CALE Tongue Dx Flashcards
What are the two major aspects of tongue diagnosis?
- Tongue Proper/ Tongue Body
- Tongue Coating
What are the two sub-aspects of tongue body diagnosis?
- Tongue body color
- Tongue body form
What are the two sub-aspects of tongue coating diagnosis?
- Tongue coating quality
- Tongue coating color
Tongue Body - Color
PALE
Deficiency type
Cold syndrome by Yang Qi Xu; Qi and blood Xu
Tongue Body - Color
RED
HEAT SYNDROME
Interior excess -or- deficiency
Tongue Body - Color
DEEP RED
EXTREME HEAT
* Exogenous: Invasion of Ying and Blood Levels by Pathogenic Heat
* Endogenous: Yin Xu leading to fire
Tongue Body - Color
[Blue] PURPLE
Blood stasis d/t Cold OR Heat
In FCM - “blue purple” means blood stasis d/t COLD; “Reddish purple” means blood stasis d/t HEAT
Tongue Body - Color
DEEP BLUE-PURPLE, DRY, LUSTERLESS
Blood stasis d/t Heat
This is different from FCM, where a reddish purple tongue would indicate blood stasis d/t heat
Tongue Body - Color
PALE PURPLE, MOIST
Blood stasis d/t Cold
In FCM, a Blue-Purple Moist tongue would indicate Blood stasis from internal cold
Tongue Body - Color
PURPLISH SPOTS on the TONGUE SURFACE
Blood stasis
FCM - Purple spots in center = blood stasis and heat in ST
Tongue Body - Form
SWOLLEN: Delicate in quality, pale color, teethmarks
SP or KD Yang Xu producing harmful water
Tongue Body - Form
SWOLLEN: Deep red color, occupying entire space of mouth
Excessive Heat in HT or SP
Tongue Body - Form
SWOLLEN: Blue Purplish, Dark
Toxicosis
Toxicosis = disease or condition caused by poisoning
Tongue Body - Form
THIN: Pale
Qi and Blood Xu
Tongue Body - Form
THIN: Deep Red, Dry
Fire d/t Yin Xu
Tongue Body - Form
CRACKED: Deep Red
Excess Heat
Tongue Body - Form
CRACKED: Pale
Blood deficiency
Tongue Body - Form
CRACKED: Normal
Not deep and remains there all the time unchanged
Tongue Body - Form
CRACKED: Horizontal cracks
Yin Xu
Tongue Body - Form
CRACKED: Ice Floes
Yin Xu d/t aging
Tongue Body - Form
CRACKED: Irregular
ST Yin Xu
Tongue Body - Form
CRACKED: Transverse Side
SP Qi/ Yin Xu
Tongue Body - Form
CRACKED: Vertical Center
SP Qi Xu
Tongue Body - Form
CRACKED: Long Vertical
HT - emotional disorder
Tongue Body - Form
CRACKED: Transverse (LU area)
Prior LU disease or Present LU Yin Xu
Tongue Body - Form
CRACKED: Deep + Small
KD Yin Xu w/ Heat
Tongue Body - Form
SWOLLEN: Edges
SP Qi/ Yang Xu
Tongue Body - Form
SWOLLEN: Sides
LV Yang Rising or LV Fire
Tongue Body - Form
SWOLLEN: Tip
HT Fire (if red color)
HT Qi Xu (if normal color)
Tongue Body - Form
SWOLLEN: Half of tongue
Weakness of channels
Tongue Body - Form
SWOLLEN: Localized one side
Deficiency or stagnation in chest
Tongue Body - Form
SWOLLEN: Half surface
LU Qi Xu
Tongue Body - Form
SWOLLEN: Hammer shaped
Serious SP/ ST/ KD Xu
Tongue Body - Form
THORNY: Red
Internal accumulation of pathogenic Heat
Tongue Body - Form
THORNY: Increasing Severity
The more severe the pathogenic heat, the more enlarged and profuse the thorns will be
Tongue Body - Form
DEVIATED
Wind-Stroke or early threatening signs of Wind-Stroke
Tongue Body - Form
RIGID: Exogenous
- Invasion of the PC by Heat
- Retention of turbid phlegm in the interior
- Excessive pathogenic Heat consuming body fluids
Tongue Body - Form
RIGID: Endogenous
Wind-stroke or Early signs of wind-stroke
Tongue Body - Form
FLACCID: General
Extreme Qi and Blood Xu or Consumption of Yin Fluids
Tongue Body - Form
FLACCID: Pale
[May be Extreme] Qi and Blood Xu
Tongue Body - Form
FLACCID: Deep Red
Yin Collapse
Tongue Body - Form
QUIVERING: Pale body
- SP Qi Xu
- HT and SP collapse
Tongue Body - Form
QUIVERING: Red Body
Extreme Heat generating internal wind
Tongue Body - Form
QUIVERING: Pale and Thin
Yang Collapse
Tongue Coating - Quality
THICK
- Deeper progression
- Retention of Damp or Food
Tongue Coating - Quality
THIN
- Superficial portion –> Deficiency of Anti-Pathogenic (Wei) Qi
Tongue Coating - Quality
DRY
- Consumption of body fluids
- Excess Heat
- Yin Xu Heat
Tongue Coating - Quality
EXCESSIVE MOISTURE, SALIVA DRIBBLES aka “SLIPPERY”
do NOT confuse this with a slippery PULSE, though they can be related
Harmful Water and Damp
Tongue Coating - Quality
STICKY
Hard to Scrub off - Greasy
Retention of Damp, Phlegm, or Food
Tongue Coating - Quality
GRANULAR
Coarse, soybean curds, easily scrubbed off, pasty
Excessive Yang Heat bringing turbid ST Qi upwards, also Phlegm or Food Retention
Tongue Coating - Quality
PEELED: Partially (Geographic)
Consumption of ST Qi and Yin
Tongue Coating - Quality
PEELED: Entirely (Mirror/ Glossy)
Exhaustion of ST Yin, Severe damage of ST Qi
Tongue Coating - Color
THIN WHITE
Exterior Cold or Normal
Tongue Coating - Color
THICK WHITE
Interior Cold
Tongue Coating - Color
LIGHT YELLOW
Mild Heat
Tongue Coating - Color
DEEP YELLOW
Severe Heat
Tongue Coating - Color
BURNT YELLOW
Accumulation of Heat
Tongue Coating - Color
GREY: Yellowish and Dry
Interior Excessive Heat
Tongue Coating - Color
GREY: Whitish and Moist
Retention of Cold or Damp
Tongue Coating - Color
BLACK: Extreme Interior Condition
Extreme Heat or Extreme Cold
Tongue Coating - Color
BLACK: Yellowish and Dry, Possibly w/ Thorns
Extreme Heat
Tongue Coating - Color
BLACK: Pale and Slippery
Excessive Cold d/t Yang Xu
FCM - Tongue Body
Red + MOVING
HT Fire and Internal Wind
FCM - Tongue Body
Red, Dry, MOVING
SP Heat w/ Body Fluid Exhaustion
FCM - Tongue Body
TIP ROLLED UP
Excess Heat
FCM - Tongue Body
TIP ROLLED DOWN
Deficiency Heat
FCM - Tongue Body
TEETHMARKS
SP Qi Xu
FCM - Tongue Body
ULCERATED: Red Body
HT Fire blazing, SP and KD Heat
FCM - Tongue Body
ULCERATED: Red Body and Peeled
HT Heat fr KD Yin Xu
FCM - Tongue Body
Red Body SORE-COVERED
Heat Toxin in the HT
FCM - Tongue Coating
SLIMY/ GREASY
Thicker in center and is rooted (cannot be scraped)
Qi cannot transform Fluids and accumulates for form Phlegm - secondary to Yang Xu
FCM - Tongue Coating
MOLDY
Thick, patchy, like cottage cheese; rootless (CAN be scraped off)
ST Heat, ST Yin Xu
FCM - Tongue Coating Color
WHITE: Rough and Cracked
Attack of Summer-Heat injuring the Qi
FCM - Tongue Coating Color
WHITE: Sticky and Greasy
Dampness or Phlegm in MJ or Exterior attack of Damp at Qi Level
FCM - Tongue Coating Color
WHITE: Cottage Cheese/ Tofu
ST Heat
FCM - Tongue Coating Color
WHITE: Powder
Generally Heat: sl. red body = exterior heat; scarlet body = interior heat
Possible D-C in MJ
FCM - Tongue Coating Color
WHITE: Snow-like
SP Yang Exhaustion w/ D-C in MJ
FCM - Tongue Coating Color
WHITE: Moldy
KD/ST Yin Xu; Damp-Toxin in Interior
FCM - Tongue Coating Color
YELLOW: Slimy/ Slippery
Damp-Heat
FCM - Tongue Coating Color
YELLOW: Yellow Root with White Tip
EPF changing into Heat and penetrating interior
FCM - Tongue Coating Color
YELLOW: Bilateral yellow strips, remainder** yellow**
LV/GB Heat
FCM - Tongue Coating Color
YELLOW: Bilateral yellow strips, remainder white
EPF penetrating interior
ST/LI Heat
FCM - Tongue Coating Color
Half YELLOW Half WHITE
LV/ GB Heat
FCM - Tongue Coating Color
WHITE Coat, BLACK POINTS
EPF penetrating interior transforming to heat
FCM - Tongue Coating Color
WHITE coating, BLACK PRICKLES
True Cold
False Heat
Cold turning into Heat