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Redness at Tip or Sides of the Tongue

How Chinese medicine differentiates redness at the tip or sides of the tongue into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's Tongue Pain and Coated Tongue pages. Acupuncture only β€” no herbs.

This page is educational, for practitioners and students β€” it is not a diagnostic tool and does not replace a proper in-person assessment. This page describes a diagnostic tongue sign for practitioners and students; it is not a substitute for a full in-person assessment.
General Acupuncture Points

Acupuncture points traditionally used for redness at the tip or sides of the tongue β€” 3 key points, used across the patterns below rather than tied to just one.

PointKey action
LIV-3Subdues Liver-Yang. Extinguishes interior Wind. Promotes the smooth flow of Liver-Qi.
HE-7Calms the Mind and opens the Mind’s orifices. Nourishes Heart-Blood.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Heart Fire Blazing View full pattern →

Clinical manifestations: A crimson red tongue tip with red prickles; mouth or tongue ulcers with raised edges; palpitations; mental restlessness; insomnia; thirst for cold drinks; a bitter taste; dark yellow urine.
Tongue: Red with a distinctly redder tip and prickles, possible midline crack, yellow dry coating. Pulse: Rapid, forceful, overflowing, at the left front position.
Treatment principle: Clears Heart Fire and drains Heat downward via urination.
Note: no moxa.

2. Liver Fire Blazing View full pattern →

Clinical manifestations: Red tongue sides; a throbbing temple or crown headache; red, painful, burning eyes; a bitter taste; intense irritability and a short temper; burning rib pain.
Tongue: Red with redder sides, dry yellow coating, possible red prickles on the sides or tip. Pulse: Wiry and rapid, forceful at the left middle position.
Treatment principle: Drains excess Liver and Gallbladder Fire and clears Heat from the Liver channel.
Note: no moxa.

3. Empty-Heat from Yin Deficiency View full pattern →

Clinical manifestations: A red tongue tip or sides with little or no coating; night sweats dampening the pillow; a dry mouth and throat worse in the evening; five-palm heat; a malar flush; restlessness and difficulty falling asleep.
Tongue: Red, thin, dry with cracks and little or no coating. Pulse: Fine and rapid, often weak at the left rear position.
Treatment principle: Nourishes Yin and subdues empty Heat without damaging remaining fluids.
Note: no moxa (Yin deficiency with heat signs).

4. Wind-Heat View full pattern →

Clinical manifestations: A fever more prominent than chills; a sore, red throat; a distending headache; a yellow phlegm cough; recent onset after wind exposure; nasal congestion with yellow discharge.
Tongue: Red at the tip and edges with thin yellow coating. Pulse: Floating and rapid.
Treatment principle: Disperses Wind-Heat, clears Heat from the upper burner and expels the external pathogen.
Note: no moxa.

5. Liver Qi Stagnation Transforming into Heat View full pattern →

Clinical manifestations: Redness concentrated on the tongue sides; irritability and explosive anger; rib-cage distension; a bitter taste; a temple headache.
Tongue: Red with redder sides and yellow coating. Pulse: Wiry and rapid, pronounced at the left middle position.
Treatment principle: Soothes Liver Qi stagnation and clears the generated Heat to allow smooth flow.
Note: no moxa.
Related conditions

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