GOT Game: Tongue & Pulse Flashcards
Choose the best answer.
In TCM, pulse palpation is often performed at the radial artery because:
a) The circulation of Qi and Blood in all 5 Zang and 6 Fu organs start and end at the Heart
b) The Lung channel starts in the Upper Burner, where the Spleen and Stomach are located; they are the source of acquired qi and the production of Qi and Blood
c) it is accessible and clinically accurate
d) the Lung is the source of acquired qi and the production of Qi and Blood
c) it is accessible and clinically accurate
Choose the best answer.
The cun pulse is:
a) adjacent and immediately distal to the proximal position
b) adjacent and distal to the middle position
c) adjacent and proximal to the middle position
d) medial to the styloid process of the radius
b) adjacent and distal to the middle position
Choose the best anwer.
The guan position is:
a) on top of a hill
b) adjacent and proximal to the middle position
c) adjacent and distal to the middle position
d) medial to the styloid process of the radius
d) medial to the styloid process of the radius
Choose the 2 best answers.
Pulses on the left wrist:
a) reflect the condition of the blood
b) reflect the Heart and Lung
c) reflect the upper, middle and lower jiao
d) reflect the Heart, Liver and Kidney Yin
a) reflect the condition of the blood
d) reflect the Heart, Liver and Kidney Yin
Choose the 2 best answers.
Pulses on the right wrist:
a) reflect the condition of the blood and qi
b) reflect the condition of Lung, Spleen and Kidney Yang
c) reflect the condition of the Lung, Spleen and Kidney Yin
d) reflect the condition of the qi
b) reflect the condition of Lung, Spleen and Kidney Yang
d) reflect the condition of the qi
Which 3 groups are accurately paired?
a) middle jiao: Liver, Spleen
b) lower jiao: Kidney Yang, Spleen
c) upper jiao: Heart, Lung
d) upper jiao: Heart, Liver
e) middle jiao: Spleen, Kidney Yin
f) lower jiao: Kidneys
a) middle jiao: Liver, Spleen
c) upper jiao:Heart, Lung
f) lower jiao: Kidneys
What is the optimal duration to take a pulse reading?
a) 1 minute
b) 15 breaths
c) 2-3 minutes or at least 50 breaths
d) 2-3 minutes or at least 50 heart beats
c) 2-3 minutes or at least 50 breaths
What are the 8 basic qualities or components of the TCM pulse image?
Bonus question: What is a 9th component?
Strength Width
Depth Rate
Rhythm Shape
Length Tension
Bonus: Vibration
Which 3 statements are accurate?
a) Width of a pulse is the diameter of the vessel which is due to the qi and blood reflecting the condition of the Zang Fu organs.
b) Depth refers to the cun, guan or chi position where the pulse is strongest reflecting the vitality of the Stomach Qi
c) Strength is the force of the pulse which reflects the condition of the Qi and Blood
d) Length is the measure of the pulse length relative to the 3 positions, cun, guan and chi. This reflects the condition of the Qi and Blood - esp the Qi.
a) Width of a pulse is the diameter of the vessel which is due to the qi and blood reflecting the condition of the Zang Fu organs.
c) Strength is the force of the pulse which reflects the condition of the Qi and Blood
d) Length is the measure of the pulse length relative to the 3 positions, cun, guan and chi. This reflects the condition of the Qi and Blood - esp the Qi.
Which statement is true?
a) Pulse rate is the number of times you count the patient’s pulse
b) Normal TCM pulse rate is 5 - 6 beats per breath of the patient
c) Pulse rate is determined by multiple factors - esp the state of the Yang
d) Normal pulse rate is between 70 - 100 beats per minute
c) Pulse rate is determined by multiple factors - esp the state of the Yang
Which statements are true?
a) Rhythm of the heart beat mainly reflects Heart Qi function
b) Tension of the blood vessels is due to the condition of Qi and Blood and the blood vessels
c) Shape of a pulse refers to the ascending and descending contour of the pulse
d) The normal pulse is rooted
a) Rhythm of the heart beat mainly reflects Heart Qi function
b) Tension of the blood vessels is due to the condition of Qi and Blood and the blood vessels
c) Shape of a pulse refers to the ascending and descending contour of the pulse
d) The normal pulse is rooted
Choose the best answer.
Which statement is true?
a) Qi provides the substance that fills the vessels.
b) Yang provides the substance that fills the vessels.
c) Blood provides the substance that fills the vessels.
d) Yin is a form of blood therefore provides the substance that fills the vessels.
c) Blood provides the substance that fills the vessels.
Choose the best answer.
Which statement is true?
a) The Heart governs the Qi and gathers the channels and vessels.
b) The Heart stores the essence which transforms into Qi and Blood.
c) The Heart controls the blood inside the vessels.
d) The Heart stores the blood and ensures the smooth flow of Qi.
e) The Heart governs the blood and vessels.
e) The Heart governs the blood and vessels.
Choose the best answer.
Which statement is true?
a) The Spleen/Stomach governs the Qi and gathers the channels and vessels.
b) The Spleen/Stomach stores the essence which transforms into Qi and Blood.
c) The Spleen/Stomach controls the blood inside the vessels.
d) The Spleen/Stomach stores the blood and ensures the smooth flow of Qi.
e) The Spleen/Stomach governs the blood and vessels.
c) The Spleen/Stomach controls the blood inside the vessels.
Choose the best answer.
Which statement is true?
a) The Lung governs the Qi and gathers the channels and vessels.
b) The Lung stores the essence which transforms into Qi and Blood.
c) The Lung controls the blood inside the vessels.
d) The Lung stores the blood and ensures the smooth flow of Qi.
e) The Lung governs the blood and vessels.
a) The Lung governs the Qi and gathers the channels and vessels.
Choose the best answer.
Which statement is true?
a) The Kidney governs the Qi and gathers the channels and vessels.
b) The Kidney stores the essence which transforms into Qi and Blood.
c) The Kidney controls the blood inside the vessels.
d) The Kidney stores the blood and ensures the smooth flow of Qi.
e) The Kidney governs the blood and vessels.
b) The Kidney stores the essence which transforms into Qi and Blood.
Choose the best answer.
Which statement is true?
a) The Liver governs the Qi and gathers the channels and vessels.
b) The Liverstores the essence which transforms into Qi and Blood.
c) The Liver controls the blood inside the vessels.
d) The Liver stores the blood and ensures the smooth flow of Qi.
e) The Liver governs the blood and vessels.
d) The Liver stores the blood and ensures the smooth flow of Qi.
Choose the 2 best answers.
Which completed statements are true? A normal pulse…
a) is 4 -5 beats/breath of the patient
b) feels strongest at the deep level
c) may indicate a very early stage pathological process
d) has a moderate width and force
c) may indicate a very early stage pathological process
d) has a moderate width and force
Choose the best answer.
What are the 3 basic aspects of the normal pulse that determine prognosis?
a) Yin, Yang and Essence
b) Stomach Qi, Spirit and Root
c) Depth, Width, Tension
c) Strength, Rate, Shape
b) Stomach Qi, Spirit and Root
Choose the 3 best answers to complete the sentence.
Rootedness is:
a) felt at the deepest depth at all 3 positions (cun, guan, chi)
b) due to Heart Qi that is sufficient in Qi and Blood
c) the result of Kidney Qi.
d) felt at the proximal position at any depth.
a) felt at the deepest depth at all 3 positions (cun, guan, chi)
c) the result of Kidney Qi.
d) felt at the proximal position at any depth.
Choose the 2 best answers to complete the sentence.
An excess pulse may indicate…
a) cold accumulation, qi or blood stagnation
b) yin deficient fire
c) food stagnation or phlegm retention
d) yang collapse
a) cold accumulation, qi or blood stagnation
c) food stagnation or phlegm retention
Choose the best answer to complete the sentence.
A deficient pulse may indicate…
a) blood deficiency if also floating
b) internal deficiency if also submerged/deep
c) yin deficiency if also slow
d) yang deficiency if also rapid
b) internal deficiency if also submerged/deep
Choose the 2 best answers to complete the sentence.
A large/wide pulse may indicate…
a) external heat
b) internal heat
c) yin unable to anchor yang
d) yang unable to anchor yin
b) internal heat
c) yin unable to anchor yang
Choose the 3 best answers to complete the sentence.
A thin/thready pulse may indicate…
a) dampness
b) wind
c) blood or yin deficiency
d) qi deficiency
a) dampness
c) blood or yin deficiency
d) qi deficiency
Choose the 2 best answers to complete the sentence.
A superficial/floating pulse may indicate…
a) internal wind
b) exterior wind
c) blood, yin or yang exhaustion
d) qi stagnation
b) exterior wind
c) blood, yin or yang exhaustion
Choose the 3 best answers to complete the sentence.
A deep/submerged pulse may indicate…
a) internal syndrome
b) exterior external
c) pathogenic obstruction
d) qi and blood deficiency
a) internal syndrome
c) pathogenic obstruction
d) qi and blood deficiency
Choose the best answers to complete the sentence.
A hidden pulse may indicate…
a) yang qi obstructed by pathogens
b) yang qi unable to push qi and blood to the surface
c) severe blood loss
d) pregnancy
a) yang qi obstructed by pathogens
b) yang qi unable to push qi and blood to the surface
c) severe blood loss
d) pregnancy
Choose the 3 best answers to complete the sentence.
A long pulse may indicate…
a) internal heat
b) Liver yang rising
c) normal in moderate strength
d) cold accumulation
a) internal heat
b) Liver yang rising
c) normal in moderate strength
Choose the 2 best answers to complete the sentence.
A short pulse may indicate…
a) qi deficiency
b) qi stagnation
c) blood deficiency
d) blood stagnation
a) qi deficiency
b) qi stagnation
Choose the 3 best answers to complete the sentence.
A rapid pulse may indicate…
a) excess pathogenic heat
b) yin deficiency
c) blood deficiency
d) blood stagnation
a) excess pathogenic heat
b) yin deficiency
c) blood deficiency
Choose the 2 best answers to complete the sentence.
A racing pulse may indicate…
a) excess heat and hyperactivity of yang
b) yin exhaustion and antipathogenic qi collapse
c) internal wind
d) qi and blood stagnation
a) excess heat and hyperactivity of yang
b) yin exhaustion and antipathogenic qi collapse
Choose the 3 best answers to complete the sentence.
A slow pulse may indicate…
a) excess cold
b) deficiency cold
c) qi deficiency
d) qi stagnation
a) excess cold
b) deficiency cold
c) qi deficiency
Choose the 2 best answers to complete the sentence.
A consistently/regularly intermittent pulse may indicate…
a) if also rapid: wind syndrome, pain, emotional shock
b) if also rapid: damp syndrome, phlegm, excitement
c) if also forceless: qi and/or blood deficiency
d) if also forceless: yin and/or yang deficiency
a) if also rapid: wind syndrome, pain, emotional shock
c) if also forceless: qi and/or blood deficiency
Choose the 2 best answers to complete the sentence.
A slippery/rolling pulse may indicate…
a) deficiency
b) food stagnation or heat
c) phlegm or damp
d) blood stagnation
b) food stagnation or heat
c) phlegm or damp
Choose the best answer.
Which “normal” pulses are accurately paired with a season?
a) spring and flooding
b) summer and wiry
c) winter and slow
d) autumn and floating
d) autumn and floating
Choose the 3 best answers
Which “normal” pulses are accurately paired with age, constitution or gender?
a) elderly with empty and forceless
b) female with maybe weaker, thinner, slightly more rapid
c) infants and children with heart rates over 90 beats per minute.
d) taller, thinner constitution with slower rate
a) elderly with empty and forceless
b) female with maybe weaker, thinner, slightly more rapid
c) infants and children with heart rates over 90 beats per minute.
Choose the 2 best answers.
Which pulses are accurately paired with a mental state?
a) fear with moving
b) fright with submerged
c) joy with slow
d) grief with short
c) joy with slow
d) grief with short
Choose the best answers.
Which factors may cause a pulse to feel more full, rapid or forceful?
a) eating a meal
b) spicy foods
c) ice cream
d) alcohol
a) eating a meal
b) spicy foods
d) alcohol
Choose the best answer.
What pulse quality reflects the sufficiency of stomch qi and the free flow of qi and blood ?
a) strength
b) width
c) depth
d) rate
c) depth
Choose the best answer.
What pulse quality reflects the condition of heart qi?
a) strength
b) rhythm
c) length
d) shape
b) rhythm
Choose the 3 most accurate statements.
a) A pulse that is slack or loose indicates qi and blood deficiency
b) A pulse that is slack or loose indicates yin deficiency
c) A pulse that is taut or has tension indicates qi and blood stagnation
d) A pulse that is taut or has tension indicates blood vessel constriction
a) A pulse that is slack or loose indicates qi and blood deficiency
c) A pulse that is taut or has tension indicates qi and blood stagnation
d) A pulse that is taut or has tension indicates blood vessel constriction
Choose the 3 best statements to complete the sentence.
A wiry or string-taut pulse feels:
a) “Like a string on a musical istrument.”
b) Long, forceful and vibrating
c) Like a straight line
d) Taut, long and forceful
a) “Like a string on musical istrument.”
c) Like a straight line
d) Taut, long and forceful
Choose the 2 best statements to complete the sentence.
A wiry or string-taut pulse indicates:
a) Normal in Summer
b) Phlegm, Pain or Malaria
c) Qi and Blood deficiency
d) Liver/Gallbladder disease
b) Phlegm, Pain or Malaria
d) Liver/Gallbladder disease
Choose the best statement to complete the sentence.
A tight or tense pulse feels:
a) “Like a string on a musical istrument.”
b) Vibrating, rising and falling with strength
c) Rapid
d) Round, rolling
b) Vibrating, rising and falling with strength
Choose the 2 best statements to complete the sentence.
A tight or tense pulse indicates:
a) Pain or Heat Pattern
b) Pain or Cold Pattern
c) Food Stagnation
d) Phlegm Stagnation
b) Pain or Cold Pattern
c) Food Stagnation
Choose the 2 best statements to complete the sentence.
A leather pulse feels:
a) Deep, flat and forceful
b) Vibrating, rising and falling with strength
c) Superficial, forceful, taut, wide and hollow
d) Like a drumskin
c) Superficial, forceful, taut, wide and hollow
d) Like a drumskin
Choose the 2 best statements to complete the sentence.
A leather pulse indicates:
a) Excess Pattern
b) Deficiency Pattern
c) Qi and Blood Stagnation
d) Blood Loss
b) Deficiency Pattern
d) Blood Loss
Choose the 3 best statements to complete the sentence.
A rapid irregular or abrupt pulse feels:
a) Possibly forceful or forceless
b) Hasty
c) Hesitant
d) Fast with missed steps
a) Possibly forceful or forceless
b) Hasty
d) Fast with missed steps
Choose the 2 best statements to complete the sentence.
A rapid irregular or abrupt pulse indicates:
a) If also forceful, then excess heat or stagnation
b) If also forceful, then excess cold
c) If also forceless, then qi or blood deficiency
d) If also forceless, then yin and yang disharmony
a) If also forceful, then excess heat or stagnation
d) If also forceless, then yin and yang disharmony
Choose the 2 best statements to complete the sentence.
A slow irregular or knotted pulse indicates:
a) Heart qi deficiency
b) Liver blood deficiency
c) Heat or Yang Rising
d) Cold, Stagnation or Tumor
a) Heart qi deficiency
d) Cold, Stagnation or Tumor
Choose the best statements to complete the sentence.
A choppy or hesitant pulse feels:
a) Irregular in rate, strength and size
b) Uneven, unsmooth, changing rapidly
c) Rough, Sluggish
d) Forceful or Forceless
a) Irregular in rate, strength and size
b) Uneven, unsmooth, changing rapidly
c) Rough, Sluggish
d) Forceful or Forceless
Choose the 2 best statements to complete the sentence.
A choppy or hesitant pulse:
a) If also forceful, indicates qi and blood stagnation, food stagnation or phlegm retention
b) If also forceful, indicates excess heat or cold
c) If also forceless, indicates Spleen qi deficiency with dampness
d) If also forceless, indicates blood or essence deficiency, threatened abortion or seminal emission
a) If also forceful, indicates qi and blood stagnation, food stagnation or phlegm retention
d) If also forceless, indicates blood or essence deficiency, threatened abortion or seminal emission
Choose the 2 best statements to complete the sentence.
A flooding or surging pulse feels:
a) Gently rising with a burst of force
b) Wide, forceful and easily felt at the superficial level
c) Fades gently
d) Symmetrical when it rises and falls
b) Wide, forceful and easily felt at the superficial level
c) Fades gently