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Tongue Pain

How Chinese medicine differentiates tongue pain, the six patterns you'll actually meet in practice, and the points for each. 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 tongue lesion that doesn't heal within two weeks, a hard lump, or unexplained tongue pain with no obvious ulcer needs medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for tongue pain — 10 key points, used across the patterns below rather than tied to just one.

PointKey action
HE-5Luo-connecting point, reduces Heart Fire and calms the Mind.
REN-23Local point, benefits the tongue root.
HE-7Calms the Mind, clears Heart Fire.
KI-3Tonifies Kidney Yin and Yang, anchors floating Yang.
KI-6Nourishes Kidney Yin, clears Empty-Heat.
ST-36Tonifies Spleen, resolves Dampness at the root.
ST-40Transforms Phlegm-Damp, clears Heat from the Stomach channel.
LR-3Subdues Liver Yang and Fire, relieves tongue pain.
LR-2Fire point of the Liver channel, drains Liver Fire directly.
SP-6Nourishes Blood, harmonizes Spleen, Liver, and Kidney.
L.I.-4Promotes Qi circulation, relieves pain in head and mouth.
SP-10Invigorates Blood and dispels stasis.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Heart Fire Blazing View full pattern →

Clinical manifestations: Red, burning tongue tip, thirst for cold drinks, mental restlessness and agitation, mouth or tongue ulcers with red edges.
Tongue: Red body with a distinctly redder tip, red points on tip, yellow dry coating. Pulse: Rapid and forceful, overflowing at left Cun.
Treatment principle: Clear Heart Fire and guide heat downward through urination.
Note: no moxa. Direct match — mouth and tongue ulcers are named explicitly on this site's Heart-Fire-blazing slide.

2. Kidney Yin Deficiency With Empty-Heat Blazing View full pattern →

Clinical manifestations: Burning tongue pain worse in the afternoon and evening, night sweats, five-palm heat, dry mouth and throat especially at night.
Tongue: Red, thin, dry body with little or no coating, possible cracks. Pulse: Fine and rapid, may be floating-empty, weak at Chi.
Treatment principle: Nourish Kidney Yin to anchor floating Yang and moisten the tongue.
Note: no moxa. Direct match, reusing the well-established Kidney-Yin/Empty-Heat slide.

3. Damp-Heat in Stomach and Spleen View full pattern →

Clinical manifestations: Burning or sticky tongue pain worse with rich foods, thick yellow greasy tongue coating, bloating and fullness after meals, loose, sticky stools, heavy, foggy head and limbs.
Tongue: Red body, possibly swollen with teeth marks, thick yellow greasy coating especially at centre and root. Pulse: Soggy and rapid, often slippery.
Treatment principle: Clear Heat and drain Dampness from the middle burner.
Note: no moxa. Direct match with this site's own Damp-Heat-in-the-Stomach slide.

4. Liver Fire Blazing View full pattern →

Clinical manifestations: Burning tongue pain worse on the edges, bitter taste in the mouth, intense irritability and short temper, red, painful or burning eyes, throbbing headache at temples.
Tongue: Red body with redder sides, dry yellow coating, possible red prickles. Pulse: Wiry and rapid, forceful at left Guan.
Treatment principle: Clear Liver Fire, drain Damp-Heat from Liver and Gallbladder channels.
Note: no moxa. Direct match — irritability, bitter taste and a red tongue with redder sides are named on that exact deck slide.

5. Qi and Blood Deficiency

Clinical manifestations: Mild, persistent soreness rather than sharp pain, pale tongue body, may appear thin or slightly swollen with teeth marks, fatigue and dizziness after activity, poor appetite and pale complexion.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, especially at right Guan.
Treatment principle: Tonify both Qi and Blood to nourish the tongue.
Note: moxa applicable throughout. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

6. Qi And Blood Stagnation View full pattern →

Clinical manifestations: Stabbing, fixed pain on the tongue, dark purple tongue with stasis spots, distending sensation in the chest or ribs, irritability or emotional tension.
Tongue: Dark purple or dusky body with stasis spots, distended sublingual veins, thin white coat. Pulse: Wiry and choppy.
Treatment principle: Invigorate Blood and dispel stasis, open orifices, unblock channels.
Note: no moxa. Matches this site's Liver-Blood stasis slide — a dark purple tongue with stasis spots is the same discoloration marker named there.
Related conditions

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