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Teeth-Marked Tongue

How Chinese medicine differentiates a scalloped, teeth-marked tongue into the 3 patterns behind it, and the points for each. Distinct from this site's Swollen Tongue page. Acupuncture only — no herbs.

A tongue sign is one piece of a larger picture — teeth marks alone are not a diagnosis and should be read alongside the rest of the presentation by a qualified practitioner.
General Acupuncture Points

Acupuncture points traditionally used for a teeth-marked tongue — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Regulates the Intestines.
The Three Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Spleen Deficiency with Dampness

Clinical manifestations: Loose, unformed stools or diarrhoea, abdominal bloating worse after eating, a feeling of heaviness in the body and limbs, poor appetite and a bland taste, a sticky or greasy mouth sensation, drowsiness especially after meals.
Tongue: Pale, swollen with clear teeth marks, white greasy coating, moist surface. Pulse: Soggy and slowed, soft and lacking force, especially at the right Guan.
Treatment principle: Strengthen the Spleen's fluid management so unprocessed water stops accumulating and swelling the tongue against the teeth.
Note: Confirmed absent again: standalone Spleen-Deficiency-with-Dampness has no matching deck slide on this site.

2. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Deep, obvious teeth marks, a cold feeling with cold hands and feet especially below the knees, a sore cold lower back and knees, early-morning diarrhoea with undigested food, frequent clear urination, extreme fatigue.
Tongue: Pale, swollen, puffy with deep teeth marks, white slippery coating. Pulse: Deep, weak, slow, both Chi positions especially feeble.
Treatment principle: Warm and tonify Kidney- and Spleen-Yang so the body's fire stops the fluids stagnating like a waterlogged sponge.

3. Liver Qi Stagnation View full pattern →

Clinical manifestations: Fine, shallow teeth marks along the edges, rib-side distension or tightness, frequent sighing, irritability or a short temper, a lump-in-the-throat sensation, breast tenderness or swelling.
Tongue: Normal or slightly dark, red or slightly purple sides, thin white coat, fine teeth marks may be present. Pulse: Wiry, taut like a guitar string.
Treatment principle: Smooth the Liver's Qi flow so the muscular tension pressing the tongue against the teeth releases.
Related conditions

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