Liver-energy depression and blood stasis is manifested by a purplish tongue or spots on the tongue. Liver qi is not relaxed, leading to stagnation of qi and blood. As stagnant blood blocks the vein channels, damages the veins and overflows out of the veins, it manifests on the tongue as a purplish tongue or localized greenish-purple spots on the tongue, or the veins under the tongue are swollen and appear greenish-purple. Liver Depression and Blood Stasis is a syndrome associated with Liver-Qi stagnation (poor Qi and blood transportation in the liver and depression) leading to Qi Stagnation and Blood Stasis (blood stasis due to lack of Qi flow), which is characterized by depression, distending or stabbing pain in the two hypochondriums or lumps under the hypochondriums, purplish tongue with darkness or blotches, and astringent pulse. Treatment is based on dredging the liver and removing blood stasis. You can follow the doctor’s instructions to take medicines such as Diaphragm Under the Blood Stasis Soup and Chaihu Liver Shun San. After the appearance of abnormal tongue, should promptly consult a regular hospital, under the guidance of a professional physician to identify the evidence of treatment, in order to avoid delaying the condition.