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Pale Tongue

How Chinese medicine differentiates a pale tongue — a classic Qi/Blood/Yang-deficiency sign checked on exam — into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Purple Tongue and Cracked Tongue pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. A pale tongue is one diagnostic sign among many — always weigh it alongside the pulse, symptoms, and history.
General Acupuncture Points

Acupuncture points traditionally used when a pale tongue is found — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Nourishes Blood.
BL-17Invigorates Blood. Cools Blood. Nourishes Blood.
REN-8Rescues Yang. Strengthens the Spleen. Tonifies Original Qi.
DU-4Tonifies Kidney-Yang and warms the Gate of Life. Tonifies the Original Qi.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi and Blood Deficiency

Clinical manifestations: Fatigue and weakness, shortness of breath on exertion, dizziness or lightheadedness, poor appetite, pale complexion.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak.
Treatment principle: Tonify Qi, nourish Blood, strengthen the Spleen.
Note: moxa applicable on ST-36/BL-20. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

2. Blood Deficiency

Clinical manifestations: Pale thin tongue body, dizziness or lightheadedness, blurred vision, pale lips and nail beds, scanty menstrual flow with pale blood, numbness or tingling in the hands and feet.
Tongue: Pale, thin body with thin white coating. Pulse: Fine, weak or choppy.
Treatment principle: Nourish Blood, regulate menstruation, alleviate pain.
Note: no moxa. This site has no organ-nonspecific Blood-deficiency slide on any deck — no pattern link is given here; points still link fine individually.

3. Spleen Yang Deficiency View full pattern →

Clinical manifestations: Pale puffy tender tongue with teeth marks, white slippery coating, loose stools, feeling cold, dull abdominal pain improved by warmth and pressure, abdominal bloating.
Tongue: Pale, puffy, tender body with teeth marks and a white slippery coating. Pulse: Deep, slow, weak, especially in the right Guan position.
Treatment principle: Warm the Middle Burner, disperse Cold, tonify Qi.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Spleen-Yang-deficiency slide.

4. Yang Deficiency View full pattern →

Clinical manifestations: Feeling cold, cold hands and feet, desire for warmth and warm drinks, fatigue and weakness, pale complexion.
Tongue: Pale, swollen, and moist with teeth marks, white slippery coating. Pulse: Deep, slow, and weak.
Treatment principle: Warm Yang and disperse Cold, tonify Qi, strengthen the Spleen.
Note: moxa strongly indicated throughout. This site has no plain organ-nonspecific Yang-deficiency slide — linked to the closest match, this site's own Kidney-Yang-deficiency slide, since the moxa-heavy treatment approach here (DU-4, REN-4) is identical.

5. Qi Deficiency Causing Blood Stagnation View full pattern →

Clinical manifestations: Pale tongue with purplish spots or a dark tinge, fixed stabbing pain worsening with pressure, fatigue and weakness, shortness of breath and reluctance to speak, dark or dusky complexion.
Tongue: Pale base with a dark or purplish tinge, stasis spots or purple dots, possible teeth marks, distended sublingual veins, thin white coat. Pulse: Deep, fine or weak, and choppy.
Treatment principle: Tonify Qi, invigorate Blood and dispel stasis, unblock channels and collaterals.
Note: moxa applicable on ST-36/REN-6. Direct match with this site's own Liver-Blood-stasis slide via the established discoloration-marker rule — this is exactly the Qi-deficiency-causing-stasis variant that rule was written to cover.

6. Spleen and Stomach Qi Deficiency View full pattern →

Clinical manifestations: Poor appetite, abdominal bloating, loose stools, heavy weak limbs, pale complexion.
Tongue: Pale, slightly puffy body with tooth marks and a thin white coating. Pulse: Weak, soft, and empty, especially at the right middle (Guan) position.
Treatment principle: Tonify Qi, strengthen the Spleen, harmonize the Stomach.
Note: no moxa. Direct exact-name match with this site's own Stomach-and-Spleen-Qi-deficiency slide.
Related conditions

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