagnosis. Observation of theUsually observing the tongue body tongue body is for the determinationincludes observing the vitality of the of condition of the Zang and FuWeb: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426  
  • 25. 25Tongue AnalysisBy Dr Rama Prasad  organ conditions. Observation of Yellow tongue coating is due tothe tongue coating helps determine heat. White coating with moist isthe disease nature, location, and due to cold. Thick greasy coating isconditions of the stomach Qi. due to phlegm or food accumulation and thick yellow coating due to heatThe clinical significances of and damp. Tongue deviated to onetongue diagnosis side suggests wind. Spots on the tongue show blood stasis.Judge the overall human body ofconstitutions exuberance and Predict progress of diseasedecline of genuine Qi When tongue coating turns fromTongue body bright reddish with white to yellow, then yellow to dark,normal tongue appearance show Qi or moist turning to dryness it showsand blood exuberance. The light the pathogen going inside frompale tongue body (tongue not superficial to interior, from cold tonourished) is signs of deficiency of heat condition, and disease fromQi and blood. A tongue with thick or mild to severe. If the change fromthin moist coating indicate stomach thick to thin or dryness to moist it isexuberance. A tongue with no a sign the pathogen is regressing,coating shows stomach function not body fluids regenerating andgood. disease improving.Determine depth and severity ofpathogen and diseaseThin tongue coating suggestsdisease is in the initial stage whilethick coating suggests disease ismuch more advanced. The deepred crimson tongue shows majordeficiency of Ying or blood levels. Atongue body with deep red means asevere condition.Distinguish nature of diseaseand pathogen.Web: www.ayurvedaelements.com • Email: ayurvedaelements@gmail.com17 Orchard Road, Chatswood NSW Australia 2067Phone- 0011 61 2 9904 7754 • Texts 0425 233 426