GB/T 47335.1-2026Traditional Chinese medicine - Vocabulary for diagnostics - Part 1: Tongue (English PDF)
中医药 诊断词汇 第1部分:舌象
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Issued by
State Administration for Market Regulation
Level / Type
National · Recommended
Issue date
March 31, 2026
Implementation date
July 1, 2026
Scope
GB/T 47335.1-2026 is the English-translated version of 中医药 诊断词汇 第1部分:舌象.
GB/T 47335.1-2026 — This document defines the general principles, classification framework, and basic terminology of tongue diagnosis in Traditional Chinese Medicine.
This document applies to TCM medical treatment, health statistics, TCM medical record management, TCM clinical medical quality assessment, TCM diagnostic and treatment instruments, teaching, and science. Research, publication, and domestic and international academic exchanges.
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Document preview — GB/T 47335.1-2026
National Standard of the People's Republic of China
- ICS
- 01.040.11
- Classification
- C 10
Issued by: State Administration for Market Regulation
Contents
- Preface
- Introduction
- 1 Scope
- 2 Normative References
- 3 General Introduction
- 4 Classification Framework of Tongue Image Terminology
- 5 Basic Terminology of Tongue Imagery
- Appendix A (Informative) Typical Tongue Images
- Appendix B (Informative) Common Compound Tongue Image Terms and Definitions
- References
- Index
Foreword
This document complies with the provisions of GB/T 1.1-2020 "Standardization Work Guidelines Part 1: Structure and Drafting Rules of Standardization Documents".
Drafting.
This document is Part 1 of GB/T 47335 "Diagnostic Terminology in Traditional Chinese Medicine". GB/T 47335 has already published the following parts.
---Part 1: Tongue Image;
---Part 2: Pulse Diagnosis.
This document is modified to adopt ISO 23961-1:2021 "Traditional Chinese Medicine Diagnostic Terminology - Part 1: Tongue Appearance".
This document has undergone the following structural adjustments compared to ISO 23961-1:2021.
---3.3 corresponds to 3.2 of ISO 23961-1:2021;
---3.4 corresponds to 3.3 of ISO 23961-1:2021;
---3.5 corresponds to 3.4 in ISO 23961-1:2021;
---3.6 corresponds to 3.5 in ISO 23961-1:2021;
---3.7 corresponds to 3.6 in ISO 23961-1:2021;
---3.8 corresponds to 3.7 in ISO 23961-1:2021;
---3.9 corresponds to 3.8 in ISO 23961-1:2021;
---5 corresponds to 4 and 5 in ISO 23961-1:2021;
---5.1 corresponds to 4.1 of ISO 23961-1:2021;
---5.1.1 corresponds to 4.1.1 of ISO 23961-1:2021;
---5.1.1.1 corresponds to 4.1.1.1 of ISO 23961-1:2021;
---5.1.1.2 corresponds to 4.1.1.2 of ISO 23961-1:2021;
---5.1.2 corresponds to 4.1.2 of ISO 23961-1:2021;
---5.1.2.1 corresponds to 4.1.2.1 of ISO 23961-1:2021;
---5.1.2.2 corresponds to 4.1.2.2 of ISO 23961-1:2021;
---5.1.2.3 corresponds to 4.1.2.3 of ISO 23961-1:2021;
---5.1.2.4 corresponds to 4.1.2.4 of ISO 23961-1:2021;
---5.1.2.5 corresponds to 4.1.2.5 of ISO 23961-1:2021;
---5.1.3 corresponds to 4.1.3 of ISO 23961-1:2021;
---5.1.3.1 corresponds to 4.1.3.1 of ISO 23961-1:2021;
---5.1.3.2 corresponds to 4.1.3.2 of ISO 23961-1:2021;
---5.1.3.3 corresponds to 4.1.3.3 of ISO 23961-1:2021;
---5.1.3.4 corresponds to 4.1.3.4 of ISO 23961-1:2021;
---5.1.3.5 corresponds to 4.1.3.5 of ISO 23961-1:2021;
---5.1.3.6 corresponds to 4.1.3.6 of ISO 23961-1:2021;
---5.1.3.7 corresponds to 4.1.3.7 of ISO 23961-1:2021;
---5.1.4 corresponds to 4.1.4 of ISO 23961-1:2021;
---5.1.4.1 corresponds to 4.1.4.1 of ISO 23961-1:2021;
---5.1.4.2 corresponds to 4.1.4.2 of ISO 23961-1:2021;
---5.1.4.3 corresponds to 4.1.4.3 of ISO 23961-1:2021;
---5.1.4.4 corresponds to 4.1.4.4 of ISO 23961-1:2021;
---5.1.4.5 corresponds to 4.1.4.5 of ISO 23961-1:2021;
---5.1.4.6 corresponds to 4.1.4.6 of ISO 23961-1:2021;
---5.1.5 corresponds to 4.1.5 of ISO 23961-1:2021;
---5.2 corresponds to 5.1 of ISO 23961-1:2021;
---5.2.1 corresponds to 5.1.1 of ISO 23961-1:2021;
---5.2.1.1 corresponds to 5.1.1.1 of ISO 23961-1:2021;
---5.2.1.2 corresponds to 5.1.1.2 of ISO 23961-1:2021;
---5.2.1.3 corresponds to 5.1.1.3 of ISO 23961-1:2021;
---5.2.1.4 corresponds to 5.1.1.4 of ISO 23961-1:2021;
---5.2.1.5 corresponds to 5.1.1.5 of ISO 23961-1:2021;
---5.2.1.6 corresponds to 5.1.1.6 of ISO 23961-1:2021;
---5.2.1.7 corresponds to 5.1.1.7 of ISO 23961-1:2021;
---5.2.1.8 corresponds to 5.1.1.8 of ISO 23961-1:2021;
---5.2.1.9 corresponds to 5.1.1.9 of ISO 23961-1:2021;
---5.2.1.10.1 corresponds to 5.1.1.10 of ISO 23961-1:2021;
---5.2.1.10.3 corresponds to 5.1.1.11 of ISO 23961-1:2021;
---5.2.2 corresponds to 5.1.2 of ISO 23961-1:2021;
---5.2.2.1 corresponds to 5.1.2.1 of ISO 23961-1:2021;
---5.2.2.2 corresponds to 5.1.2.2 of ISO 23961-1:2021;
---5.2.2.3 corresponds to 5.1.2.3 of ISO 23961-1:2021.
The technical differences between this document and ISO 23961-1:2021, and the reasons therefor, are as follows.
---The scope has been changed (see Chapter 1) to suit my country's national conditions;
---Added tongue appearance entries and definitions (see 3.2) to meet practical clinical needs;
---Added the following tongue types. pale purple tongue, deep purple tongue, dark purple tongue, purple-spotted tongue, peeling tongue coating, geographic tongue, yellowish-white tongue coating, pale yellow tongue coating, deep yellow tongue coating, and scorched yellow tongue coating.
Ten items and definitions (see Chapter 5) are provided to meet practical clinical needs;
---Added rules for combining single-feature tongue appearance terms, and listed common clinical compound tongue appearance features in Appendix B (see Chapter 4).
Appendix B) aims to meet actual clinical needs and improve the practicality of the standards.
---Added a "Classification Framework for Tongue Imagery Terminology" with terms and definitions (see Chapter 4) to meet practical clinical needs;
---Figures 2 and 3 have been added to meet actual clinical needs.
The following editorial changes have been made to this document.
---The position of Figure 1 has been changed, moving it from Chapter 1 to Chapter 4;
---Informative Annex B of ISO 23961-1:2021 has been deleted;
---The bibliographical references for tongue terminology in Chapters 4 and 5 of ISO -23961-1.2021 have been removed (Notes 1 and 2);
--- Replaced some of the typical tongue images in Appendix A.
Please note that some content in this document may involve patents. The issuing organization of this document assumes no responsibility for identifying patents.
This document was proposed by the State Administration of Traditional Chinese Medicine.
This document is under the jurisdiction of the National Technical Committee on Standardization of Traditional Chinese Medicine (SAC/TC478).
Introduction
Standardization of Traditional Chinese Medicine (TCM) is an important component of the development of TCM and a cornerstone supporting its advancement. Among these standards is TCM diagnosis.
The standardization of terminology has profound significance for promoting the standardization, informatization and internationalization of traditional Chinese medicine.
The formulation and publication of (Traditional Chinese Medicine Diagnostic Terminology Part 1: Tongue Appearance) is a milestone in the international standardization of TCM diagnostic terminology.
Significance. Adopting this international standard will greatly promote the development of information technology in traditional Chinese medicine in my country and provide new impetus for the innovative development of traditional Chinese medicine.
power.
Standardizing TCM tongue diagnosis terminology facilitates the digitization of traditional TCM clinical descriptions of tongue diagnosis, thereby meeting the requirements for standardization in electronic medical records.
Promote the development of TCM internet healthcare and provide standard support for the interconnection and sharing of TCM diagnosis and treatment information.
Standardization of TCM tongue diagnosis terminology is a prerequisite for promoting innovative development in TCM tongue diagnosis research. Currently, my country urgently needs a series of standardized TCM tongue diagnosis terminologies.
The relevant national technical standards have been issued. The formulation of standards for TCM tongue diagnosis terminology will strongly promote the research and development and application of diagnostic instruments such as TCM tongue diagnosis instruments.
A new field of research.
Standardized terminology for tongue diagnosis in Traditional Chinese Medicine (TCM) is essential for the development of TCM clinical guidelines and quality evaluation systems. TCM medical services involve human life and health.
In the process of diagnosis and treatment, each step requires technical standards to ensure quality and safety. Standardized diagnostic terminology in Traditional Chinese Medicine, such as tongue diagnosis, is essential for clinical examination and disease identification.
It is an important basis for diagnosis and syndrome differentiation, so as to ensure the quality and safety of traditional Chinese medicine services.
Standardized terminology for tongue diagnosis in Traditional Chinese Medicine (TCM) is the cornerstone of its internationalization. TCM has been accepted by many countries worldwide, playing a vital role in safeguarding the health of people in various countries.
It plays an increasingly important role in the health of the people. The International Organization for Standardization/Technical Committee on Traditional Chinese Medicine (ISO/TC249) has officially...
The release of a series of international standards covering diagnostic instruments such as tongue diagnosis devices for traditional Chinese medicine will effectively promote the international development of the traditional Chinese medicine industry.
The timely adoption of international standards will further promote the modernization and internationalization of traditional Chinese medicine.
GB/T 47335 is proposed to consist of two parts.
---Part 1: Tongue Appearance. The aim is to standardize and unify tongue diagnosis terminology to promote the modernization, informatization, and internationalization of Traditional Chinese Medicine.
And ensure clinical quality and safety.
---Part 2: Pulse Diagnosis. The aim is to standardize and unify pulse diagnosis terminology to promote the modernization, informatization, and internationalization of Traditional Chinese Medicine.
And ensure clinical quality and safety.
Traditional Chinese Medicine Diagnostic Terminology, Part 1: Tongue Appearance
1 Scope
This document defines the general principles, classification framework, and basic terminology of tongue diagnosis in Traditional Chinese Medicine.
This document applies to TCM medical treatment, health statistics, TCM medical record management, TCM clinical medical quality assessment, TCM diagnostic and treatment instruments, teaching, and science.
Research, publication, and domestic and international academic exchanges.
2 Normative references
This document has no normative references.
3 General Introduction
Tongue diagnosis
By observing the spirit, color, shape, and state of the tongue, as well as the changes in the color, texture, and consistency of the sublingual veins and tongue coating, one can understand the physiological functions and pathologies of the human body.
Methods for diagnosing changes.
tongue manifestation Various signs observed in a tongue clinic, including the tongue body and tongue coating.
tonguetip
The front end of the tongue.
tongue center
The middle part of the tongue.
tongue root
The posterior part of the tongue, the part before the V-shaped groove.
tongue edge
The two sides of the tongue.
tongue midline groove A longitudinal fold running down the middle of the tongue.
Lingual frenum
A fold on the midline of the tongue that connects to the floor of the mouth.
......
This preview omits tables, figures, formulas and parts of the technical clauses. The complete document — 34 pages — is available in the English PDF.
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