The reddish-purple colour of the tongue body indicates Blood stasis deriving from or associated with Heat. The redness on the sides indicates Heat in the Spleen and/or Stomach; in this case, the redness on the sides is not related to the Liver because it occupies a wider area than the Liver are and also because it is associated with a Spleen-type of swelling on the sides. The general swelling of the tongue body indicates the presence of Phlegm, while the swelling on the sides is related to the Spleen and it indicates Dampness occurring against a background of chronic Spleen deficiency.

The sticky-yellow coating confirms the presence of Dampness while the Stomach crack, together with the sticky-dry-rough-yellow coating insides it indicates Phlegm-Heat in the Stomach.

In conclusion, the main location of the disharmony in this case is in the Middle Burner with Stomach and Spleen Heat, Damp-Heat and Phlegm-Heat in the Stomach. The Blood stasis probably derives partly from the Heat and partly from the chronic retention of Phlegm.