Understanding and Working with the Six Tissue States

Western herbal energetics identifies six tissue states—hot, cold, damp, dry, tense, and lax—that reflect the current condition of a client’s tissues motherhylde.com+5enchantersgreen.com+5commonwealthherbs.com+5. These states present in the eyes, tongue, pulse, skin and posture, mapping physical, emotional, and energetic qualities. For example, someone with a chronic hot state may present with flushing, irritability, and dryness, while a damp-lax state may show sluggish digestion, fluid retention, and lack of tone.

In my practice, I analyse these states through a careful physical and energetic assessment—looking at iris details, tongue coating, pulse quality, and posture—then use that insight to build bespoke herbal formulas. For heat, I might include cooling demulcents like marshmallow and wild yam; for dampness, drainage bitters such as dandelion and cleavers; for tension, nervine relaxants like lemon balm and chamomile; and for cold, warming drivers like ginger and black pepper. This holistic balancing supports both symptom relief and deeper terrain transformation.

Peer-reviewed support: tissue-state approaches are gaining recognition in herbal education and practice for their dynamic diagnostic utility .

Explore my Custom Terrain Harmonising Formula, crafted to match your unique tissue signature. Book a consultation today for precise energetic support.

Sarah Turton

I’m Sarah, a medicinal herbalist and founder of Oxford Herbal. I work with people who want to understand the deeper story behind their symptoms — not just to mask them, but to heal from the root.

Using traditional herbal medicine, iridology, and a deep respect for nature’s rhythms, I create personalised plans to support the whole person — body, mind and spirit. My practice is rooted in compassion, connection, and the belief that real wellness comes from working with the body, not against it.

https://www.oxfordherbal.co.uk
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