Tongue Diagnosis and Acne

To be more precise there are red dots on the tip which spreads to the sides of the tongue (the end below middle of the tongue) and there are cracks on the sides and in the middle line but it’s not much visible on the photo. The crack is not straight line but just broken line and most deep cracks are on the front-middle of the tongue.

I used pattern medicine and qi gong, I do not using anything right now as I do not know what I should attack to clear the skin. The tongue is the same day but in different light so we can see it in different contrast but it’s the same.

Thank you

FANG FENG TONG SHENG WAN
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Dang Gui Liu Huang Wan
BA ZHENG WAN
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JingJieLianQiaoTang
BU ZHONG YI QI WAN 1x ER LONG ZUO CI WAN
Gui Pi Wan
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JIN GUI SHEN QI WAN
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SI WU WAN
BEI XIE SHEN SHI TANG JIA JIAN
long dan xie gan tang

I used it them thru couple of years. Qigong practices I’m doing are not shareable at this moment - I’m anyway slacking in them but if there is no hope from TCM then I will just do them more intensely .

Generally coating changes thru those years but the cracks, teeth marks and red dots stay all the time on the tongue.

Thanks. I drink pretty a lot of water.

I used to pattern medicine for toxic heat and it felt better but still didn’t resolve bumps appearing and disappearing.

Generally looking through your formulas and not knowing how much you took of and when you took this with others or alone, etc. (basically not knowing much from the list) - most of the yin formulas would have possibly complicated your already hampered spleen deficiency and most of the tonifying formulas were likely just to add in more heat. Proper treatment generally requires the right order of approaches - i.e. clear heat and damp first, then depending either balance yin or tonify. So I would start by clearing first. Realistically though, if you feel generally good minus some acne, I would just eat well, stay hydrated, heavily avoid stimulants, sugar and dairy and just keep doing your qigong mixed with moderate amounts of walking and seated meditation and give that a few years. I think you’ve done some interesting layering by taking such a combination of formulas and in my opinion your body simply needs a break from that approach.