Deeply fissured tongue

Submitted By: brendan

Px is 40 y.o male.

Chief complain: he suffers from R + L sided pain around his scapula, moreso L. sided along the inferior border.  Px is also very “stressed”

*Levator scapula/trapezius and most of upper back is very stiff.

Very dry/red eyes He  also suffers from bloating/gas that feels better after he eats something. If he does not eat the pain gets worse along the intercoastals. 

Px tends to be constipated.  

Tongue: red and NUMEROUS DEEP FISSUED CRACKS all over tongue.

This is a “VERY CLOSE” and accurate depiction of the tonguie.


Pulse:  L sided i could not feel anything.. I don’t know if there is a bifurcation etc, but was non existant. R sided that wasn’t an issue.


From what i’ve read those fissures are yin deficiency, and upon questioning he has had this since birth.

Overall I’m thinking more of a LV/GB disharmony b/c of the above symptoms with maybe qi stagnation in the LV. Any help would be appreciated!


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