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CALE STUDY > CALE Tongue Dx > Flashcards

CALE Tongue Dx Flashcards

1
Q

What are the two major aspects of tongue diagnosis?

A
  1. Tongue Proper/ Tongue Body
  2. Tongue Coating
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2
Q

What are the two sub-aspects of tongue body diagnosis?

A
  1. Tongue body color
  2. Tongue body form
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3
Q

What are the two sub-aspects of tongue coating diagnosis?

A
  1. Tongue coating quality
  2. Tongue coating color
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4
Q

Tongue Body - Color

PALE

A

Deficiency type
Cold syndrome by Yang Qi Xu; Qi and blood Xu

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5
Q

Tongue Body - Color

RED

A

HEAT SYNDROME
Interior excess -or- deficiency

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6
Q

Tongue Body - Color

DEEP RED

A

EXTREME HEAT
* Exogenous: Invasion of Ying and Blood Levels by Pathogenic Heat
* Endogenous: Yin Xu leading to fire

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7
Q

Tongue Body - Color

[Blue] PURPLE

A

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

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8
Q

Tongue Body - Color

DEEP BLUE-PURPLE, DRY, LUSTERLESS

A

Blood stasis d/t Heat

This is different from FCM, where a reddish purple tongue would indicate blood stasis d/t heat

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9
Q

Tongue Body - Color

PALE PURPLE, MOIST

A

Blood stasis d/t Cold

In FCM, a Blue-Purple Moist tongue would indicate Blood stasis from internal cold

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10
Q

Tongue Body - Color

PURPLISH SPOTS on the TONGUE SURFACE

A

Blood stasis

FCM - Purple spots in center = blood stasis and heat in ST

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11
Q

Tongue Body - Form

SWOLLEN: Delicate in quality, pale color, teethmarks

A

SP or KD Yang Xu producing harmful water

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12
Q

Tongue Body - Form

SWOLLEN: Deep red color, occupying entire space of mouth

A

Excessive Heat in HT or SP

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13
Q

Tongue Body - Form

SWOLLEN: Blue Purplish, Dark

A

Toxicosis

Toxicosis = disease or condition caused by poisoning

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14
Q

Tongue Body - Form

THIN: Pale

A

Qi and Blood Xu

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15
Q

Tongue Body - Form

THIN: Deep Red, Dry

A

Fire d/t Yin Xu

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16
Q

Tongue Body - Form

CRACKED: Deep Red

A

Excess Heat

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17
Q

Tongue Body - Form

CRACKED: Pale

A

Blood deficiency

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18
Q

Tongue Body - Form

CRACKED: Normal

A

Not deep and remains there all the time unchanged

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19
Q

Tongue Body - Form

CRACKED: Horizontal cracks

A

Yin Xu

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20
Q

Tongue Body - Form

CRACKED: Ice Floes

A

Yin Xu d/t aging

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21
Q

Tongue Body - Form

CRACKED: Irregular

A

ST Yin Xu

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22
Q

Tongue Body - Form

CRACKED: Transverse Side

A

SP Qi/ Yin Xu

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23
Q

Tongue Body - Form

CRACKED: Vertical Center

A

SP Qi Xu

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24
Q

Tongue Body - Form

CRACKED: Long Vertical

A

HT - emotional disorder

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25
Q

Tongue Body - Form

CRACKED: Transverse (LU area)

A

Prior LU disease or Present LU Yin Xu

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26
Q

Tongue Body - Form

CRACKED: Deep + Small

A

KD Yin Xu w/ Heat

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27
Q

Tongue Body - Form

SWOLLEN: Edges

A

SP Qi/ Yang Xu

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28
Q

Tongue Body - Form

SWOLLEN: Sides

A

LV Yang Rising or LV Fire

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29
Q

Tongue Body - Form

SWOLLEN: Tip

A

HT Fire (if red color)
HT Qi Xu (if normal color)

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30
Q

Tongue Body - Form

SWOLLEN: Half of tongue

A

Weakness of channels

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31
Q

Tongue Body - Form

SWOLLEN: Localized one side

A

Deficiency or stagnation in chest

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32
Q

Tongue Body - Form

SWOLLEN: Half surface

A

LU Qi Xu

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33
Q

Tongue Body - Form

SWOLLEN: Hammer shaped

A

Serious SP/ ST/ KD Xu

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34
Q

Tongue Body - Form

THORNY: Red

A

Internal accumulation of pathogenic Heat

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35
Q

Tongue Body - Form

THORNY: Increasing Severity

A

The more severe the pathogenic heat, the more enlarged and profuse the thorns will be

36
Q

Tongue Body - Form

DEVIATED

A

Wind-Stroke or early threatening signs of Wind-Stroke

37
Q

Tongue Body - Form

RIGID: Exogenous

A
  • Invasion of the PC by Heat
  • Retention of turbid phlegm in the interior
  • Excessive pathogenic Heat consuming body fluids
38
Q

Tongue Body - Form

RIGID: Endogenous

A

Wind-stroke or Early signs of wind-stroke

39
Q

Tongue Body - Form

FLACCID: General

A

Extreme Qi and Blood Xu or Consumption of Yin Fluids

40
Q

Tongue Body - Form

FLACCID: Pale

A

[May be Extreme] Qi and Blood Xu

41
Q

Tongue Body - Form

FLACCID: Deep Red

A

Yin Collapse

42
Q

Tongue Body - Form

QUIVERING: Pale body

A
  • SP Qi Xu
  • HT and SP collapse
43
Q

Tongue Body - Form

QUIVERING: Red Body

A

Extreme Heat generating internal wind

44
Q

Tongue Body - Form

QUIVERING: Pale and Thin

A

Yang Collapse

45
Q

Tongue Coating - Quality

THICK

A
  • Deeper progression
  • Retention of Damp or Food
46
Q

Tongue Coating - Quality

THIN

A
  • Superficial portion –> Deficiency of Anti-Pathogenic (Wei) Qi
47
Q

Tongue Coating - Quality

DRY

A
  • Consumption of body fluids
  • Excess Heat
  • Yin Xu Heat
48
Q

Tongue Coating - Quality

EXCESSIVE MOISTURE, SALIVA DRIBBLES aka “SLIPPERY”

do NOT confuse this with a slippery PULSE, though they can be related

A

Harmful Water and Damp

49
Q

Tongue Coating - Quality

STICKY

Hard to Scrub off - Greasy

A

Retention of Damp, Phlegm, or Food

50
Q

Tongue Coating - Quality

GRANULAR

Coarse, soybean curds, easily scrubbed off, pasty

A

Excessive Yang Heat bringing turbid ST Qi upwards, also Phlegm or Food Retention

51
Q

Tongue Coating - Quality

PEELED: Partially (Geographic)

A

Consumption of ST Qi and Yin

52
Q

Tongue Coating - Quality

PEELED: Entirely (Mirror/ Glossy)

A

Exhaustion of ST Yin, Severe damage of ST Qi

53
Q

Tongue Coating - Color

THIN WHITE

A

Exterior Cold or Normal

54
Q

Tongue Coating - Color

THICK WHITE

A

Interior Cold

55
Q

Tongue Coating - Color

LIGHT YELLOW

A

Mild Heat

56
Q

Tongue Coating - Color

DEEP YELLOW

A

Severe Heat

57
Q

Tongue Coating - Color

BURNT YELLOW

A

Accumulation of Heat

58
Q

Tongue Coating - Color

GREY: Yellowish and Dry

A

Interior Excessive Heat

59
Q

Tongue Coating - Color

GREY: Whitish and Moist

A

Retention of Cold or Damp

60
Q

Tongue Coating - Color

BLACK: Extreme Interior Condition

A

Extreme Heat or Extreme Cold

61
Q

Tongue Coating - Color

BLACK: Yellowish and Dry, Possibly w/ Thorns

A

Extreme Heat

62
Q

Tongue Coating - Color

BLACK: Pale and Slippery

A

Excessive Cold d/t Yang Xu

63
Q

FCM - Tongue Body

Red + MOVING

A

HT Fire and Internal Wind

64
Q

FCM - Tongue Body

Red, Dry, MOVING

A

SP Heat w/ Body Fluid Exhaustion

65
Q

FCM - Tongue Body

TIP ROLLED UP

A

Excess Heat

66
Q

FCM - Tongue Body

TIP ROLLED DOWN

A

Deficiency Heat

67
Q

FCM - Tongue Body

TEETHMARKS

A

SP Qi Xu

68
Q

FCM - Tongue Body

ULCERATED: Red Body

A

HT Fire blazing, SP and KD Heat

69
Q

FCM - Tongue Body

ULCERATED: Red Body and Peeled

A

HT Heat fr KD Yin Xu

70
Q

FCM - Tongue Body

Red Body SORE-COVERED

A

Heat Toxin in the HT

71
Q

FCM - Tongue Coating

SLIMY/ GREASY

A

Thicker in center and is rooted (cannot be scraped)

Qi cannot transform Fluids and accumulates for form Phlegm - secondary to Yang Xu

72
Q

FCM - Tongue Coating

MOLDY

A

Thick, patchy, like cottage cheese; rootless (CAN be scraped off)

ST Heat, ST Yin Xu

73
Q

FCM - Tongue Coating Color

WHITE: Rough and Cracked

A

Attack of Summer-Heat injuring the Qi

74
Q

FCM - Tongue Coating Color

WHITE: Sticky and Greasy

A

Dampness or Phlegm in MJ or Exterior attack of Damp at Qi Level

75
Q

FCM - Tongue Coating Color

WHITE: Cottage Cheese/ Tofu

A

ST Heat

76
Q

FCM - Tongue Coating Color

WHITE: Powder

A

Generally Heat: sl. red body = exterior heat; scarlet body = interior heat

Possible D-C in MJ

77
Q

FCM - Tongue Coating Color

WHITE: Snow-like

A

SP Yang Exhaustion w/ D-C in MJ

78
Q

FCM - Tongue Coating Color

WHITE: Moldy

A

KD/ST Yin Xu; Damp-Toxin in Interior

79
Q

FCM - Tongue Coating Color

YELLOW: Slimy/ Slippery

A

Damp-Heat

80
Q

FCM - Tongue Coating Color

YELLOW: Yellow Root with White Tip

A

EPF changing into Heat and penetrating interior

81
Q

FCM - Tongue Coating Color

YELLOW: Bilateral yellow strips, remainder** yellow**

A

LV/GB Heat

82
Q

FCM - Tongue Coating Color

YELLOW: Bilateral yellow strips, remainder white

A

EPF penetrating interior

ST/LI Heat

83
Q

FCM - Tongue Coating Color

Half YELLOW Half WHITE

A

LV/ GB Heat

84
Q

FCM - Tongue Coating Color

WHITE Coat, BLACK POINTS

A

EPF penetrating interior transforming to heat

85
Q

FCM - Tongue Coating Color

WHITE coating, BLACK PRICKLES

A

True Cold
False Heat
Cold turning into Heat

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