A Comprehensive Guide to TCM Observation Diagnosis

A Comprehensive Guide to TCM Observation Diagnosis

Eyes

1. Symptoms Around the Eyes

Swollen eyelids — Indicates reduced function of internal organs (kidneys, gastrointestinal, heart) leading to water retention in the body.

Dark circles — Occur when blood contains excessive waste, causing the area around the eyes to appear dull (kidneys).

Wrinkles below the eyes — A sign of aging.

Sunken eye sockets — Indicates excessive consumption of body energy.

White inner eyelids — A symptom of anemia.

Yellowish-white bumps on eyelids — Indicates high cholesterol levels.

2. Eye Conditions

Yellowing of the sclera — A warning sign of liver and gallbladder issues (jaundice).

Blood vessels in the sclera — Indicates liver stress causing vascular congestion.

Eye twitching — A warning sign of weakened immunity.

3. Functional Impairments of the Eyes

Inability to fully close eyes during sleep — Indicates gastrointestinal issues leading to overall muscle weakness.

Easy eye fatigue — Indicates liver dysfunction.

4. Eye Discharges

“Eye crust” — Yellow eye discharge indicates “pus” (inflammation).

Dry eyes — Can lead to eye diseases.

Excessive tearing — Occurs when liver function is weakened.

Mouth

A Comprehensive Guide to TCM Observation Diagnosis

1. Symptoms Around the Mouth

Cracked corners of the mouth — Caused by gastritis leading to false appetite.

Acne around the corners of the mouth — Indicates weak gastrointestinal function.

Dry lips — Elevated body temperature can cause dry lips.

Pale lips — A warning sign of insufficient blood.

Red lips — Indicates excessive internal heat accumulation.

2. Oral Symptoms and Discharges

Stomatitis — Evidence of lowered immunity.

Bad breath — Can have five causes (active gastritis, indigestion, rhinitis, gum disease, dental plaque).

Feeling dry mouth with thick saliva — Indicates overall body dehydration.

Finding a pool of saliva on the pillow upon waking — Indicates weakened gastrointestinal function.

Tongue

A Comprehensive Guide to TCM Observation Diagnosis

1. Shape of the Tongue

Jagged edges on the tongue — Indicates swelling due to excess water.

Cracked tongue surface — Indicates insufficient water.

2. Tongue Movement

Slanted tongue — A signal of cerebrovascular disorders.

Trembling tongue — Indicates body weakness.

3. Color of the Tongue

Red tongue body — Indicates elevated body temperature.

Pale tongue body — Indicates body weakness.

Purple tongue — A signal of overly thick blood.

Varicose veins on the tongue — A dangerous signal of poor blood flow.

4. Size of the Tongue

Large and thick tongue — Indicates excess water in the body.

Small and thin tongue — Indicates insufficient water in the body.

5. Thickness of the Tongue Coating

Thick tongue coating, almost obscuring the tongue surface — Indicates gastrointestinal disorders or serious diseases.

Thin tongue coating, almost invisible — Indicates body weakness or allergic constitution.

6. Color of the Tongue Coating

White tongue coating — Indicates low body temperature and reduced body function.

Yellow tongue coating — Indicates internal “heat”.

Black tongue coating — Indicates extreme physical exhaustion.

Nose

A Comprehensive Guide to TCM Observation Diagnosis

1. Condition of the Nose

Nose size — Indicates strength of respiratory function.

Nostrils flaring — Indicates respiratory distress.

2. Skin Condition of the Nose

Acne on the nose tip — May indicate respiratory issues.

Red nose tip — A signal of excessive alcohol consumption.

3. Nasal Discharges

Nasal discharge can indicate body temperature — Treatment for colds varies based on type of nasal discharge.

Nasal congestion — If ignored, can lead to systemic hypoxia.

Frequent nosebleeds — Often caused by weakened gastrointestinal function.

Cheeks

A Comprehensive Guide to TCM Observation Diagnosis

1. Complexion

Red and hot cheeks — Indicates abnormal body temperature regulation.

Pale cheeks — Indicates insufficient oxygen supply in the body.

2. Skin Condition

Wrinkles on the cheekbones — Mainly caused by UV exposure.

Acne on the cheeks — Indicates dietary excess or constipation.

Enlarged pores on the cheeks — Reduced sebum is the main cause of enlarged pores.

Teeth

1. Condition of the Teeth

Prone to cavities — A precursor to osteoporosis.

Gray teeth — Indicates the formation of cavities inside the teeth.

2. Condition of the Gums

Swollen gums — Indicates gastritis or fatigue.

Bleeding gums — Indicates gum inflammation or weak gastrointestinal function.

Hair

A Comprehensive Guide to TCM Observation Diagnosis

1. Hair Quality

Thinning hair — Indicates a tendency towards anemia or aging.

Adolescent baldness — Excessive fat intake can lead to hair depletion (reproductive organ decline).

Excessive hair loss — Can indicate early signs of disease.

Premature graying — Related to calcium levels and hair.

Curly hair — Indicates thinning hair quality.

Excessive split ends and breakage — Menstruation can cause hair anemia.

2. Scalp Condition

Excessive dandruff — Can be classified into “dry” (iron and protein supplementation) and “oily” (improving lipid metabolism, supplementing Vitamin B).

Soft and lack of elasticity scalp — Indicates symptoms of swelling.

Nails

A Comprehensive Guide to TCM Observation Diagnosis

1. Shape of the Nails

Vertical ridges on the nails — Indicate “wrinkles” formed by aging.

Horizontal ridges on the nails — Indicate records of “past” (body discomfort).

Prone to breaking nails — Indicates anemia or poor liver function.

Spoon nails — A distress signal from the body (severe anemia, uterine fibroids, endometriosis; detailed examination recommended).

Clubbing nails (feeling of pressure deformation) — Common in individuals with heart disease.

Disappearance of the white crescent at the nail base — Indicates physical decline.

Dry nails — Indicate a state of dryness.

2. Color of the Nails

Red nails — Indicates overly thick blood (pay attention to cardiovascular health).

Purple-black nails — Indicate unclear blood or poor heart function.

White nails — Indicate a tendency towards anemia.

A Comprehensive Guide to TCM Observation Diagnosis

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