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TCM Consultation

Face Consultation

In Chinese medicine, the face is a map of the body. Each area is connected to an internal organ, and the colour and lustre of your complexion show the state of your Qi and Blood – so your face tells us where an imbalance lies.

Kidneys &Bladder Liver Kidneys Kidneys Heart Stomach &Spleen Stomach &Spleen Stomach, colon& hormones
The concept

Reading the face map

“What is inside shows on the outside.” Classical Chinese medicine texts describe how the organs are reflected on the face. During your consultation we look at three things: where a change appears, its colour, and its lustre – a face with healthy, bright lustre shows strong Qi, even if the colour is off.

What each area of your face reveals

Forehead

Kidneys & Bladder

Digestion, hydration and stress.

Possible signs
Breakouts, dryness, fine lines
What it may suggest
Drink more water and look after your sleep.

Between the eyebrows

Liver

How well the Liver is working and clearing toxins.

Possible signs
Spots, redness, vertical frown lines
What it may suggest
Often linked to a rich diet or too much alcohol.

Eye area

Kidneys & adrenals

Fluid balance and energy levels.

Possible signs
Dark circles, puffiness, eye bags
What it may suggest
Rest, hydration and less salt.

Nose

Heart

Circulation and inflammation.

Possible signs
Redness, enlarged pores, blackheads
What it may suggest
May point to high blood pressure or poor circulation.

Cheeks

Stomach & Spleen

Absorbing nutrients and food sensitivities.

Possible signs
Rosacea, redness, broken capillaries
What it may suggest
May point to allergies, overeating or poor digestion.

Mouth & chin

Stomach, colon & hormones

Digestive health and hormonal shifts.

Possible signs
Breakouts around the mouth, discolouration, hormonal acne
What it may suggest
Diet changes and managing stress help.

The five colours

Green-blue · Liver

Stagnation, cold or pain – often a bluish tinge around the mouth, temples or under the eyes.

Red · Heart

Heat. A red face all over points to excess heat; flushed cheeks in the afternoon point to Yin deficiency.

Yellow · Spleen

Weak digestion or dampness – a sallow, yellowish face that lacks lustre.

White / pale · Lungs

Deficiency of Qi or Blood, or cold – a pale face, pale lips, tiredness.

Dark · Kidneys

Kidney deficiency or Blood stasis – dark circles, dark patches, a dull grey tone.

Complexion patterns

What your complexion can tell us

These are the complexion patterns we see most often in clinic. A complexion on its own is never the whole diagnosis – we always read it together with your tongue, pulse and symptoms – but it is often the first clue.

1

Pale, white complexion

面色淡白 · Qi & Blood deficiency
Example of a pale, white complexion
Pale face and lips · Pale nails, dull hair

The whole face looks pale and lacks colour and lustre; the lips and inner eyelids are pale too.

Often comes with
  • Tiredness, getting out of breath easily
  • Dizziness when standing up
  • Palpitations, poor memory
  • Light or late periods

Tongue: Pale tongue, thin white coating

2

Sallow, yellowish complexion

面色萎黄 · Spleen deficiency
Example of a sallow, yellowish complexion
Dull yellow face · Pale lips

A dull, dry yellowish tone without shine – the face looks tired and “withered”.

Often comes with
  • Poor appetite, bloating after meals
  • Loose stools
  • Heavy, tired limbs – worse after eating
  • Sweet cravings

Tongue: Pale, swollen tongue with teeth marks

3

Red face, red eyes

面红目赤 · Liver Yang rising
Example of a red face, red eyes
Red face, flushes with emotion · Bloodshot eyes

The whole face is red – often worse with stress or anger – with red eyes and a feeling of heat rising to the head.

Often comes with
  • Headaches or migraines at the temples
  • Dizziness, tinnitus
  • Irritability, short temper
  • Poor sleep, high blood pressure

Tongue: Red tongue, redder at the sides, yellow coating

4

Flushed cheeks

两颧潮红 · Yin deficiency
Example of a flushed cheeks
Red cheekbones, comes and goes · Red lips, dry skin

The rest of the face is normal, but the cheekbones flush red – typically in the afternoon or evening.

Often comes with
  • Hot flushes, night sweats
  • Hot palms and soles
  • Dry mouth at night
  • Common around menopause

Tongue: Red tongue with little or no coating, may be cracked

5

Dark circles, darkish complexion

眼眶发黑 · Kidney deficiency
Example of a dark circles, darkish complexion
Dark circles under the eyes · Dull, darker face

Dark rings around the eyes that don’t clear with rest; in longer-standing cases the whole face turns a dull, darker tone.

Often comes with
  • Low back and knee ache
  • Tiredness that sleep doesn’t fix
  • Waking at night to urinate
  • Low libido, fertility problems, hair loss

Tongue: Pale or red tongue, thin coating at the root

6

Dull, dark complexion

面色晦暗 · Liver Qi stagnation & Blood stasis
Example of a dull, dark complexion
Grey, dull tone without lustre · Sometimes brown patches

A greyish, dull face without brightness, often with brown patches (melasma) on the cheeks and darker lips.

Often comes with
  • Stress, low mood, sighing
  • Breast tenderness before the period
  • Period pain with clots
  • Patches appeared with the pill or pregnancy

Tongue: Purplish tongue, may have dark spots

Not sure which one fits? Many people show a mix. Your face consultation is part of every first visit, alongside tongue, pulse, body and question consultation. How a TCM consultation works →

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