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The Origins of the Modern Tongue Diagnosis

A while ago, I was having tea with an old colleague, discussing my plans about making the ancient tongue diagnosis texts available in English. His first reaction was quite negative and disapproving. His arguments were that “nobody in China reads these books, why would the ‘foreigners’ wish to study them?”, and also “the classics lack photographic illustrations”. The 1960 first edition of the "Chinese Medicine Tongue Diagnosis" Instead of answering these questions, in this entry I will briefly discuss about how the modern TCM tongue method managed to replace the old established classical tongue diagnosis system. Traditionally, since the Yuan Dynasty, tongue diagnosis was intimately intertwined with herbal medicine. Therefore, the “Gold Mirror Records”, the “Tongue Reflection in Cold Damage”, and all the monographs up until the late Min Guo period, such as the “Tongue Diagnosis in the National Medicine” (which I think was the last important tongue text published pre

Photography in the TCM Tongue Diagnosis Education

Modern books on Chinese Tongue Diagnosis typically contain photographs of various tongues as they manifest during the course of a variety of diseases.  This ability to r ecord and demonstrate was undeniably one of the most important contributions of modern technology to the field of medicine.     Today, modern tongue research tries to objectively standardize a variety of variables, including comparison of the tongue colours, testing the tongue pH, measuring the dry-wet state of the tongue surface, and even looking into such stuff as the incubation of bacteria and mildew on the surface of the tongue, among many others things. Researching the tongue colours and standardizing a variety of important aspects, in a way that they can be measured and examined objectively by many, may assist doctors to draw lines marking the beginning and the end of colours, so people will know for example where the red stops and the crimson begins. The idea behind this type of research was to assist physi

The “Ao Shi Shang Han Jin Jing Lu”

The earliest ideas on tongue diagnosis mostly derive from the  Cold Damage (Shang Han) theories as they were interpreted during the Tang (618 AD - 907 AD) and Song (969 AD - 1279 AD) Dynasties. Although  the Yellow Emperor’s Classic ( 黄帝内经 ) , includes  some basic Chinese medicine tongue anatomy, physiology, pathology and treatment , and  the Treatise on Cold Damage (伤寒论) suggests  some basic ideas for a tongue diagnosis, however, these theories were not by any means comprising a clinically applicable tongue diagnosis methodology. The first page of Xue Li-zhai's  first edition of  "Ao Shi Shang Han Jin Jing Lu" Sometime around the Song and Yuan Dynasties, an unknown ancient doctor known as Scholar Ao (in modern times often identified as Ao Ji-weng) produced a brief monograph called “Shang Han Dian Dian Jin” ( 伤寒点点金 ) , containing for the first time in history, twelve colour illustrations of various tongues together with brief notes, where he summarized all the m

With my teachers, Professors Liu Zhan-wen, Zhao Bai-xiao and Chen Jia-xu

For me, this is a very important photo, taken on January 8, 2009.   On the very left, my acupuncture teacher and current Dean of the Acupuncture Department at the Beijing University of TCM, Prof. Zhao Bai-xiao. Prof. Zhao taught me acupuncture at Middlesex University in the late 1990’s. After the end of this specific dinner, I walked him back to his office, and on the way there he stopped and given me with a few clinical and professional pointers, that completely re-defined my acupuncture philosophy and practice.    Next to Prof. Zhao on the back, is Prof. Liu Zhan-wen. Prof. Liu originally taught me Clinical Diagnosis at Middlesex University. At the Beijing University of Chinese Medicine, I took his advanced class on TCM Health Preservation Practices, I think in 2004. He was also the person who helped me with my BUCM application, and introduced me to Prof. Chen Jia-xu. Liu is one of the true old-timers, and one of the most iconic teachers at my old university.    Next to me is Prof. C

When I was a Master's student at the Beijing University of Chinese Medicine (2004 - 2008)

Back in those days cellphones did not have cameras, so we only ever took very few pictures, usually for graduations. These are a few photos I kept from my time as a student (2004-2008).  Some are from my Master's Research Thesis Defense and graduation, and some with classmates. 

With my clinical prescription instructor, Dr. Zhang Jin

This is my first blog entry, and I will start my   " journey in the sea of medicine"   by speaking about my learning encounters with one of my former clinical prescription instructors,   Dr. Zhang Jin . And I will also speak about her teacher,   Prof. Shi Dian-bang. I met Dr. Zhang about eight years ago, in September 2002, during my six-month clinical placement at the Xiyuan Hospital in Beijing. At the time she was working at the  International Ward of the Inpatient Department , where only the rich, the famous and the important could seek treatment.    Back in 2002, she was also working closely with the legendary Shi Dian-bang, former honorary president of the China Academy of Chinese Medical Sciences, a well-known expert in TCM spleen and stomach diseases and also liver disease. I met Prof. Shi a few times at his specialist clinic. I remember him always starting his shift very early, at 7am on Tuesdays, and being forever surrounded by young students. On the other side of his