Tongue diagnosis is an important part of the inspection of TCM.

中醫(yī)舌診是中醫(yī)望診當(dāng)中的重要組成部分，

Through the changes of our human tongue, we can diagnose many diseases.

通過我們?nèi)梭w舌頭的變化，我們可以診斷出許多疾病，

Do you want to know the principle?

你想知道這其中的原理嗎？?

This video will take you into the tongue diagnosis of our traditional Chinese medicine.?

這期視頻就帶你走進(jìn)我們中醫(yī)的舌診，

We’ll?talk about the principle of tongue diagnosis at first,

我們先來談?wù)勆嘣\的原理，

followed by the simple classification of tongue manifestations?

其次是簡單的舌象分類

and the?methods?of tongue diagnosis?finally:

和最后的舌診方法：

?

?The tongue, as the most flexible muscular organ of our body, is rich in blood vessels.

舌頭，作為我們身體最靈活的肌性器官，分布有十分豐富的血管。

?According to traditional Chinese medicine,

在中醫(yī)看來，

the tongue is closely related to the solid-hollow viscera?through the meridians,

舌頭與各個(gè)臟腑間通過經(jīng)絡(luò)有著密切的聯(lián)系，

especially the heart, which is the most important part of our viscera?system,

特別是心臟，而心臟又是我們五臟系統(tǒng)中最重要的部分，

and the tongue coating can more sensitively reflect the ups and downs between and righteousness?and evils. ?

而在舌體上面附著的舌苔可以較為敏銳地體現(xiàn)出人體邪氣與正氣之間的盛衰。

Why can we catch?the condition of our?whole body through a small tongue? ?

為什么通過小小的一個(gè)舌頭就能了解全身的狀況呢？

There is a proverb in China: Autumn is known from falling leaves.

我們中國有句諺語：一葉落而知天下秋。

It is this kind of insight of "seeing the magnificence through the small"

正是這種“見微知著”的洞察力，

that makes Chinese medicine often contain the disease in advance before it occurs or worsens.

使得中醫(yī)常常能在疾病發(fā)生或惡化之前，就提前將病勢(shì)遏制住。

The blood vessels on the tongue are extremely rich,

舌頭上的血管極為豐富，

and it is very sensitive to the changes of qi and blood,

對(duì)于氣血的變化十分敏感，

so it can reflect the strength of the body's righteousness?well. ?

因此能較好的體現(xiàn)人體正氣的強(qiáng)弱。

The texture and color of the tongue coating can fully reflect?the?nature of evil qi?

而舌苔的質(zhì)地、顏色對(duì)于邪氣的性質(zhì)

and whether the?human body’?fluid?is enough or not .

以及人體水液的盈虧都能完整體現(xiàn)。

Secondly, our Chinese medicine practitioners follow the idea of“analogies?according to manifestations”.

其次，我們中醫(yī)根據(jù)“取象比類”的思路，

a red tongue?suggests?hot, on the contrary,a?pale?one?shows?cold.

舌頭色紅有熱、色淡則寒，

The tongue coating is thick and greasy, often due to phlegm,just as the reason of the growing moss.?

舌苔厚膩常為痰濕，我們可以想想生活中的青苔，是一個(gè)道理的。

?In addition, we further subdivided the representation range of the tongue, and obtained the results as shown in the?picture:

另外，我們將舌頭的表征范圍進(jìn)一步細(xì)分，得出如圖所示結(jié)果：

?

?the tip of the tongue belongs to the heart and lungs,

舌尖屬于心肺、

the middle part of the tongue belongs to the spleen and stomach,

舌頭中部屬于脾胃、

and the sides of the tongue indicate liver and gallbladder’s?conditions.

而舌邊則表示肝膽情況、

?the base of the tongue belongs to the kidneys,

舌頭根部屬于腎

This classification method is widely used clinically,

這種分類方法在臨床上廣泛應(yīng)用，

and its reliability and effectiveness have been fully confirmed.

其可靠性、有效性得到充分證實(shí)。

Now?let’s take a look at some simple tongue pictures:

下面我們?cè)賮硪黄鹂纯匆恍┖唵蔚纳嘞髨D片：

?We diagnose diseases?mainly by looking at the tongue body and tongue coating.

我們觀察舌頭主要是看舌頭的舌體和舌苔部分，

?If necessary, we must also observe the sublingual veins,

必要時(shí)還要觀察舌下的脈絡(luò)情況，

because the sublingual veins can fully show the blood stasis in the body. ??

因?yàn)樯嘞旅}絡(luò)能充分表現(xiàn)體內(nèi)的瘀血情況。

?

Normal?tongue manifestation should be light-red and luster;

正常的舌象因該是淡紅舌且榮活的；

extrude and contract freely, moderate in size,;

伸縮自如、大小適中

and the coating should be?thin, white, and clear, ;

舌苔薄白，干凈

neither wet nor dry, moist moderately,

干濕度適中

the sublingual veins are?1~2.5mm in diameters,

舌下靜脈直徑大約1~2.5mm

dark-red,gentle, having no engorging phenomena.

顏色深紅，沒有充血現(xiàn)象。

?There're two lines of the sublingual veins in parallel?generally.

一般來說，舌下有兩條平行的靜脈。

?

OK，now for the pathological tongues’?manifestations.Let’s first look at the tongue body .

好的，對(duì)于舌象的病理表現(xiàn)，我們首先來看看舌體部分，

We will observe the general shape and contour of the tongue,

我們會(huì)觀察舌頭的大致形狀和輪廓，

such as?enlarged?tongue, pointed and?prickly tongue, petechia tongue, fissures tongue, and tooth-marked tongue.

例如胖舌、點(diǎn)刺舌、瘀斑舌、裂紋舌、齒痕舌，

Secondly, we will also observe the movement of the tongue.

其次我們也會(huì)觀察舌頭的運(yùn)動(dòng)情況，

Under pathological conditions, we will see such as

病理狀態(tài)下我們會(huì)看到，

stiff?tongue, shorten and shrunken?tongue, trembling tongue, and deviated?tongue.

比如強(qiáng)硬舌、短縮舌、顫動(dòng)舌、歪斜舌。

Furthermore, we will also pay attention to the color of the tongue.

再者，我們也會(huì)留意到舌頭的顏色，

Common colors such as pale tongue, red tongue, crimson tongue, and purple tongue.

常見的顏色比如淡白舌、紅舌、絳紅舌、紫舌，

Regarding the tongue coating, we mainly study the colors?and nature of it.

關(guān)于舌苔方面，我們主要研究的是舌苔的顏色、性質(zhì)，

The colors are mainly white, yellow and gray.

顏色上主要分有白、黃、灰三種，

?And in nature, we can see the thickness of the?coating, the moist and dryness?of the coating,

而性質(zhì)上主要有厚薄苔、干濕苔、

?exfoliated?coating and?deviated or whole?coating.

剝落苔和偏全苔。

?

?Chinese medicine has far more detailed research on the tongue than western medicine.

中醫(yī)對(duì)于舌頭研究的細(xì)致程度已經(jīng)遠(yuǎn)遠(yuǎn)超過西醫(yī)，

For Chinese medicine, the tongue is more like a mirror,

對(duì)于中醫(yī)而言，舌頭更像是一面鏡子，

?which can reflect a lot of physical and mental problems.

可以折射出非常多的身心問題，

?Because of?the?difficulties?in observing the tongue , and the interference of many factors,

但由于并且觀察舌象有一定難度，同時(shí)受到很多因素的干擾，

the requirements for the tongue diagnosis method are naturally very high.

因此對(duì)于舌診的方法要求自然也就很高了。

?

?We should pay attention to many factors that will affect the resuls.

我們要關(guān)注到許多會(huì)影響觀察結(jié)果的因素。

The position of the patient, the light in the room,

患者的體位、室內(nèi)的光線、

?the way of stretching the tongue, the angle and the order?of the observation are all particular. ?

伸舌的方式，觀察的角度、順序都有講究。

Generally speaking, the patient should?take the sitting or supine position.

一般來說，病患會(huì)采取坐位或仰臥位，

?It is best to observe under natural light,or?choose an incandescent lamp.

最好在自然光線下觀察，不然也要選擇白熾燈，

After the patient naturally extends the tongue,

在患者自然將舌頭伸出后，

we first observe the tip of the patient’s tongue,

我們先觀察病人舌頭的舌尖部，

and then the middle of the tongue,then?the sides?of the tongue,

之后是舌中、舌邊，

finally the base of the tongue.

最后是舌根部，

Because the color of the tongue is easier?to change and the condition of the tongue coating is relatively stable,

由于舌體的顏色容易發(fā)生變化，而舌苔的情況比較穩(wěn)定，

we usually observe the tongue?body?first, and then the tongue coating.

所以我們一般會(huì)先觀察舌體，之后才是舌苔,

?If necessary, we will also check the sublingual veins.??

必要時(shí)我們也會(huì)查看舌下系脈的情況。

If one-time observation of the tongue is not accurate enough, we can continue to observe after a short rest.

如果一次觀察舌頭不夠準(zhǔn)確，我們可以休息片刻后繼續(xù)觀察。

Prior to this, we must also eliminate some factors that will interfere with tongue diagnosis,

在此之前，我們也要排除一些會(huì)干擾舌診的因素，

such as whether the patients?eat some food that stains the tongue coating and so on.

比如是否食入會(huì)使舌苔染色的食物等等。

?

?As a very important part of the inspection, tongue diagnosis cannot be ignored.

舌診作為望診當(dāng)中非常重要的一部分，固然不可忽略，

?However, due to other uncontrollable factors,

但是由于其他一些不可控的因素，

we must also combine other diagnostic methods to make a more accurate judgment.

我們同時(shí)也要結(jié)合其他的診斷方法，才能更準(zhǔn)確的判斷。

unquestionably?the mystery and magic of tongue diagnosis can’t be?told?clearly in a short video.?

舌診的奧妙神奇豈是我短短一個(gè)小視頻可以說的清楚的呢？

However, I hope that today’s sharing will open a window for everyone who likes Chinese medicine

不過，我希望今天的分享，能給各位喜好中醫(yī)的小伙伴們打開一扇窗，

?and see the wonderful world of TCM. ?

看到美妙的中醫(yī)世界。

If you have anything to say or want to know,

如果你還有什么想說或想了解的，

Welcome to?leave a message at the bottom of the screen.

歡迎在屏幕下方給我們留言。

QingNangHeSheng helps the growth of Chinese medicine,

青囊和聲，助力中醫(yī)成長，

see you next time.

我們下期再見。

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